{
  "resourceType": "StructureDefinition",
  "id": "UKCore-MedicationRequest",
  "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest",
  "version": "2.4.0",
  "name": "UKCoreMedicationRequest",
  "title": "UK Core MedicationRequest",
  "status": "active",
  "date": "2023-04-28",
  "publisher": "HL7 UK",
  "contact": [
    {
      "name": "HL7 UK",
      "telecom": [
        {
          "system": "email",
          "value": "ukcore@hl7.org.uk",
          "use": "work",
          "rank": 1
        }
      ]
    }
  ],
  "description": "This profile defines the UK constraints and extensions on the International FHIR resource [MedicationRequest](https://hl7.org/fhir/R4/MedicationRequest.html).",
  "purpose": "An order or request for both supply of the medication and the instructions for administration of the medication to an individual. \r\n\r\nThis profile covers inpatient medication orders as well as community orders (whether filled by the prescriber or by a pharmacy). It also includes orders for over-the-counter medications (e.g. Aspirin), total parenteral nutrition and diet/ vitamin supplements, and may be used to support the order of medication-related devices. \r\n\r\nIt is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc).",
  "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "script10.6",
      "uri": "http://ncpdp.org/SCRIPT10_6",
      "name": "Mapping to NCPDP SCRIPT 10.6"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MedicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest.extension",
        "path": "MedicationRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "MedicationRequest.extension:medicationRepeatInformation",
        "path": "MedicationRequest.extension",
        "sliceName": "medicationRepeatInformation",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.identifier.assigner",
        "path": "MedicationRequest.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.category",
        "path": "MedicationRequest.category",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory"
        }
      },
      {
        "id": "MedicationRequest.reported[x]",
        "path": "MedicationRequest.reported[x]",
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication"
            ]
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode"
        }
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Group",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.subject.identifier.assigner",
        "path": "MedicationRequest.subject.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.encounter",
        "path": "MedicationRequest.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.encounter.identifier.assigner",
        "path": "MedicationRequest.encounter.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.supportingInformation.identifier.assigner",
        "path": "MedicationRequest.supportingInformation.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester.identifier.assigner",
        "path": "MedicationRequest.requester.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.performer.identifier.assigner",
        "path": "MedicationRequest.performer.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.recorder.identifier.assigner",
        "path": "MedicationRequest.recorder.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonReference.identifier.assigner",
        "path": "MedicationRequest.reasonReference.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn.identifier.assigner",
        "path": "MedicationRequest.basedOn.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.groupIdentifier.assigner",
        "path": "MedicationRequest.groupIdentifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "short": "A course of therapy for a medication request",
        "definition": "The description of the course of therapy for a medication request.",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy"
        }
      },
      {
        "id": "MedicationRequest.insurance.identifier.assigner",
        "path": "MedicationRequest.insurance.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.note.author[x]",
        "path": "MedicationRequest.note.author[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          },
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "path": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "binding": {
          "strength": "preferred"
        }
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite"
        }
      },
      {
        "id": "MedicationRequest.dosageInstruction.route",
        "path": "MedicationRequest.dosageInstruction.route",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute"
        }
      },
      {
        "id": "MedicationRequest.dosageInstruction.method",
        "path": "MedicationRequest.dosageInstruction.method",
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod"
        }
      },
      {
        "id": "MedicationRequest.dispenseRequest.performer",
        "path": "MedicationRequest.dispenseRequest.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.performer.identifier.assigner",
        "path": "MedicationRequest.dispenseRequest.performer.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution",
        "path": "MedicationRequest.substitution",
        "min": 1
      },
      {
        "id": "MedicationRequest.substitution.allowed[x]",
        "path": "MedicationRequest.substitution.allowed[x]",
        "definition": "The purpose of this element is to allow the prescriber to dispense a different drug from what was prescribed."
      },
      {
        "id": "MedicationRequest.priorPrescription",
        "path": "MedicationRequest.priorPrescription",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.priorPrescription.identifier.assigner",
        "path": "MedicationRequest.priorPrescription.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.detectedIssue.identifier.assigner",
        "path": "MedicationRequest.detectedIssue.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.eventHistory",
        "path": "MedicationRequest.eventHistory",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Provenance"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.eventHistory.identifier.assigner",
        "path": "MedicationRequest.eventHistory.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
            ]
          }
        ]
      }
    ]
  }
}