<status value="active" /> <date value="2023-04-28" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="This profile defines the UK constraints and extensions on the International FHIR resource [MedicationRequest](https://hl7.org/fhir/R4/MedicationRequest.html)." /> <purpose value="An order or request for both supply of the medication and the instructions for administration of the medication to an individual. This 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. It is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc)." /> <copyright value="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 value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="script10.6" /> <uri value="http://ncpdp.org/SCRIPT10_6" /> <name value="Mapping to NCPDP SCRIPT 10.6" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest.extension"> <path value="MedicationRequest.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="MedicationRequest.extension:medicationRepeatInformation"> <path value="MedicationRequest.extension" /> <sliceName value="medicationRepeatInformation" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation" /> </type> </element> <element id="MedicationRequest.identifier.assigner"> <path value="MedicationRequest.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory" /> </binding> </element> <element id="MedicationRequest.reported[x]"> <path value="MedicationRequest.reported[x]" /> <type> <code value="boolean" /> </type> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <type> <code value="CodeableConcept" /> </type> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication" /> </type> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode" /> </binding> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </type> </element> <element id="MedicationRequest.subject.identifier.assigner"> <path value="MedicationRequest.subject.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.encounter"> <path value="MedicationRequest.encounter" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" /> </type> </element> <element id="MedicationRequest.encounter.identifier.assigner"> <path value="MedicationRequest.encounter.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.supportingInformation.identifier.assigner"> <path value="MedicationRequest.supportingInformation.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> </type> </element> <element id="MedicationRequest.requester.identifier.assigner"> <path value="MedicationRequest.requester.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.performer"> <path value="MedicationRequest.performer" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam" /> </type> </element> <element id="MedicationRequest.performer.identifier.assigner"> <path value="MedicationRequest.performer.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.recorder"> <path value="MedicationRequest.recorder" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> </type> </element> <element id="MedicationRequest.recorder.identifier.assigner"> <path value="MedicationRequest.recorder.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.reasonReference"> <path value="MedicationRequest.reasonReference" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </type> </element> <element id="MedicationRequest.reasonReference.identifier.assigner"> <path value="MedicationRequest.reasonReference.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.basedOn"> <path value="MedicationRequest.basedOn" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" /> </type> </element> <element id="MedicationRequest.basedOn.identifier.assigner"> <path value="MedicationRequest.basedOn.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.groupIdentifier.assigner"> <path value="MedicationRequest.groupIdentifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.courseOfTherapyType"> <path value="MedicationRequest.courseOfTherapyType" /> <short value="A course of therapy for a medication request" /> <definition value="The description of the course of therapy for a medication request." /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy" /> </binding> </element> <element id="MedicationRequest.insurance.identifier.assigner"> <path value="MedicationRequest.insurance.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.note.author[x]"> <path value="MedicationRequest.note.author[x]" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> <type> <code value="string" /> </type> </element> <element id="MedicationRequest.dosageInstruction.asNeeded[x]"> <path value="MedicationRequest.dosageInstruction.asNeeded[x]" /> <binding> <strength value="preferred" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.site"> <path value="MedicationRequest.dosageInstruction.site" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.route"> <path value="MedicationRequest.dosageInstruction.route" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.method"> <path value="MedicationRequest.dosageInstruction.method" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod" /> </binding> </element> <element id="MedicationRequest.dispenseRequest.performer"> <path value="MedicationRequest.dispenseRequest.performer" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.dispenseRequest.performer.identifier.assigner"> <path value="MedicationRequest.dispenseRequest.performer.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution" /> <min value="1" /> </element> <element id="MedicationRequest.substitution.allowed[x]"> <path value="MedicationRequest.substitution.allowed[x]" /> <definition value="The purpose of this element is to allow the prescriber to dispense a different drug from what was prescribed." /> </element> <element id="MedicationRequest.priorPrescription"> <path value="MedicationRequest.priorPrescription" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" /> </type> </element> <element id="MedicationRequest.priorPrescription.identifier.assigner"> <path value="MedicationRequest.priorPrescription.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.detectedIssue.identifier.assigner"> <path value="MedicationRequest.detectedIssue.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationRequest.eventHistory"> <path value="MedicationRequest.eventHistory" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Provenance" /> </type> </element> <element id="MedicationRequest.eventHistory.identifier.assigner"> <path value="MedicationRequest.eventHistory.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> </differential> </StructureDefinition>