{
  "resourceType": "StructureDefinition",
  "id": "il-core-medication-request",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://fhir.health.gov.il/StructureDefinition/il-core-medication-request",
  "version": "0.21.0",
  "name": "ILCoreMedicationRequest",
  "title": "ILCore MedicationRequest Profile",
  "status": "active",
  "date": "2026-03-23",
  "publisher": "Israel Core Team",
  "contact": [
    {
      "telecom": [
        {
          "system": "email",
          "value": "tal.primak@moh.gov.il"
        }
      ]
    }
  ],
  "description": "Israel Core proposed constraints and extensions on the MedicationRequest Resource",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest",
        "path": "MedicationRequest",
        "short": "ILCore MedicationRequest Profile",
        "definition": "Israel Core proposed constraints and extensions on the MedicationRequest resource profile."
      },
      {
        "id": "MedicationRequest.extension",
        "path": "MedicationRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.extension:recorded",
        "path": "MedicationRequest.extension",
        "sliceName": "recorded",
        "short": "Ext: Recorded Time",
        "definition": "Extension: The time in which an event was recorded",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/ext-medication-recorded-time"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:narcotic",
        "path": "MedicationRequest.extension",
        "sliceName": "narcotic",
        "short": "Ext: Narcotic Medication",
        "definition": "Extension: Noting if a medication is narcotic or not",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.identifier",
        "path": "MedicationRequest.identifier",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-identifier"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.intent",
        "path": "MedicationRequest.intent",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.category",
        "path": "MedicationRequest.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.category:il-core",
        "path": "MedicationRequest.category",
        "sliceName": "il-core",
        "min": 0,
        "max": "*",
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-medication-request-category"
        }
      },
      {
        "id": "MedicationRequest.category:il-core.coding.system",
        "path": "MedicationRequest.category.coding.system",
        "min": 1,
        "fixedUri": "http://fhir.health.gov.il/cs/il-core-medication-request-category"
      },
      {
        "id": "MedicationRequest.category:il-core.coding.code",
        "path": "MedicationRequest.category.coding.code",
        "min": 1
      },
      {
        "id": "MedicationRequest.reported[x]",
        "path": "MedicationRequest.reported[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.reported[x]:reportedReference",
        "path": "MedicationRequest.reported[x]",
        "sliceName": "reportedReference",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-related-person",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.medication[x]:medicationCodeableConcept",
        "path": "MedicationRequest.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-medication-code"
        }
      },
      {
        "id": "MedicationRequest.medication[x]:medicationCodeableConcept.extension:medication-form",
        "path": "MedicationRequest.medication[x].extension",
        "sliceName": "medication-form",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/ext-medication-dose-form"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x]:medicationReference",
        "path": "MedicationRequest.medication[x]",
        "sliceName": "medicationReference",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-medication"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-group"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.encounter",
        "path": "MedicationRequest.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-encounter"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.supportingInformation",
        "path": "MedicationRequest.supportingInformation",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "$this.resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.supportingInformation:bodyWeight",
        "path": "MedicationRequest.supportingInformation",
        "sliceName": "bodyWeight",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/bodyweight"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-related-person",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization",
              "http://fhir.health.gov.il/StructureDefinition/il-core-device"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization",
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-related-person",
              "http://fhir.health.gov.il/StructureDefinition/il-core-care-team",
              "http://fhir.health.gov.il/StructureDefinition/il-core-device"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonCode",
        "path": "MedicationRequest.reasonCode",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-procedure-reason"
        }
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-condition",
              "http://fhir.health.gov.il/StructureDefinition/il-core-observation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonReference.extension:procedureReference",
        "path": "MedicationRequest.reasonReference.extension",
        "sliceName": "procedureReference",
        "short": "Ext: ILCore Procedure Reference",
        "definition": "Extension: Procedure Reference",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/ext-medication-request-procedure-reason-reference"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-care-plan",
              "http://fhir.health.gov.il/StructureDefinition/il-core-medication-request",
              "http://fhir.health.gov.il/StructureDefinition/il-core-service-request",
              "http://fhir.health.gov.il/StructureDefinition/il-core-immunization-recommendation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type"
        }
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "type": [
          {
            "code": "Dosage",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-dosage"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}