<status value="draft" /> <description value="This profile describes the MedicationRequest constraints for MERT." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest"> <path value="MedicationRequest" /> <constraint> <key value="mert-medreq-din-should" /> <severity value="warning" /> <human value="When medication as a CodeableConcept has codings, a DIN coding should be included (Canada-first)." /> <expression value="medication.ofType(CodeableConcept).coding.empty() or medication.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/sid/ca-din').exists()" /> <source value="https://intrahealth.com/fhir/mert/StructureDefinition/MedicationRequestMERT" /> </constraint> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent" /> <short value="'order' only" /> <definition value="For MERT, MedicationRequest.intent only processes those that are 'order'. Other intent values will not be processed." /> <patternCode value="order" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <comment value="Medication SHALL be represented as a CodeableConcept for MERT exchange. When codings are present, DIN coding is preferred." /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x].coding"> <path value="MedicationRequest.medication[x].coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.medication[x].coding:din"> <path value="MedicationRequest.medication[x].coding" /> <sliceName value="din" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x].coding:din.system"> <path value="MedicationRequest.medication[x].coding.system" /> <min value="1" /> <patternUri value="http://hl7.org/fhir/sid/ca-din" /> </element> <element id="MedicationRequest.medication[x].coding:din.code"> <path value="MedicationRequest.medication[x].coding.code" /> <min value="1" /> </element> <element id="MedicationRequest.medication[x].text"> <path value="MedicationRequest.medication[x].text" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <type> <code value="Reference" /> <targetProfile value="https://intrahealth.com/fhir/mert/StructureDefinition/PatientMERT" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.encounter"> <path value="MedicationRequest.encounter" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <type> <code value="Reference" /> <targetProfile value="https://intrahealth.com/fhir/mert/StructureDefinition/PractitionerMERT" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <min value="1" /> <max value="1" /> <type> <code value="Dosage" /> <profile value="https://intrahealth.com/fhir/mert/StructureDefinition/DosageMERT" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration"> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution.allowed[x]"> <path value="MedicationRequest.substitution.allowed[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution.allowed[x]:allowedBoolean"> <path value="MedicationRequest.substitution.allowed[x]" /> <sliceName value="allowedBoolean" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>