<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MedicationStatementMERT" />
  <url value="https://intrahealth.com/fhir/mert/StructureDefinition/MedicationStatementMERT" />
  <name value="MedicationStatementMERT" />
  <title value="MedicationStatement (MERT)" />
  <status value="draft" />
  <description value="This profile describes the MedicationStatement for MERT." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="MedicationStatement" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" />
  <derivation value="constraint" />
  <differential>
    <element id="MedicationStatement">
      <path value="MedicationStatement" />
      <constraint>
        <key value="mert-med-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/MedicationStatementMERT" />
      </constraint>
      <constraint>
        <key value="mert-ms-statusreason-text" />
        <severity value="warning" />
        <human value="If statusReason is present, it should carry user-entered text." />
        <expression value="statusReason.empty() or statusReason.text.exists()" />
        <source value="https://intrahealth.com/fhir/mert/StructureDefinition/MedicationStatementMERT" />
      </constraint>
    </element>
    <element id="MedicationStatement.status">
      <path value="MedicationStatement.status" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.statusReason">
      <path value="MedicationStatement.statusReason" />
      <short value="Free-text reason for the current medication status." />
      <comment value="MERT systems typically capture user-entered reasons in CodeableConcept.text. Codings may be supplied when available." />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.statusReason.text">
      <path value="MedicationStatement.statusReason.text" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.medication[x]">
      <path value="MedicationStatement.medication[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.medication[x]:medicationCodeableConcept">
      <path value="MedicationStatement.medication[x]" />
      <sliceName value="medicationCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="https://intrahealth.com/fhir/mert/ValueSet/mert-medication-din" />
      </binding>
    </element>
    <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding">
      <path value="MedicationStatement.medication[x].coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:din">
      <path value="MedicationStatement.medication[x].coding" />
      <sliceName value="din" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:din.system">
      <path value="MedicationStatement.medication[x].coding.system" />
      <min value="1" />
      <patternUri value="http://hl7.org/fhir/sid/ca-din" />
    </element>
    <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:din.code">
      <path value="MedicationStatement.medication[x].coding.code" />
      <min value="1" />
    </element>
    <element id="MedicationStatement.medication[x]:medicationReference">
      <path value="MedicationStatement.medication[x]" />
      <sliceName value="medicationReference" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.subject">
      <path value="MedicationStatement.subject" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.context">
      <path value="MedicationStatement.context" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.effective[x]">
      <path value="MedicationStatement.effective[x]" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.reasonCode">
      <path value="MedicationStatement.reasonCode" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.note">
      <path value="MedicationStatement.note" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage">
      <path value="MedicationStatement.dosage" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>