<status value="draft" /> <description value="An Irish electronic prescription as exchanged: one patient (IECorePatientEPrescription), one or more prescription items (IECoreMedicationRequestEPrescription) sharing a group identifier, the prescriber, the prescriber's facility, the medicinal products, and the allergy statement (IECoreListAllergiesAtPrescribing). Prescription-level legal and safety rules (HIQA EP 1.4.2, 1.6.1, 2.10.1, 3.1) are enforced here because they span resources." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Bundle" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Bundle" /> <derivation value="constraint" /> <differential> <element id="Bundle"> <path value="Bundle" /> <constraint> <key value="ie-bnd-rx-1" /> <severity value="error" /> <human value="A multi-item prescription SHALL share one group identifier (system and value) across all its items (HIQA EP 3.1)" /> <expression value="entry.resource.ofType(MedicationRequest).count() <= 1 or (entry.resource.ofType(MedicationRequest).all(groupIdentifier.exists()) and entry.resource.ofType(MedicationRequest).select(groupIdentifier.system + '|' + groupIdentifier.value).distinct().count() = 1)" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription" /> </constraint> <constraint> <key value="ie-bnd-rx-2" /> <severity value="error" /> <human value="Every prescription item SHALL reference the allergy statement (a List coded LOINC 48765-2) in supportingInformation (HIQA EP 1.6.1 / 1.6.2)" /> <expression value="entry.resource.ofType(MedicationRequest).all(supportingInformation.where(resolve() is List and resolve().code.coding.where(system = 'http://loinc.org' and code = '48765-2').exists()).exists())" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription" /> </constraint> <constraint> <key value="ie-bnd-rx-3" /> <severity value="error" /> <human value="If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, every prescription item SHALL record the patient's age (HIQA EP 1.4.2; a legal requirement)" /> <expression value="entry.resource.ofType(MedicationRequest).all(extension('https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient-age-at-prescribing').exists() or ((%resource.entry.resource.ofType(Patient).first().birthDate.toString().length() = 10) and ((%resource.entry.resource.ofType(Patient).first().birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))))" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription" /> </constraint> <constraint> <key value="ie-bnd-rx-4" /> <severity value="error" /> <human value="The prescriber (the requester, its practitioner, or its organisation) SHALL have a telephone number (HIQA EP 2.10 / 2.10.1, Mandatory)" /> <expression value="entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'phone').exists())" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription" /> </constraint> <constraint> <key value="ie-bnd-rx-5" /> <severity value="error" /> <human value="Every prescription item, the allergy statement and every allergy SHALL be about the one Patient in the Bundle (patient safety: the allergy statement must be the patient's own)" /> <expression value="(entry.resource.ofType(MedicationRequest).subject.reference | entry.resource.ofType(List).subject.reference | entry.resource.ofType(AllergyIntolerance).patient.reference).all(($this = %resource.entry.where(resource is Patient).fullUrl) or ($this = ('Patient/' + %resource.entry.resource.ofType(Patient).id)))" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription" /> </constraint> <constraint> <key value="ie-bnd-rx-6" /> <severity value="error" /> <human value="Every allergy listed in the allergy statement SHALL be included in the Bundle (HIQA EP 1.6.2)" /> <expression value="entry.resource.ofType(List).entry.item.reference.all(($this in %resource.entry.fullUrl) or ($this.replace('AllergyIntolerance/', '') in %resource.entry.resource.ofType(AllergyIntolerance).id))" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription" /> </constraint> </element> <element id="Bundle.identifier"> <path value="Bundle.identifier" /> <comment value="Bundle identifier; typically the NePS electronic prescription (group) identifier (HIQA EP 3.1)." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Bundle.type"> <path value="Bundle.type" /> <patternCode value="collection" /> </element> <element id="Bundle.timestamp"> <path value="Bundle.timestamp" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Bundle.entry"> <path value="Bundle.entry" /> <slicing> <discriminator> <type value="type" /> <path value="resource" /> </discriminator> <rules value="open" /> </slicing> <min value="3" /> <mustSupport value="true" /> </element> <element id="Bundle.entry.fullUrl"> <path value="Bundle.entry.fullUrl" /> <min value="1" /> </element> <element id="Bundle.entry.resource"> <path value="Bundle.entry.resource" /> <min value="1" /> </element> <element id="Bundle.entry:patient"> <path value="Bundle.entry" /> <sliceName value="patient" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:patient.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Patient" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient-eprescription" /> </type> </element> <element id="Bundle.entry:prescriptionItem"> <path value="Bundle.entry" /> <sliceName value="prescriptionItem" /> <min value="1" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:prescriptionItem.resource"> <path value="Bundle.entry.resource" /> <type> <code value="MedicationRequest" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationrequest-eprescription" /> </type> </element> <element id="Bundle.entry:allergyStatement"> <path value="Bundle.entry" /> <sliceName value="allergyStatement" /> <comment value="HIQA EP 1.6.1 / 1.6.2: exactly one allergy statement per prescription, either listing the allergies or giving the reason none are recorded." /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:allergyStatement.resource"> <path value="Bundle.entry.resource" /> <type> <code value="List" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-list-allergies-at-prescribing" /> </type> </element> <element id="Bundle.entry:allergy"> <path value="Bundle.entry" /> <sliceName value="allergy" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:allergy.resource"> <path value="Bundle.entry.resource" /> <type> <code value="AllergyIntolerance" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-allergyintolerance" /> </type> </element> <element id="Bundle.entry:practitioner"> <path value="Bundle.entry" /> <sliceName value="practitioner" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:practitioner.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Practitioner" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner" /> </type> </element> <element id="Bundle.entry:practitionerRole"> <path value="Bundle.entry" /> <sliceName value="practitionerRole" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:practitionerRole.resource"> <path value="Bundle.entry.resource" /> <type> <code value="PractitionerRole" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole" /> </type> </element> <element id="Bundle.entry:organization"> <path value="Bundle.entry" /> <sliceName value="organization" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:organization.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Organization" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization" /> </type> </element> <element id="Bundle.entry:medication"> <path value="Bundle.entry" /> <sliceName value="medication" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:medication.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Medication" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medication-eprescription" /> </type> </element> <element id="Bundle.entry:signature"> <path value="Bundle.entry" /> <sliceName value="signature" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Bundle.entry:signature.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Provenance" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-provenance-eprescription-signature" /> </type> </element> </differential> </StructureDefinition>