{ "resourceType": "StructureDefinition", "meta": { "lastUpdated": "2023-07-28T00:00:00+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "phx" } ], "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1", "version": "1.7.0", "name": "CareConnect-GPC-MedicationRequest-1", "status": "active", "date": "2024-01-22T11:39:06.3872207+00:00", "publisher": "HL7 UK", "description": "This MedicationRequest Resource represents an order for both supply of the medication and the instructions for administration of the medication to a patient.", "copyright": "Copyright © 2020 HL7 UK\r\n\r\nLicensed 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\r\n\r\nhttp://www.apache.org/licenses/LICENSE-2.0\r\n\r\nUnless 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.\r\n\r\nHL7® FHIR® standard Copyright © 2011+ HL7\r\n\r\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\r\n\r\nhttps://www.hl7.org/fhir/license.html", "fhirVersion": "3.0.1", "kind": "resource", "abstract": false, "type": "MedicationRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationRequest.meta.profile", "path": "MedicationRequest.meta.profile", "min": 1 }, { "id": "MedicationRequest.extension", "path": "MedicationRequest.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationRequest.extension:repeatInformation", "path": "MedicationRequest.extension", "sliceName": "repeatInformation", "type": [ { "code": "Extension", "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationRepeatInformation-1" } ] }, { "id": "MedicationRequest.extension:repeatInformation.extension:numberOfRepeatPrescriptionsAllowed", "path": "MedicationRequest.extension.extension", "sliceName": "numberOfRepeatPrescriptionsAllowed", "mustSupport": true }, { "id": "MedicationRequest.extension:repeatInformation.extension:numberOfRepeatPrescriptionsIssued", "path": "MedicationRequest.extension.extension", "sliceName": "numberOfRepeatPrescriptionsIssued", "mustSupport": false }, { "id": "MedicationRequest.extension:repeatInformation.extension:authorisationExpiryDate", "path": "MedicationRequest.extension.extension", "sliceName": "authorisationExpiryDate", "mustSupport": true }, { "id": "MedicationRequest.extension:statusReason", "path": "MedicationRequest.extension", "sliceName": "statusReason", "type": [ { "code": "Extension", "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatusReason-1" } ], "mustSupport": true }, { "id": "MedicationRequest.extension:prescriptionType", "path": "MedicationRequest.extension", "sliceName": "prescriptionType", "type": [ { "code": "Extension", "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1" } ], "mustSupport": true }, { "id": "MedicationRequest.identifier", "path": "MedicationRequest.identifier", "min": 1 }, { "id": "MedicationRequest.identifier.system", "path": "MedicationRequest.identifier.system", "min": 1 }, { "id": "MedicationRequest.identifier.value", "path": "MedicationRequest.identifier.value", "min": 1 }, { "id": "MedicationRequest.basedOn", "path": "MedicationRequest.basedOn", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/CarePlan" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" } ], "mustSupport": true }, { "id": "MedicationRequest.groupIdentifier", "path": "MedicationRequest.groupIdentifier", "mustSupport": true }, { "id": "MedicationRequest.groupIdentifier.assigner", "path": "MedicationRequest.groupIdentifier.assigner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" } ] }, { "id": "MedicationRequest.status", "path": "MedicationRequest.status", "min": 1 }, { "id": "MedicationRequest.medication[x]", "path": "MedicationRequest.medication[x]", "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1" } ], "binding": { "strength": "example", "valueSetUri": "http://hl7.org/fhir/ValueSet/medication-codes" } }, { "id": "MedicationRequest.subject", "path": "MedicationRequest.subject", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" } ] }, { "id": "MedicationRequest.context", "path": "MedicationRequest.context", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" }, { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1" } ], "mustSupport": true }, { "id": "MedicationRequest.authoredOn", "path": "MedicationRequest.authoredOn", "min": 1 }, { "id": "MedicationRequest.requester", "path": "MedicationRequest.requester", "mustSupport": true }, { "id": "MedicationRequest.requester.agent", "path": "MedicationRequest.requester.agent", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" } ] }, { "id": "MedicationRequest.requester.onBehalfOf", "path": "MedicationRequest.requester.onBehalfOf", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" } ] }, { "id": "MedicationRequest.recorder", "path": "MedicationRequest.recorder", "min": 1, "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" } ] }, { "id": "MedicationRequest.reasonReference", "path": "MedicationRequest.reasonReference", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" }, { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1" } ] }, { "id": "MedicationRequest.note", "path": "MedicationRequest.note", "mustSupport": true }, { "id": "MedicationRequest.note.author[x]", "path": "MedicationRequest.note.author[x]", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "string" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" } ] }, { "id": "MedicationRequest.dosageInstruction", "path": "MedicationRequest.dosageInstruction", "min": 1 }, { "id": "MedicationRequest.dosageInstruction.text", "path": "MedicationRequest.dosageInstruction.text", "min": 1 }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "ordered": false, "rules": "open" } }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding", "sliceName": "snomedCT", "max": "1" }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT.extension", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT.extension:snomedCTDescriptionID", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding.extension", "sliceName": "snomedCTDescriptionID", "type": [ { "code": "Extension", "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ] }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT.system", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct" }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT.version", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding.version", "max": "0" }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT.code", "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding.code", "min": 1 }, { "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding:snomedCT.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding.display", "min": 1 }, { "id": "MedicationRequest.dosageInstruction.patientInstruction", "path": "MedicationRequest.dosageInstruction.patientInstruction", "mustSupport": true }, { "id": "MedicationRequest.dosageInstruction.route.coding", "path": "MedicationRequest.dosageInstruction.route.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "ordered": false, "rules": "open" } }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT", "path": "MedicationRequest.dosageInstruction.route.coding", "sliceName": "snomedCT", "max": "1", "binding": { "strength": "preferred", "description": "A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration.", "valueSetReference": { "reference": "https://fhir.nhs.uk/STU3/ValueSet/CareConnect-MedicationDosageRoute-1" } } }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT.extension", "path": "MedicationRequest.dosageInstruction.route.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT.extension:snomedCTDescriptionID", "path": "MedicationRequest.dosageInstruction.route.coding.extension", "sliceName": "snomedCTDescriptionID", "type": [ { "code": "Extension", "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ] }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT.system", "path": "MedicationRequest.dosageInstruction.route.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct" }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT.version", "path": "MedicationRequest.dosageInstruction.route.coding.version", "max": "0" }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT.code", "path": "MedicationRequest.dosageInstruction.route.coding.code", "min": 1 }, { "id": "MedicationRequest.dosageInstruction.route.coding:snomedCT.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "MedicationRequest.dosageInstruction.route.coding.display", "min": 1 }, { "id": "MedicationRequest.dispenseRequest", "path": "MedicationRequest.dispenseRequest", "min": 1 }, { "id": "MedicationRequest.dispenseRequest.validityPeriod", "path": "MedicationRequest.dispenseRequest.validityPeriod", "min": 1 }, { "id": "MedicationRequest.dispenseRequest.validityPeriod.start", "path": "MedicationRequest.dispenseRequest.validityPeriod.start", "min": 1 }, { "id": "MedicationRequest.dispenseRequest.quantity", "path": "MedicationRequest.dispenseRequest.quantity", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.quantity.extension", "path": "MedicationRequest.dispenseRequest.quantity.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationRequest.dispenseRequest.quantity.extension:quantityText", "path": "MedicationRequest.dispenseRequest.quantity.extension", "sliceName": "quantityText", "max": "1", "type": [ { "code": "Extension", "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1" } ], "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.value", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.value", "min": 1 }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system", "min": 1, "fixedUri": "http://unitsofmeasure.org" }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code", "min": 1, "binding": { "strength": "required", "description": "A unit of time (units from UCUM).", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/units-of-time" } } }, { "id": "MedicationRequest.dispenseRequest.performer", "path": "MedicationRequest.dispenseRequest.performer", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" } ], "mustSupport": true }, { "id": "MedicationRequest.priorPrescription", "path": "MedicationRequest.priorPrescription", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" } ] }, { "id": "MedicationRequest.detectedIssue", "path": "MedicationRequest.detectedIssue", "mustSupport": true } ] } }