{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestVPS",
  "name": "RLMedicationRequestVPS",
  "title": "MedicationRequest VPS",
  "status": "draft",
  "date": "2026-10-02",
  "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": "Terapia Farmacologica alla dimissione"
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "short": "Stato della richiesta",
        "comment": "Suggerimento: quando non presente assumerà il valore unknown, nel caso in cui sia presente deve essere derivato dal Value Set di R4 (http://hl7.org/fhir/ValueSet/medicationrequest-status)",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationRequest.intent",
        "path": "MedicationRequest.intent",
        "short": "Scopo della richiesta",
        "comment": "Suggerimento: order",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "short": "Medicinale somministrato",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "short": "Paziente a cui si riferisce la prescrizione",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "short": "Richiedente della prescrizione",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "short": "Dati relativi alla posologia (dosageInstruction.doseAndRate) e l'intervallo di tempo in cui è in atto la terapia (dosageInstruction.timing)",
        "min": 0,
        "max": "*"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "short": "Sito di somministrazione",
        "comment": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.system",
        "path": "MedicationRequest.dosageInstruction.site.coding.system",
        "short": "URI del sistema di codifica",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.version",
        "path": "MedicationRequest.dosageInstruction.site.coding.version",
        "short": "Versione del sistema di codifica",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.code",
        "path": "MedicationRequest.dosageInstruction.site.coding.code",
        "short": "Codice del sito di somministrazione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.display",
        "path": "MedicationRequest.dosageInstruction.site.coding.display",
        "short": "Descrizione del sito di somministrazione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route",
        "path": "MedicationRequest.dosageInstruction.route",
        "short": "Via di somministrazione",
        "comment": "Value Set HL7 Italia RouteOfAdministration (OID 2.16.840.1.113883.1.11.14581): https://develop.art-decor.org/ad/#/hl7itig-/terminology/valueset/2.16.840.1.113883.1.11.14581/2014-03-26T00:00:00",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.system",
        "path": "MedicationRequest.dosageInstruction.route.coding.system",
        "short": "URI del sistema di codifica",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.version",
        "path": "MedicationRequest.dosageInstruction.route.coding.version",
        "short": "Versione del sistema di codifica",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.code",
        "path": "MedicationRequest.dosageInstruction.route.coding.code",
        "short": "Codice della via di somministrazione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.display",
        "path": "MedicationRequest.dosageInstruction.route.coding.display",
        "short": "Descrizione della via di somministrazione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "short": "Informazioni relative al numero di confezioni",
        "definition": "Autorizzazione alla fornitura del farmaco",
        "min": 0,
        "max": "1"
      }
    ]
  }
}