<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestVPS" />
  <name value="RLMedicationRequestVPS" />
  <title value="MedicationRequest VPS" />
  <status value="draft" />
  <date value="2026-10-02" />
  <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" />
      <short value="Terapia Farmacologica alla dimissione" />
    </element>
    <element id="MedicationRequest.status">
      <path value="MedicationRequest.status" />
      <short value="Stato della richiesta" />
      <comment value="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 value="1" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.intent">
      <path value="MedicationRequest.intent" />
      <short value="Scopo della richiesta" />
      <comment value="Suggerimento: order" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.medication[x]">
      <path value="MedicationRequest.medication[x]" />
      <short value="Medicinale somministrato" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
      </type>
    </element>
    <element id="MedicationRequest.subject">
      <path value="MedicationRequest.subject" />
      <short value="Paziente a cui si riferisce la prescrizione" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore" />
      </type>
    </element>
    <element id="MedicationRequest.requester">
      <path value="MedicationRequest.requester" />
      <short value="Richiedente della prescrizione" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore" />
      </type>
    </element>
    <element id="MedicationRequest.dosageInstruction">
      <path value="MedicationRequest.dosageInstruction" />
      <short value="Dati relativi alla posologia (dosageInstruction.doseAndRate) e l'intervallo di tempo in cui è in atto la terapia (dosageInstruction.timing)" />
      <min value="0" />
      <max value="*" />
    </element>
    <element id="MedicationRequest.dosageInstruction.site">
      <path value="MedicationRequest.dosageInstruction.site" />
      <short value="Sito di somministrazione" />
      <comment value="http://terminology.hl7.org/CodeSystem/v3-ActSite" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.site.coding.system">
      <path value="MedicationRequest.dosageInstruction.site.coding.system" />
      <short value="URI del sistema di codifica" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.site.coding.version">
      <path value="MedicationRequest.dosageInstruction.site.coding.version" />
      <short value="Versione del sistema di codifica" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.site.coding.code">
      <path value="MedicationRequest.dosageInstruction.site.coding.code" />
      <short value="Codice del sito di somministrazione" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.site.coding.display">
      <path value="MedicationRequest.dosageInstruction.site.coding.display" />
      <short value="Descrizione del sito di somministrazione" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.route">
      <path value="MedicationRequest.dosageInstruction.route" />
      <short value="Via di somministrazione" />
      <comment value="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 value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.route.coding.system">
      <path value="MedicationRequest.dosageInstruction.route.coding.system" />
      <short value="URI del sistema di codifica" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.route.coding.version">
      <path value="MedicationRequest.dosageInstruction.route.coding.version" />
      <short value="Versione del sistema di codifica" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.route.coding.code">
      <path value="MedicationRequest.dosageInstruction.route.coding.code" />
      <short value="Codice della via di somministrazione" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dosageInstruction.route.coding.display">
      <path value="MedicationRequest.dosageInstruction.route.coding.display" />
      <short value="Descrizione della via di somministrazione" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="MedicationRequest.dispenseRequest">
      <path value="MedicationRequest.dispenseRequest" />
      <short value="Informazioni relative al numero di confezioni" />
      <definition value="Autorizzazione alla fornitura del farmaco" />
      <min value="0" />
      <max value="1" />
    </element>
  </differential>
</StructureDefinition>