{
  "description": null,
  "_filename": "Profile-DataStandardsWales-MedicationRequest.json",
  "package_name": "fhir.r4.wales.stu1",
  "date": "2023-05-24",
  "derivation": "constraint",
  "publisher": "NHS Wales",
  "fhirVersion": "4.0.1",
  "name": "DataStandardsWalesMedicationRequest",
  "abstract": false,
  "copyright": "© 2023 NHS Wales.",
  "type": "MedicationRequest",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Data Standards Wales Medication Request",
  "package_version": "0.1.1-ballot",
  "status": "draft",
  "id": "1ca4d70f-eae6-4bd3-95c3-443136148586",
  "kind": "resource",
  "url": "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-MedicationRequest",
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "id": "MedicationRequest.extension",
      "min": 0,
      "path": "MedicationRequest.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.extension:medicationRepeatInformation",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation" ]
      } ],
      "sliceName": "medicationRepeatInformation",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.identifier",
      "path": "MedicationRequest.identifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.identifier.assigner",
      "path": "MedicationRequest.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.status",
      "path": "MedicationRequest.status",
      "short": "active | cancelled | stopped",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.statusReason",
      "path": "MedicationRequest.statusReason",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"
      },
      "mustSupport": true
    }, {
      "id": "MedicationRequest.statusReason.coding",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding"
    }, {
      "id": "MedicationRequest.statusReason.coding.system",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding.system"
    }, {
      "id": "MedicationRequest.statusReason.coding.code",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding.code"
    }, {
      "id": "MedicationRequest.statusReason.coding.display",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding.display"
    }, {
      "id": "MedicationRequest.intent",
      "path": "MedicationRequest.intent",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.category",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.category",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory"
      },
      "mustSupport": true
    }, {
      "id": "MedicationRequest.reported[x]",
      "path": "MedicationRequest.reported[x]",
      "type": [ {
        "code": "boolean"
      }, {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" ]
      } ]
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      }, {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Medication" ]
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode"
      },
      "mustSupport": true
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient", "http://hl7.org/fhir/StructureDefinition/Group" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.subject.reference",
      "min": 1,
      "path": "MedicationRequest.subject.reference"
    }, {
      "id": "MedicationRequest.subject.identifier.system",
      "min": 1,
      "path": "MedicationRequest.subject.identifier.system",
      "fixedUri": "https://fhir.nhs.uk/Id/nhs-number"
    }, {
      "id": "MedicationRequest.subject.identifier.value",
      "min": 1,
      "path": "MedicationRequest.subject.identifier.value"
    }, {
      "id": "MedicationRequest.subject.identifier.assigner",
      "path": "MedicationRequest.subject.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.encounter",
      "path": "MedicationRequest.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Encounter" ]
      } ]
    }, {
      "id": "MedicationRequest.encounter.identifier.assigner",
      "path": "MedicationRequest.encounter.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.supportingInformation.identifier.assigner",
      "path": "MedicationRequest.supportingInformation.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.authoredOn",
      "min": 1,
      "path": "MedicationRequest.authoredOn",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester",
      "min": 1,
      "path": "MedicationRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester.reference",
      "min": 1,
      "path": "MedicationRequest.requester.reference"
    }, {
      "id": "MedicationRequest.requester.identifier.assigner",
      "path": "MedicationRequest.requester.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.performer",
      "path": "MedicationRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam" ]
      } ]
    }, {
      "id": "MedicationRequest.performer.identifier.assigner",
      "path": "MedicationRequest.performer.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.recorder",
      "path": "MedicationRequest.recorder",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.recorder.identifier.assigner",
      "path": "MedicationRequest.recorder.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.reasonCode",
      "path": "MedicationRequest.reasonCode",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.reasonReference",
      "path": "MedicationRequest.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Observation", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" ]
      } ]
    }, {
      "id": "MedicationRequest.reasonReference.identifier.assigner",
      "path": "MedicationRequest.reasonReference.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.basedOn",
      "path": "MedicationRequest.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-MedicationRequest", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.basedOn.identifier.assigner",
      "path": "MedicationRequest.basedOn.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.groupIdentifier",
      "path": "MedicationRequest.groupIdentifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.groupIdentifier.assigner",
      "path": "MedicationRequest.groupIdentifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.courseOfTherapyType",
      "path": "MedicationRequest.courseOfTherapyType",
      "short": "A course of therapy for a medication request",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy"
      },
      "definition": "The description of the course of therapy for a medication request.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.courseOfTherapyType.coding",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.courseOfTherapyType.coding"
    }, {
      "id": "MedicationRequest.courseOfTherapyType.coding.system",
      "min": 1,
      "path": "MedicationRequest.courseOfTherapyType.coding.system"
    }, {
      "id": "MedicationRequest.courseOfTherapyType.coding.code",
      "min": 1,
      "path": "MedicationRequest.courseOfTherapyType.coding.code"
    }, {
      "id": "MedicationRequest.insurance.identifier.assigner",
      "path": "MedicationRequest.insurance.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.note",
      "path": "MedicationRequest.note",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.note.author[x]",
      "path": "MedicationRequest.note.author[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" ]
      }, {
        "code": "string"
      } ]
    }, {
      "id": "MedicationRequest.dosageInstruction",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.dosageInstruction",
      "type": [ {
        "code": "Dosage",
        "profile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Dosage" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.performer",
      "path": "MedicationRequest.dispenseRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.dispenseRequest.performer.identifier.assigner",
      "path": "MedicationRequest.dispenseRequest.performer.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.substitution",
      "min": 1,
      "path": "MedicationRequest.substitution",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution.allowed[x]",
      "path": "MedicationRequest.substitution.allowed[x]",
      "definition": "The purpose of this element is to allow the prescriber to dispense a different drug from what was prescribed."
    }, {
      "id": "MedicationRequest.priorPrescription",
      "path": "MedicationRequest.priorPrescription",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-MedicationRequest" ]
      } ]
    }, {
      "id": "MedicationRequest.priorPrescription.identifier.assigner",
      "path": "MedicationRequest.priorPrescription.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.detectedIssue.identifier.assigner",
      "path": "MedicationRequest.detectedIssue.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.eventHistory",
      "path": "MedicationRequest.eventHistory",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Provenance" ]
      } ]
    }, {
      "id": "MedicationRequest.eventHistory.identifier.assigner",
      "path": "MedicationRequest.eventHistory.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}