description: null
package_name: uk.nhsdigital.medicines.r4
derivation: constraint
name: NHSDigitalMedicationRequest
type: MedicationRequest
elements:
  category:
    mustSupport: true
    index: 18
    elements:
      coding:
        index: 19
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: 1
          max: 1
          slices:
            patientClassFHIR:
              match: {system: 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'}
              schema:
                binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-medicationrequest-category'}
                index: 20
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'}
                    index: 21
                  code: {index: 22}
                required: [system, code]
            patientClassUK:
              match: {system: 'https://fhir.nhs.uk/CodeSystem/medicationrequest-category'}
              schema:
                binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-medicationrequest-category'}
                index: 23
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://fhir.nhs.uk/CodeSystem/medicationrequest-category'}
                    index: 24
                  code: {index: 25}
                required: [system, code]
    required: [coding]
  eventHistory:
    type: Reference
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Provenance']
    index: 77
  substitution:
    mustSupport: true
    index: 73
    elements:
      allowed:
        choices: [allowedBoolean]
        index: 75
      allowedBoolean: {type: boolean, choiceOf: allowed, index: 76}
  encounter:
    type: Reference
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Encounter']
    index: 34
  dispenseRequest:
    mustSupport: true
    index: 53
    elements:
      id: {index: 54}
      extension:
        index: 55
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            performerSiteType:
              match: {url: null}
              schema: {type: Extension, short: type of dispensing organisation, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType', index: 56}
              min: 1
      validityPeriod:
        mustSupport: true
        index: 57
        elements:
          start: {index: 58}
        required: [start]
      numberOfRepeatsAllowed: {mustSupport: true, index: 59}
      quantity:
        mustSupport: true
        index: 60
        elements:
          value: {index: 61}
          unit: {index: 62}
          code: {index: 63}
        required: [value, unit, code]
      expectedSupplyDuration:
        mustSupport: true
        index: 64
        elements:
          value: {index: 65}
          code:
            pattern: {type: Code, value: d}
            index: 66
        required: [value, code]
      performer:
        type: Reference
        mustSupport: true
        refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization']
        index: 67
        extensions:
          practitionerRole: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-DispensingPerformer', min: 0, max: 1, type: Extension, index: 69}
        elements:
          extension:
            index: 68
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: 0
              slices:
                practitionerRole:
                  match: {url: null}
                  schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-DispensingPerformer', index: 69}
                  min: 0
                  max: 1
          identifier:
            index: 70
            elements:
              system:
                pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/ods-organization-code'}
                index: 71
              value: {index: 72}
            required: [value, system]
        required: [identifier]
    extensions:
      performerSiteType: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType', min: 1, type: Extension, short: type of dispensing organisation, mustSupport: true, index: 56}
    required: [extension, quantity]
  medicationCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 28}
  statusReason:
    binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-medicationrequest-status-reason'}
    mustSupport: true
    index: 13
    elements:
      coding:
        index: 14
        elements:
          system: {index: 15}
          code: {index: 16}
          display: {index: 17}
        required: [display, system, code]
    required: [coding]
  authoredOn: {mustSupport: true, index: 35}
  note: {mustSupport: true, index: 50}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: 1
      slices:
        medicationRepeatInformation:
          match: {url: null}
          schema: {mustSupport: true, index: 1}
          min: 0
        responsiblePractitioner:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner', index: 2}
          min: 0
          max: 1
        prescriptionEndorsement:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionEndorsement', index: 3}
          min: 0
        prescriptionTaskStatusReason:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory', index: 4}
          min: 0
        NHSBSAprescriptionType:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType', index: 5}
          min: 1
        controlledDrug:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug', index: 6}
          min: 0
          max: 1
        dispensingInformation:
          match: {url: null}
          schema: {type: Extension, short: For EPS use only, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation', index: 7}
          min: 0
          max: 1
  requester:
    type: Reference
    constraint:
      eps-3: {human: requester - An identifier reference plus a display name or resource reference must be provided, source: 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest', severity: error, expression: (reference.exists() or (identifier.exists() and display.exists()))}
    mustSupport: true
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole']
    index: 36
  status: {mustSupport: true, index: 12}
  dosageInstruction:
    mustSupport: true
    index: 51
    elements:
      text: {index: 52}
    required: [text]
  groupIdentifier:
    short: order number for grouped MedicationRequests
    mustSupport: true
    index: 39
    extensions:
      PrescriptionOrderUUID:
        url: https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId
        type: Extension
        short: UUID order number for grouped MedciationRequests
        index: 41
        elements:
          value[x]:
            elements:
              system: {index: 42}
              value: {index: 43}
            required: [value, system]
    elements:
      extension:
        index: 40
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            PrescriptionOrderUUID:
              match: {url: null}
              schema:
                type: Extension
                short: UUID order number for grouped MedciationRequests
                url: https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId
                index: 41
                elements:
                  value[x]:
                    elements:
                      system: {index: 42}
                      value: {index: 43}
                    required: [value, system]
      system:
        pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/prescription-order-number'}
        index: 44
      value: {index: 45}
    required: [extension, value, system]
  recorder:
    type: Reference
    constraint:
      eps-4: {human: recorder - An identifier reference plus a display name or resource reference must be provided, source: 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest', severity: error, expression: (reference.exists() or (identifier.exists() and display.exists()))}
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner']
    index: 37
  identifier:
    mustSupport: true
    index: 8
    slicing:
      rules: open
      discriminator:
      - {path: system, type: value}
      min: 1
      slices:
        prescriptionOrderItem:
          match: {system: 'https://fhir.nhs.uk/Id/prescription-order-item-number'}
          schema:
            short: Prescription Order Item
            _required: true
            index: 9
            elements:
              system:
                pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/prescription-order-item-number'}
                index: 10
              value: {index: 11}
            required: [value, system]
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest']
    index: 38
  medicationReference:
    type: Reference
    mustSupport: true
    choiceOf: medication
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest-Medication']
    index: 29
  courseOfTherapyType:
    binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-medicationrequest-course-of-therapy'}
    mustSupport: true
    index: 46
    elements:
      coding:
        index: 47
        elements:
          system: {index: 48}
          code: {index: 49}
        required: [system, code]
    required: [coding]
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient']
    index: 30
    elements:
      reference: {index: 31}
      identifier:
        elements:
          system:
            pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/nhs-number'}
            index: 32
          value: {index: 33}
        required: [value, system]
    required: [reference]
  medication:
    mustSupport: true
    choices: [medicationCodeableConcept, medicationReference]
    index: 27
package_version: 2.2.0
extensions:
  medicationRepeatInformation: {url: null, min: 0, mustSupport: true, index: 1}
  responsiblePractitioner: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner', min: 0, max: 1, type: Extension, mustSupport: true, index: 2}
  prescriptionEndorsement: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionEndorsement', min: 0, type: Extension, mustSupport: true, index: 3}
  prescriptionTaskStatusReason: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory', min: 0, type: Extension, index: 4}
  NHSBSAprescriptionType: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType', min: 1, type: Extension, mustSupport: true, index: 5}
  controlledDrug: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-ControlledDrug', min: 0, max: 1, type: Extension, mustSupport: true, index: 6}
  dispensingInformation: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation', min: 0, max: 1, type: Extension, short: For EPS use only, index: 7}
class: profile
kind: resource
url: https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest
version: null
required: [authoredOn, dosageInstruction, requester, extension, groupIdentifier, identifier, courseOfTherapyType, dispenseRequest, category]