{
  "description": "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \\\"MedicationRequest\\\" rather than \\\"MedicationPrescription\\\" or \\\"MedicationOrder\\\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.",
  "_filename": "SpireCore-MedicationRequest.StructureDefinition.json",
  "package_name": "fhir.r4.spirecore",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "SpireCoreMedicationRequest",
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.1.0-alpha",
  "status": "draft",
  "id": "465b8222-4d44-4d7a-8626-3185e04a7b55",
  "kind": "resource",
  "url": "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest",
  "version": null,
  "differential": {
    "element": [ {
      "id": "MedicationRequest.identifier.assigner",
      "path": "MedicationRequest.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.reported[x]",
      "path": "MedicationRequest.reported[x]",
      "type": [ {
        "code": "boolean"
      }, {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      }, {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Medication" ]
      } ]
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/Group", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Group" ]
      } ]
    }, {
      "id": "MedicationRequest.subject.identifier.assigner",
      "path": "MedicationRequest.subject.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.encounter",
      "path": "MedicationRequest.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter" ]
      } ]
    }, {
      "id": "MedicationRequest.encounter.identifier.assigner",
      "path": "MedicationRequest.encounter.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.supportingInformation",
      "path": "MedicationRequest.supportingInformation",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource" ]
      } ]
    }, {
      "id": "MedicationRequest.supportingInformation.identifier.assigner",
      "path": "MedicationRequest.supportingInformation.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.requester",
      "path": "MedicationRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device" ]
      } ]
    }, {
      "id": "MedicationRequest.requester.identifier.assigner",
      "path": "MedicationRequest.requester.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.performer",
      "path": "MedicationRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/Device", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson", "http://hl7.org/fhir/StructureDefinition/CareTeam", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CareTeam" ]
      } ]
    }, {
      "id": "MedicationRequest.performer.identifier.assigner",
      "path": "MedicationRequest.performer.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.recorder",
      "path": "MedicationRequest.recorder",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole" ]
      } ]
    }, {
      "id": "MedicationRequest.recorder.identifier.assigner",
      "path": "MedicationRequest.recorder.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.reasonReference",
      "path": "MedicationRequest.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation" ]
      } ]
    }, {
      "id": "MedicationRequest.reasonReference.identifier.assigner",
      "path": "MedicationRequest.reasonReference.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.basedOn",
      "path": "MedicationRequest.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CarePlan", "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ServiceRequest", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ImmunizationRecommendation" ]
      } ]
    }, {
      "id": "MedicationRequest.basedOn.identifier.assigner",
      "path": "MedicationRequest.basedOn.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.groupIdentifier.assigner",
      "path": "MedicationRequest.groupIdentifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.insurance",
      "path": "MedicationRequest.insurance",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClaimResponse" ]
      } ]
    }, {
      "id": "MedicationRequest.insurance.identifier.assigner",
      "path": "MedicationRequest.insurance.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.note.author[x]",
      "path": "MedicationRequest.note.author[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      }, {
        "code": "string"
      } ]
    }, {
      "id": "MedicationRequest.dispenseRequest.performer",
      "path": "MedicationRequest.dispenseRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.dispenseRequest.performer.identifier.assigner",
      "path": "MedicationRequest.dispenseRequest.performer.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.priorPrescription",
      "path": "MedicationRequest.priorPrescription",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest" ]
      } ]
    }, {
      "id": "MedicationRequest.priorPrescription.identifier.assigner",
      "path": "MedicationRequest.priorPrescription.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.detectedIssue",
      "path": "MedicationRequest.detectedIssue",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DetectedIssue", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DetectedIssue" ]
      } ]
    }, {
      "id": "MedicationRequest.detectedIssue.identifier.assigner",
      "path": "MedicationRequest.detectedIssue.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "MedicationRequest.eventHistory",
      "path": "MedicationRequest.eventHistory",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Provenance", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Provenance" ]
      } ]
    }, {
      "id": "MedicationRequest.eventHistory.identifier.assigner",
      "path": "MedicationRequest.eventHistory.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    } ]
  },
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest"
}