{
  "description": null,
  "_filename": "MedicationRequest.StructureDefinition.json",
  "package_name": "ca.bc.bcy-ids",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "MedicationRequest",
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.1.0",
  "status": "draft",
  "id": "d11c3c4f-4961-49fe-b39d-f24e0e45f641",
  "kind": "resource",
  "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/MedicationRequest",
  "version": null,
  "differential": {
    "element": [ {
      "id": "MedicationRequest",
      "path": "MedicationRequest",
      "short": "FHIR resource applies for PIR Vaccine Deferrals",
      "definition": "FHIR resource applies for PIR Vaccine Deferrals"
    }, {
      "id": "MedicationRequest.id",
      "min": 1,
      "path": "MedicationRequest.id",
      "short": "PIR internal Deferral ID",
      "comment": "See Mappings.",
      "mapping": [ {
        "map": "H33_PATIENT_VACCINE_DEFERRAL.PATIENT_VACCINE_DEFERRAL_ID",
        "identity": "source-PIR"
      }, {
        "map": "deferralID",
        "identity": "source-PHSL"
      } ],
      "definition": "PIR internal Deferral Identifier."
    }, {
      "id": "MedicationRequest.meta",
      "min": 1,
      "path": "MedicationRequest.meta"
    }, {
      "id": "MedicationRequest.meta.versionId",
      "path": "MedicationRequest.meta.versionId",
      "comment": "Apply \"2025.01.1\".  This indicates the FHIR Specs as of year 2025 Jan."
    }, {
      "id": "MedicationRequest.meta.lastUpdated",
      "path": "MedicationRequest.meta.lastUpdated",
      "comment": "Updated: Relax the previously crossed-out elements."
    }, {
      "id": "MedicationRequest.meta.profile",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.meta.profile",
      "comment": "Apply \"http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/MedicationRequest\""
    }, {
      "id": "MedicationRequest.meta.security",
      "max": "1",
      "path": "MedicationRequest.meta.security"
    }, {
      "id": "MedicationRequest.meta.tag",
      "max": "1",
      "path": "MedicationRequest.meta.tag"
    }, {
      "id": "MedicationRequest.contained",
      "max": "1",
      "path": "MedicationRequest.contained"
    }, {
      "id": "MedicationRequest.extension",
      "min": 2,
      "path": "MedicationRequest.extension"
    }, {
      "id": "MedicationRequest.extension:pIRIdentifierExtension",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" ]
      } ],
      "sliceName": "pIRIdentifierExtension",
      "isModifier": false
    }, {
      "id": "MedicationRequest.extension:pIRLockSeqNumberExtension",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" ]
      } ],
      "sliceName": "pIRLockSeqNumberExtension",
      "isModifier": false
    }, {
      "id": "MedicationRequest.identifier",
      "min": 1,
      "path": "MedicationRequest.identifier",
      "short": "PIR internal Deferral ID + External Deferral ID from source system(s)",
      "definition": "PIR internal Deferral Identifier + External Deferral ID from source system(s)"
    }, {
      "id": "MedicationRequest.identifier.type.coding",
      "max": "0",
      "path": "MedicationRequest.identifier.type.coding"
    }, {
      "id": "MedicationRequest.identifier.type.text",
      "min": 1,
      "path": "MedicationRequest.identifier.type.text",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "PANORAMAIMMZDEFERID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "MedicationRequest.identifier.system",
      "min": 1,
      "path": "MedicationRequest.identifier.system",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-deferral-id",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "MedicationRequest.identifier.value",
      "min": 1,
      "path": "MedicationRequest.identifier.value",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "H33_PATIENT_VACCINE_DEFERRAL.PATIENT_VACCINE_DEFERRAL_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "MedicationRequest.status",
      "path": "MedicationRequest.status",
      "short": "PIR applies: | active | cancelled |",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "active",
        "identity": "source-PIR-active"
      }, {
        "map": "cancelled",
        "identity": "source-PIR-deleted"
      } ],
      "definition": "PIR applies possible statuses : | active | cancelled |"
    }, {
      "id": "MedicationRequest.status.extension:_status",
      "max": "1",
      "path": "MedicationRequest.status.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/deferral-status" ]
      } ],
      "comment": "To be applied if Deferral has been deleted in PIR",
      "sliceName": "_status",
      "isModifier": false
    }, {
      "id": "MedicationRequest.status.extension:_status.extension:deferralDeleteReason",
      "path": "MedicationRequest.status.extension.extension",
      "comment": "To be applied if Deferral has been deleted with reason in PIR drop-down list or NO Delete Reason provided.",
      "mapping": [ {
        "map": "Other",
        "identity": "source-PIR-nullReason"
      } ],
      "sliceName": "deferralDeleteReason"
    }, {
      "id": "MedicationRequest.status.extension:_status.extension:deferralDeleteReasonOther",
      "path": "MedicationRequest.status.extension.extension",
      "comment": "To be applied when Deferral has been deleted with OTHER reason not listed in PIR drop-down list or NO deletion reason is provided.  See Mappings.",
      "mapping": [ {
        "map": "unknown",
        "identity": "source-PIR-null"
      } ],
      "sliceName": "deferralDeleteReasonOther"
    }, {
      "id": "MedicationRequest.statusReason",
      "min": 1,
      "path": "MedicationRequest.statusReason",
      "short": "PIR Deferral Reason",
      "comment": "Reason for Deferral",
      "definition": "PIR Deferral Reason"
    }, {
      "id": "MedicationRequest.statusReason.coding",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding"
    }, {
      "id": "MedicationRequest.statusReason.coding.id",
      "max": "0",
      "path": "MedicationRequest.statusReason.coding.id"
    }, {
      "id": "MedicationRequest.statusReason.coding.system",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding.system",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "MedicationRequest.statusReason.coding.version",
      "max": "0",
      "path": "MedicationRequest.statusReason.coding.version"
    }, {
      "id": "MedicationRequest.statusReason.coding.code",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding.code",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (H33_PATIENT_VACCINE_DEFERRAL.DEFERRAL_REASON_CD_CNCPT_ID)",
        "identity": "source-PIR"
      }, {
        "map": "reasonCode",
        "identity": "source-PHSL"
      } ]
    }, {
      "id": "MedicationRequest.statusReason.coding.display",
      "min": 1,
      "path": "MedicationRequest.statusReason.coding.display",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "REPORTNG.GET_ITERM_DESC (H33_PATIENT_VACCINE_DEFERRAL.DEFERRAL_REASON_CD_CNCPT_ID)",
        "identity": "source-PIR"
      }, {
        "map": "reasonDescription",
        "identity": "source-PHSL"
      } ]
    }, {
      "id": "MedicationRequest.statusReason.coding.userSelected",
      "max": "0",
      "path": "MedicationRequest.statusReason.coding.userSelected"
    }, {
      "id": "MedicationRequest.intent",
      "path": "MedicationRequest.intent",
      "short": "PIR applies | order | for FHIR purposes",
      "comment": "Apply \"order\"",
      "definition": "PIR applies | order | for FHIR purposes"
    }, {
      "id": "MedicationRequest.category",
      "max": "1",
      "path": "MedicationRequest.category"
    }, {
      "id": "MedicationRequest.doNotPerform",
      "min": 1,
      "path": "MedicationRequest.doNotPerform",
      "short": "True if request is deferring vaccine",
      "comment": "Apply \"true\" for deferral.",
      "definition": "If true indicates that the provider is asking for the vaccine not to occur."
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Vaccine to be deferred",
      "definition": "Agent/antigen vaccine to be deferred"
    }, {
      "id": "MedicationRequest.medication[x].coding",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.medication[x].coding",
      "short": "1st instance Agent in NVC code, 2nd instance Agent in PIR code",
      "comment": "1st instance Agent/Antigen in NVC code, 2nd instance Agent/Antigen in PIR code.",
      "definition": "1st instance Agent in NVC code, 2nd instance Agent in PIR code"
    }, {
      "id": "MedicationRequest.medication[x].coding.system",
      "min": 1,
      "path": "MedicationRequest.medication[x].coding.system",
      "comment": "1st instance Agent in NVC code, 2nd instance Agent in PIR code.  See Mappings.",
      "mapping": [ {
        "map": "https://nvc-cnv.canada.ca",
        "identity": "code-NVC"
      }, {
        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
        "identity": "code-PIR"
      } ]
    }, {
      "id": "MedicationRequest.medication[x].coding.code",
      "min": 1,
      "path": "MedicationRequest.medication[x].coding.code",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (H33_PATIENT_VACCINE_DEFERRAL.ASIIS_VACC_CODE)",
        "identity": "source-PIR"
      }, {
        "map": "agentCode",
        "identity": "source-PHSL"
      } ]
    }, {
      "id": "MedicationRequest.medication[x].coding.display",
      "min": 1,
      "path": "MedicationRequest.medication[x].coding.display",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "REPORTNG.GET_ITERM_DESC (H33_PATIENT_VACCINE_DEFERRAL.ASIIS_VACC_CODE)",
        "identity": "source-PIR"
      }, {
        "map": "agentDescription",
        "identity": "source-PHSL"
      } ]
    }, {
      "id": "MedicationRequest.medication[x].text",
      "max": "0",
      "path": "MedicationRequest.medication[x].text"
    }, {
      "id": "MedicationRequest.subject.reference",
      "min": 1,
      "path": "MedicationRequest.subject.reference",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "fullURL of Panorama + \"Patient\" + PIR Client ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "MedicationRequest.supportingInformation",
      "max": "1",
      "path": "MedicationRequest.supportingInformation"
    }, {
      "id": "MedicationRequest.reasonCode",
      "max": "1",
      "path": "MedicationRequest.reasonCode"
    }, {
      "id": "MedicationRequest.reasonReference",
      "max": "1",
      "path": "MedicationRequest.reasonReference"
    }, {
      "id": "MedicationRequest.instantiatesCanonical",
      "max": "1",
      "path": "MedicationRequest.instantiatesCanonical"
    }, {
      "id": "MedicationRequest.instantiatesUri",
      "max": "1",
      "path": "MedicationRequest.instantiatesUri"
    }, {
      "id": "MedicationRequest.basedOn",
      "max": "1",
      "path": "MedicationRequest.basedOn"
    }, {
      "id": "MedicationRequest.insurance",
      "max": "1",
      "path": "MedicationRequest.insurance"
    }, {
      "id": "MedicationRequest.note",
      "max": "1",
      "path": "MedicationRequest.note",
      "short": "Comments about the deferral.",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "Comments",
        "identity": "source-PIR"
      } ],
      "definition": "Comments about the deferral."
    }, {
      "id": "MedicationRequest.note.id",
      "max": "0",
      "path": "MedicationRequest.note.id"
    }, {
      "id": "MedicationRequest.note.extension",
      "min": 2,
      "path": "MedicationRequest.note.extension"
    }, {
      "id": "MedicationRequest.note.extension:pIRIdentifierExtension",
      "path": "MedicationRequest.note.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" ]
      } ],
      "sliceName": "pIRIdentifierExtension",
      "isModifier": false
    }, {
      "id": "MedicationRequest.note.extension:pIRLockSeqNumberExtension",
      "path": "MedicationRequest.note.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" ]
      } ],
      "sliceName": "pIRLockSeqNumberExtension",
      "isModifier": false
    }, {
      "id": "MedicationRequest.note.author[x]",
      "max": "0",
      "path": "MedicationRequest.note.author[x]"
    }, {
      "id": "MedicationRequest.note.text",
      "path": "MedicationRequest.note.text",
      "comment": "Deferral Comments."
    }, {
      "id": "MedicationRequest.dosageInstruction",
      "max": "1",
      "path": "MedicationRequest.dosageInstruction"
    }, {
      "id": "MedicationRequest.dispenseRequest",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest",
      "short": "Deferral date range authorized.",
      "definition": "Deferral date range authorized..  Note Start Date is mandatory but End Date is optional."
    }, {
      "id": "MedicationRequest.dispenseRequest.validityPeriod",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.validityPeriod"
    }, {
      "id": "MedicationRequest.dispenseRequest.validityPeriod.start",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.validityPeriod.start",
      "mapping": [ {
        "map": "IMMS.H33_PATIENT_VACCINE_DEFERRAL.DEFERRAL_DATE",
        "identity": "source-PIR"
      }, {
        "map": "deffFrom",
        "identity": "source-PHSL"
      } ]
    }, {
      "id": "MedicationRequest.dispenseRequest.validityPeriod.end",
      "path": "MedicationRequest.dispenseRequest.validityPeriod.end",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "IMMS.H33_PATIENT_VACCINE_DEFERRAL.DEFERRAL_END_DATE",
        "identity": "source-PIR"
      }, {
        "map": "deffTo",
        "identity": "source-PHSL"
      } ]
    }, {
      "id": "MedicationRequest.detectedIssue",
      "max": "1",
      "path": "MedicationRequest.detectedIssue"
    }, {
      "id": "MedicationRequest.eventHistory",
      "max": "1",
      "path": "MedicationRequest.eventHistory"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}