{
  "description": "MedicationRequest for a write-back callback to a host clinical system. Binds DosageDgMP for dosageInstruction; subject/requester/insurance do not require literal references.",
  "_filename": "StructureDefinition-AID-MedicationRequest.json",
  "package_name": "dosing.aid-medicationrequest",
  "date": "2026-08-11",
  "derivation": "constraint",
  "publisher": "Dosing GmbH",
  "fhirVersion": "4.0.1",
  "purpose": "Dosage information (structured and/or free text) for a write-back callback, without requiring literal Patient/Practitioner/Coverage references.",
  "name": "AIDMedicationRequest",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  } ],
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "AiD Medication Request",
  "package_version": "1.0.1",
  "status": "draft",
  "id": "dc7a4037-6490-4ac6-875d-0999e8af6d3f",
  "kind": "resource",
  "url": "https://fhir.dosing-gmbh.de/StructureDefinition/AID-MedicationRequest",
  "version": "1.0.1",
  "differential": {
    "element": [ {
      "id": "MedicationRequest",
      "path": "MedicationRequest",
      "short": "Prescription record in a write-back callback",
      "definition": "One issued prescription: status, dosage, and a reference to the associated Medication resource within the same payload."
    }, {
      "id": "MedicationRequest.extension",
      "path": "MedicationRequest.extension",
      "short": "Slices for extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "path": "MedicationRequest.extension",
      "min": 0,
      "definition": "FHIR R5 backport extension. Canonical URL resolved locally via AID-EX-RenderedDosageInstruction (see that StructureDefinition). Required once dosageInstruction is structured (see DosageDgMP: DosageStructuredRequiresGeneratedText).",
      "short": "Rendered dosage text (e.g. \"1-2-0-1\")",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction" ]
      } ],
      "mustSupport": true,
      "sliceName": "renderedDosageInstruction",
      "max": "1",
      "id": "MedicationRequest.extension:renderedDosageInstruction"
    }, {
      "path": "MedicationRequest.extension",
      "min": 0,
      "definition": "algorithmVersion identifies the version of the text-generation algorithm defined on the \"Dosis Textgenerierung\" page of the Medication IG DE — not a version of our own code. Reference implementation: hl7germany/dgMP-DosageTextgenerierung-Skript (Python, MIT license); its __version__ constant is the value to record here.",
      "short": "Metadata about the generated dosage text (language, algorithm version)",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta" ]
      } ],
      "mustSupport": true,
      "sliceName": "generatedDosageInstructionsMeta",
      "max": "1",
      "id": "MedicationRequest.extension:generatedDosageInstructionsMeta"
    }, {
      "id": "MedicationRequest.extension:emergencyServicesFee",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee" ]
      } ],
      "short": "Emergency services fee (Noctu)",
      "sliceName": "emergencyServicesFee",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:ser",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER" ]
      } ],
      "short": "Social compensation law indicator (SER)",
      "sliceName": "ser",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription" ]
      } ],
      "short": "Multiple-prescription indicator",
      "sliceName": "multiplePrescription",
      "mustSupport": true
    }, {
      "path": "MedicationRequest.medication[x]",
      "min": 1,
      "definition": "urn:uuid reference to the Medication resource of the same prescription entry, resolved only within the payload, not as a Bundle.",
      "short": "Reference to the Medication resource in the same payload",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "mustSupport": true,
      "sliceName": "medicationReference",
      "max": "1",
      "id": "MedicationRequest.medicationReference"
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "short": "Patient (display-only is sufficient)",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.authoredOn",
      "path": "MedicationRequest.authoredOn",
      "short": "Date the prescription was issued",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester",
      "max": "1",
      "path": "MedicationRequest.requester",
      "short": "Requesting practitioner (optional)",
      "mustSupport": false
    }, {
      "id": "MedicationRequest.insurance",
      "path": "MedicationRequest.insurance",
      "short": "Insurance coverage (optional)",
      "mustSupport": false
    }, {
      "id": "MedicationRequest.dosageInstruction",
      "min": 1,
      "path": "MedicationRequest.dosageInstruction",
      "type": [ {
        "code": "Dosage",
        "profile": [ "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP" ]
      } ],
      "short": "Dosage, structured and/or free text (DosageDgMP)",
      "definition": "Binds DosageDgMP from de.fhir.medication for structured and/or free-text dosage.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest",
      "path": "MedicationRequest.dispenseRequest",
      "short": "Medication supply authorization",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity",
      "path": "MedicationRequest.dispenseRequest.quantity",
      "short": "Package quantity to dispense",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution",
      "path": "MedicationRequest.substitution",
      "short": "Substitution permission (aut idem)",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution.allowed[x]",
      "path": "MedicationRequest.substitution.allowed[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "short": "Substitution permission (aut idem)",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "name": "Dosing GmbH",
    "telecom": [ {
      "value": "https://www.dosing-gmbh.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}