{
  "description": null,
  "_filename": "NHSDigital-MedicationRequest-Outcome.StructureDefinition.json",
  "package_name": "uk.nhsdigital.r4.test",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "NHSDigitalMedicationRequestOutcome",
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "2.8.7-prerelease",
  "status": "draft",
  "id": "ec35c17a-9f84-4280-bbfc-49233567ed9a",
  "kind": "resource",
  "url": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest-Outcome",
  "version": null,
  "differential": {
    "element": [ {
      "id": "MedicationRequest.extension",
      "min": 1,
      "path": "MedicationRequest.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.extension:responsiblePractitioner",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner" ]
      } ],
      "sliceName": "responsiblePractitioner"
    }, {
      "id": "MedicationRequest.extension:prescriptionStatusHistory",
      "min": 1,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionStatusHistory" ]
      } ],
      "sliceName": "prescriptionStatusHistory",
      "definition": "The status history within EPS is primarily a technical Status and the statusReason will reflect current clinical status of the order."
    }, {
      "id": "MedicationRequest.identifier",
      "min": 1,
      "path": "MedicationRequest.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.identifier:prescriptionOrderItem",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.identifier",
      "short": "Prescription Order Item",
      "sliceName": "prescriptionOrderItem",
      "definition": "Unique Id of the MedicationRequest within EPS"
    }, {
      "id": "MedicationRequest.identifier:prescriptionOrderItem.system",
      "min": 1,
      "path": "MedicationRequest.identifier.system",
      "fixedUri": "https://fhir.nhs.uk/Id/prescription-order-item-number"
    }, {
      "id": "MedicationRequest.identifier:prescriptionOrderItem.value",
      "min": 1,
      "path": "MedicationRequest.identifier.value"
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest-CodeableConcept" ]
      }, {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest-Medication" ]
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.nhs.uk/ValueSet/NHSDigital-MedicationCode"
      },
      "comment": "Any code from the SnomedCT UK DMD subset for VMP, AMP and VTM concepts\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\ndm+d Category\r\n
\r\ndm+d Description\r\n
\r\nUK SNOMED Members Of\r\n
\r\nVMP\r\n
\r\nVirtual Medical Product\r\n
\r\n999000561000001109\r\n
\r\nAMP\r\n
\r\nActual Medical Product\r\n
\r\n999000541000001108\r\n
",
      "definition": "Only Virtual Medical Products (VMP) and Actual Medical Products (AMP) can be used."
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient" ]
      } ]
    }, {
      "id": "MedicationRequest.subject.reference",
      "min": 1,
      "path": "MedicationRequest.subject.reference"
    }, {
      "id": "MedicationRequest.requester",
      "min": 1,
      "path": "MedicationRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole" ]
      } ]
    }, {
      "id": "MedicationRequest.requester.reference",
      "min": 1,
      "path": "MedicationRequest.requester.reference"
    }, {
      "id": "MedicationRequest.groupIdentifier",
      "min": 1,
      "path": "MedicationRequest.groupIdentifier",
      "short": "order number for grouped MedicationRequests",
      "comment": "ITK HL7v3 Mapping = The groupIdentifier is equivalent to ParentPrescription.id (prescription-order-number). The extension is used to carry the ParentPrescription.id (UUID).",
      "definition": "The short form prescription identifier"
    }, {
      "id": "MedicationRequest.groupIdentifier.system",
      "min": 1,
      "path": "MedicationRequest.groupIdentifier.system",
      "fixedUri": "https://fhir.nhs.uk/Id/prescription-order-number"
    }, {
      "id": "MedicationRequest.groupIdentifier.value",
      "min": 1,
      "path": "MedicationRequest.groupIdentifier.value"
    }, {
      "id": "MedicationRequest.courseOfTherapyType",
      "path": "MedicationRequest.courseOfTherapyType",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.nhs.uk/ValueSet/DM-medicationrequest-course-of-therapy"
      },
      "comment": "The type of prescription e.g. acute, continuous, etc. Was extension in STU3 https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 and Digital Medicine uses international codes, so continuous in place of repeat.",
      "definition": "```json\r\n\"courseOfTherapyType\": {\r\n  \"coding\":  [\r\n      {\r\n          \"system\": \"http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy\",\r\n          \"code\": \"acute\",\r\n          \"display\": \"Short course (acute) therapy\"\r\n      }\r\n  ]\r\n},\r\n```"
    }, {
      "id": "MedicationRequest.courseOfTherapyType.coding",
      "max": "1",
      "path": "MedicationRequest.courseOfTherapyType.coding"
    }, {
      "id": "MedicationRequest.dispenseRequest",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest"
    }, {
      "id": "MedicationRequest.dispenseRequest.performer",
      "path": "MedicationRequest.dispenseRequest.performer",
      "definition": "Indicates the intended dispensing Pharmacy specified by the patient. Can be sourced from nominatedPharmacy in the Patient Demographics Service (PDS)"
    }, {
      "id": "MedicationRequest.dispenseRequest.performer.extension",
      "min": 0,
      "path": "MedicationRequest.dispenseRequest.performer.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.dispenseRequest.performer.extension:practitionerRole",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.dispenseRequest.performer.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/StructureDefinition/Extension-DM-DispensingPerformer" ]
      } ],
      "sliceName": "practitionerRole"
    }, {
      "id": "MedicationRequest.dispenseRequest.performer.identifier",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.performer.identifier"
    }, {
      "id": "MedicationRequest.dispenseRequest.performer.identifier.system",
      "path": "MedicationRequest.dispenseRequest.performer.identifier.system",
      "fixedUri": "https://fhir.nhs.uk/Id/ods-organization-code"
    } ]
  },
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest"
}