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.
package_name: ca.on.ehr.r4
derivation: constraint
name: MedicationRequestEHR
type: MedicationRequest
elements:
  reasonCode:
    type: CodeableConcept
    binding: {strength: extensible, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/prescriptionindicationforuse'}
    mustSupport: true
    index: 20
    elements:
      coding:
        elements:
          system: {index: 21}
        required: [system]
  medicationCodeableConcept:
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 14
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 14}
          min: 0
          max: 1
  authoredOn: {mustSupport: true, index: 17}
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        RenderedDosageInstruction:
          match: {url: null}
          schema: {type: Extension, url: 'http://prescribeit.ca/fhir/StructureDefinition/ext-rendered-dosage-instruction', index: 1}
          min: 0
          max: 1
  requester:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner', 'http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole']
    index: 18
    elements:
      reference: {mustSupport: true, index: 19}
    required: [reference]
  status: {mustSupport: true, index: 5}
  dosageInstruction:
    mustSupport: true
    index: 22
    elements:
      asNeeded:
        choices: [asNeededCodeableConcept]
        index: 40
        slicing:
          slices:
            asNeededCodeableConcept:
              match: {}
              schema:
                choices: [asNeededCodeableConcept]
                index: 40
              min: 0
              max: 1
      route:
        type: CodeableConcept
        mustSupport: true
        index: 42
        elements:
          coding:
            binding: {strength: extensible, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration'}
            index: 43
            elements:
              system: {index: 44}
            required: [system]
      asNeededBoolean:
        type: boolean
        choiceOf: asNeeded
        index: 38
        slicing:
          slices:
            asNeededBoolean:
              match: {}
              schema: {type: boolean, choiceOf: asNeeded, index: 38}
              min: 0
              max: 1
      timing:
        mustSupport: true
        index: 27
        elements:
          repeat:
            mustSupport: true
            index: 28
            elements:
              duration: {mustSupport: true, index: 29}
              durationUnit: {mustSupport: true, index: 30}
          code:
            type: CodeableConcept
            binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/medication-repeat-pattern'}
            mustSupport: true
            index: 31
            elements:
              coding:
                index: 32
                elements:
                  system: {index: 33}
                required: [system]
      additionalInstruction:
        mustSupport: true
        index: 25
        elements:
          text: {mustSupport: true, index: 26}
        required: [text]
      sequence: {mustSupport: true, index: 23}
      doseAndRate:
        mustSupport: true
        index: 45
        elements:
          dose:
            mustSupport: true
            choices: [doseQuantity]
            index: 62
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema:
                    mustSupport: true
                    choices: [doseQuantity]
                    index: 62
                  min: 0
                  max: 1
          doseRange:
            type: Range
            mustSupport: true
            choiceOf: dose
            index: 50
            slicing:
              slices:
                doseRange:
                  match: {}
                  schema: {type: Range, mustSupport: true, choiceOf: dose, index: 50}
                  min: 0
                  max: 1
          dose[x]:
            elements:
              value: {mustSupport: true, index: 64}
              unit: {mustSupport: true, index: 65}
              system: {mustSupport: true, index: 66}
              code: {mustSupport: true, index: 67}
          doseQuantity:
            type: Quantity
            mustSupport: true
            choiceOf: dose
            index: 63
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema: {type: Quantity, mustSupport: true, choiceOf: dose, index: 63}
                  min: 0
                  max: 1
          rate:
            mustSupport: true
            choices: [rateQuantity]
            index: 84
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema:
                    mustSupport: true
                    choices: [rateQuantity]
                    index: 84
                  min: 0
                  max: 1
          rateRange:
            type: Range
            mustSupport: true
            choiceOf: rate
            index: 72
            slicing:
              slices:
                rateRange:
                  match: {}
                  schema: {type: Range, mustSupport: true, choiceOf: rate, index: 72}
                  min: 0
                  max: 1
          rate[x]:
            elements:
              value: {mustSupport: true, index: 86}
              unit: {mustSupport: true, index: 87}
              system: {mustSupport: true, index: 88}
              code:
                binding: {strength: extensible, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit'}
                mustSupport: true
                index: 89
          rateQuantity:
            type: Quantity
            mustSupport: true
            choiceOf: rate
            index: 85
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema: {type: Quantity, mustSupport: true, choiceOf: rate, index: 85}
                  min: 0
                  max: 1
      asNeededCodeableConcept:
        type: CodeableConcept
        choiceOf: asNeeded
        index: 41
        slicing:
          slices:
            asNeededCodeableConcept:
              match: {}
              schema: {type: CodeableConcept, choiceOf: asNeeded, index: 41}
              min: 0
              max: 1
      text: {mustSupport: true, index: 24}
  identifier:
    mustSupport: true
    index: 2
    elements:
      system: {mustSupport: true, index: 3}
      value: {mustSupport: true, index: 4}
    required: [value, system]
  intent: {mustSupport: true, index: 6}
  medicationReference:
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medication']
    type: Reference
    mustSupport: true
    choiceOf: medication
    index: 11
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medication']
            type: Reference
            mustSupport: true
            choiceOf: medication
            index: 11
          min: 0
          max: 1
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient']
    index: 15
    elements:
      reference: {mustSupport: true, index: 16}
    required: [reference]
  medication:
    mustSupport: true
    choices: [medicationCodeableConcept]
    index: 13
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema:
            mustSupport: true
            choices: [medicationCodeableConcept]
            index: 13
          min: 0
          max: 1
package_version: 1.0.0-snapshot4
extensions:
  RenderedDosageInstruction: {url: 'http://prescribeit.ca/fhir/StructureDefinition/ext-rendered-dosage-instruction', min: 0, max: 1, type: Extension, index: 1}
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-medicationRequest
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 1.0.0