IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-09-28 |
XML representation of the ie-mpd-medicationrequest-eprescription resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="ie-mpd-medicationrequest-eprescription"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition ie-mpd-medicationrequest-eprescription</b></p><a name="ie-mpd-medicationrequest-eprescription"> </a><a name="hcie-mpd-medicationrequest-eprescription"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest">MedicationRequest</a><a name="MedicationRequest"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( ie-rx-status-1, ie-rx-age-1, ie-rx-cd-1, ie-rx-cd-2, ie-rx-cd-3, ie-rx-subst-1 )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.eu/fhir/mpd/1.0.0/StructureDefinition-MedicationRequest-eu-mpd.html">MedicationRequestEuMpd(1.0.0)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Ordering of medication for patient or group</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for extension<a name="MedicationRequest.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.extension:offLabelUse" title="Slice offLabelUse">extension:offLabelUse</a><a name="MedicationRequest.extension:offLabelUse"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://profiles.ihe.net/PHARM/MPD/1.0.0-comment-2/StructureDefinition-ihe-ext-offLabel.html" title="Extension">OffLabel(1.0.0-comment-2)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Off-label use</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.extension:effectiveDosePeriod" title="Slice effectiveDosePeriod">extension:effectiveDosePeriod</a><a name="MedicationRequest.extension:effectiveDosePeriod"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/medicationrequest-definitions.html#MedicationRequest.effectiveDosePeriod" title="Extension">0.1.0</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">R5: Period over which the medication is to be taken (new)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.extension:ageAtPrescribing" title="Extension URL = https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing">extension:ageAtPrescribing</a><a name="MedicationRequest.extension:ageAtPrescribing"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Age">Age</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient age at prescribing (a legal requirement if under 12)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-mpd-patient-age-at-prescribing.html">https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.extension:quantityInWordsAndFigures" title="Extension URL = https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures">extension:quantityInWordsAndFigures</a><a name="MedicationRequest.extension:quantityInWordsAndFigures"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">IE MPD Quantity Prescribed (Words and Figures)</span><br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-mpd-quantity-in-words-and-figures.html">https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.identifier">identifier</a><a name="MedicationRequest.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Prescription/prescribed item ID</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.status">status</a><a name="MedicationRequest.status"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.statusReason">statusReason</a><a name="MedicationRequest.statusReason"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Reason for current status</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.intent">intent</a><a name="MedicationRequest.intent"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">order</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.category">category</a><a name="MedicationRequest.category"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Type of medication usage</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.medication[x]">medication[x]</a><a name="MedicationRequest.medication_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ie-mpd-medication-eprescription.html">IE MPD Medication (ePrescription/eDispensation)(0.1.0)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Medication to be taken</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.subject">subject</a><a name="MedicationRequest.subject"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ie-mpd-patient-eprescription.html">IE MPD Patient (ePrescription/eDispensation)(0.1.0)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Who or group medication request is for</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.supportingInformation">supportingInformation</a><a name="MedicationRequest.supportingInformation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Information to support ordering of the medication</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.authoredOn">authoredOn</a><a name="MedicationRequest.authoredOn"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">When request was initially authored</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.requester">requester</a><a name="MedicationRequest.requester"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ie-mpd-practitionerrole.html">IE MPD PractitionerRole(0.1.0)</a> | <a href="StructureDefinition-ie-mpd-practitioner.html">IE MPD Practitioner(0.1.0)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Who/What requested the Request</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.reasonCode">reasonCode</a><a name="MedicationRequest.reasonCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Reason or indication for this prescription</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.groupIdentifier">groupIdentifier</a><a name="MedicationRequest.groupIdentifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Prescription this is part of. Not needed if a presciption includes only one prescribed item.</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.courseOfTherapyType">courseOfTherapyType</a><a name="MedicationRequest.courseOfTherapyType"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Overall pattern of medication administration</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.note">note</a><a name="MedicationRequest.note"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Annotation">Annotation</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Information about the prescription</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction">dosageInstruction</a><a name="MedicationRequest.dosageInstruction"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( ie-rx-dosage-1 )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.eu/fhir/mpd/1.0.0/StructureDefinition-Dosage-eu-mpd.html" title="Dosage">DosageEuMpd(1.0.0)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">How the medication should be taken.</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.sequence">sequence</a><a name="MedicationRequest.dosageInstruction.sequence"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The order of the dosage instructions</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.text">text</a><a name="MedicationRequest.dosageInstruction.text"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Free text dosage instructions</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.additionalInstruction">additionalInstruction</a><a name="MedicationRequest.dosageInstruction.additionalInstruction"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.patientInstruction">patientInstruction</a><a name="MedicationRequest.dosageInstruction.patientInstruction"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Patient or consumer oriented instructions</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.timing">timing</a><a name="MedicationRequest.dosageInstruction.timing"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Timing">Timing</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Administration schedule</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.timing.repeat">repeat</a><a name="MedicationRequest.dosageInstruction.timing.repeat"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.timing.repeat.frequency">frequency</a><a name="MedicationRequest.dosageInstruction.timing.repeat.frequency"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#positiveInt">positiveInt</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Frequency times per period</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.timing.repeat.period">period</a><a name="MedicationRequest.dosageInstruction.timing.repeat.period"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Duration of time over which repetitions are to occur</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.timing.repeat.periodUnit">periodUnit</a><a name="MedicationRequest.dosageInstruction.timing.repeat.periodUnit"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Unit of the period (e.g. day)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.asNeeded[x]">asNeeded[x]</a><a name="MedicationRequest.dosageInstruction.asNeeded_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Take "as needed" (for x)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.site">site</a><a name="MedicationRequest.dosageInstruction.site"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Body site to administer to</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.route">route</a><a name="MedicationRequest.dosageInstruction.route"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Route of administration</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.doseAndRate">doseAndRate</a><a name="MedicationRequest.dosageInstruction.doseAndRate"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Amount of medication administered</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.doseAndRate.dose[x]">dose[x]</a><a name="MedicationRequest.dosageInstruction.doseAndRate.dose_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Range">Range</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#SimpleQuantity" title="Quantity">SimpleQuantity(4.0.1)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Amount of medication per dose</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dosageInstruction.maxDosePerPeriod">maxDosePerPeriod</a><a name="MedicationRequest.dosageInstruction.maxDosePerPeriod"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Ratio">Ratio</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Upper limit on medication per unit of time</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest">dispenseRequest</a><a name="MedicationRequest.dispenseRequest"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Medication supply authorization</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for extension<a name="MedicationRequest.dispenseRequest.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.extension:prescribedQuantity" title="Slice prescribedQuantity">extension:prescribedQuantity</a><a name="MedicationRequest.dispenseRequest.extension:prescribedQuantity"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://profiles.ihe.net/PHARM/MPD/1.0.0-comment-2/StructureDefinition-ihe-ext-medicationrequest-prescribedQuantity.html" title="Extension">MedicationRequestPrescribedQuantity(1.0.0-comment-2)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">MedicationRequest - Prescribed Quantity</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.extension:numberOfInstalments" title="Extension URL = https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments">extension:numberOfInstalments</a><a name="MedicationRequest.dispenseRequest.extension:numberOfInstalments"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#positiveInt">positiveInt</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">IE MPD Number of Instalments</span><br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-mpd-number-of-instalments.html">https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.extension:doNotExtend" title="Extension URL = https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-do-not-extend">extension:doNotExtend</a><a name="MedicationRequest.dispenseRequest.extension:doNotExtend"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">IE MPD Do Not Extend</span><br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-mpd-do-not-extend.html">https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-do-not-extend</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.dispenseInterval">dispenseInterval</a><a name="MedicationRequest.dispenseRequest.dispenseInterval"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Duration">Duration</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Minimum period of time between dispenses</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.validityPeriod">validityPeriod</a><a name="MedicationRequest.dispenseRequest.validityPeriod"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Time period supply is authorized for</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.numberOfRepeatsAllowed">numberOfRepeatsAllowed</a><a name="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#unsignedInt">unsignedInt</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Number of refills authorized</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.dispenseRequest.quantity">quantity</a><a name="MedicationRequest.dispenseRequest.quantity"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#SimpleQuantity" title="Quantity">SimpleQuantity(4.0.1)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Amount of medication to supply per dispense</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.substitution">substitution</a><a name="MedicationRequest.substitution"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Any restrictions on medication substitution. Substitution rules (including the definition of substitution) vary across different countries, and the semantics of this element should be interpreted accordingly.</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.substitution.allowed[x]">allowed[x]</a><a name="MedicationRequest.substitution.allowed_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Whether substitution is allowed or not</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-mpd-medicationrequest-eprescription-definitions.html#MedicationRequest.substitution.reason">reason</a><a name="MedicationRequest.substitution.reason"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Why should (not) substitution be made</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
<version value="0.1.0"/>
<name value="IEMpdMedicationRequestEPrescription"/>
<title value="IE MPD MedicationRequest (ePrescription)"/>
<status value="draft"/>
<date value="2026-09-28T14:06:45+00:00"/>
<publisher value="Nithin Mohan (proof of concept)"/>
<contact>
<name value="Nithin Mohan (proof of concept)"/>
<telecom>
<system value="url"/>
<value value="https://github.com/hl7-ie/medication-events"/>
</telecom>
</contact>
<contact>
<name value="Nithin Mohan"/>
<telecom>
<system value="url"/>
<value value="https://github.com/hl7-ie/medication-events"/>
</telecom>
</contact>
<description
value="One prescription item of an Irish electronic prescription (HIQA EP Section 3), derived from the HL7 Europe MPD MedicationRequest. A multi-item prescription is a set of MedicationRequests sharing groupIdentifier, exchanged in an IEMpdBundleEPrescription together with the patient, prescriber and the allergy statement."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="IE"/>
<display value="Ireland"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="workflow"/>
<uri value="http://hl7.org/fhir/workflow"/>
<name value="Workflow Pattern"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<uri value="http://ncpdp.org/SCRIPT10_6"/>
<name value="Mapping to NCPDP SCRIPT 10.6"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="MedicationRequest"/>
<baseDefinition
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
<derivation value="constraint"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="1.0.0"/>
</extension>
<element id="MedicationRequest">
<path value="MedicationRequest"/>
<short value="Ordering of medication for patient or group"/>
<definition
value="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."/>
<alias value="Prescription"/>
<alias value="Order"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
<expression
value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
<xpath
value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
</constraint>
<constraint>
<key value="dom-5"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
<expression value="contained.meta.security.empty()"/>
<xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
</constraint>
<constraint>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown
value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
</extension>
<key value="dom-6"/>
<severity value="warning"/>
<human
value="A resource should have narrative for robust management"/>
<expression value="text.`div`.exists()"/>
<xpath value="exists(f:text/h:div)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
</constraint>
<constraint>
<key value="ie-rx-status-1"/>
<severity value="error"/>
<human
value="A status reason SHALL be given unless the prescription item is active, completed or draft (HIQA EP 3.5.2.2 / 3.5.2.3)"/>
<expression
value="(status = 'active' or status = 'completed' or status = 'draft') or statusReason.exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-age-1"/>
<severity value="error"/>
<human
value="If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, the patient's age SHALL be recorded on the prescription (HIQA EP 1.4.2; a legal requirement in Ireland)"/>
<expression
value="subject.resolve().ofType(Patient).birthDate.empty() or authoredOn.empty() or ((subject.resolve().ofType(Patient).birthDate.toString().length() = 10) and ((subject.resolve().ofType(Patient).birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))) or extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing').exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-cd-1"/>
<severity value="error"/>
<human
value="A prescription for a controlled drug (any schedule of the Misuse of Drugs Regulations 2017) SHALL state the quantity in words and figures (HIQA EP 3.5.7.2)"/>
<expression
value="(medication.ofType(Reference).resolve().extension('https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification').value.ofType(CodeableConcept).coding.where(system = 'https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-mda-schedule').exists()) implies extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures').exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-cd-2"/>
<severity value="error"/>
<human
value="A prescription for a Schedule 2 or 3 controlled drug SHALL have a validity period ending no later than 14 days after the date of issue, or, for an instalment prescription, no later than two months after (the final instalment) (HIQA EP 3.5.9.1; Misuse of Drugs Regulations 2017)"/>
<expression
value="(medication.ofType(Reference).resolve().extension('https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification').value.ofType(CodeableConcept).coding.where(system = 'https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-mda-schedule' and (code = 'schedule-2' or code = 'schedule-3')).exists()) implies (dispenseRequest.validityPeriod.end.exists() and ((dispenseRequest.extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments').exists() and dispenseRequest.validityPeriod.end.toString().substring(0,10) <= (authoredOn + 2 months).toString().substring(0,10)) or (dispenseRequest.validityPeriod.end.toString().substring(0,10) <= (authoredOn + 14 days).toString().substring(0,10))))"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-cd-3"/>
<severity value="error"/>
<human
value="A prescription for a Schedule 2, 3 or 4 Part 1 controlled drug SHALL state the number of instalments and, when there is more than one, the interval between them (HIQA EP 3.5.12, 3.5.13; Misuse of Drugs Regulations 2017)"/>
<expression
value="(medication.ofType(Reference).resolve().extension('https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification').value.ofType(CodeableConcept).coding.where(system = 'https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-mda-schedule' and (code = 'schedule-2' or code = 'schedule-3' or code = 'schedule-4-part-1')).exists()) implies (dispenseRequest.extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments').exists() and ((dispenseRequest.extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments').value.ofType(positiveInt) > 1) implies dispenseRequest.dispenseInterval.exists()))"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-subst-1"/>
<severity value="error"/>
<human
value="When substitution is not allowed ('Do Not Substitute'), a reason SHALL be given (HIQA EP 3.5.10.3)"/>
<expression
value="substitution.allowed.ofType(boolean).where($this = false).exists() implies substitution.reason.exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="workflow"/>
<map value="Request"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CombinedMedicationRequest"/>
</mapping>
</element>
<element id="MedicationRequest.id">
<path value="MedicationRequest.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comment
value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="MedicationRequest.meta">
<path value="MedicationRequest.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="MedicationRequest.implicitRules">
<path value="MedicationRequest.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
<comment
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="MedicationRequest.language">
<path value="MedicationRequest.language"/>
<short value="Language of the resource content"/>
<definition
value="The base language in which the resource is written."/>
<comment
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical
value="http://hl7.org/fhir/ValueSet/all-languages|4.0.1"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="preferred"/>
<description value="A human language."/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
</binding>
</element>
<element id="MedicationRequest.text">
<path value="MedicationRequest.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comment
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="MedicationRequest.contained">
<path value="MedicationRequest.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comment
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.extension">
<path value="MedicationRequest.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.extension:offLabelUse">
<path value="MedicationRequest.extension"/>
<sliceName value="offLabelUse"/>
<short value="Off-label use"/>
<definition
value="Indicates that the prescriber has intentionally prescribed the medication in a manner not covered by the product authorization — such as for a different indication, age group, dosage, or route of administration."/>
<comment
value="HIQA EP 3.5.14 Off label (Required): 3.5.14.1 off-label use (Mandatory within the cluster) and 3.5.14.2 reason (coded or free text). IHE ihe-ext-offLabel, inherited from HL7 Europe MPD; replaces the retired IEMpdOffLabelUse."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel|1.0.0-comment-2"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.extension:effectiveDosePeriod">
<path value="MedicationRequest.extension"/>
<sliceName value="effectiveDosePeriod"/>
<short
value="R5: Period over which the medication is to be taken (new)"/>
<definition
value="R5: `MedicationRequest.effectiveDosePeriod` (new:Period)"/>
<comment
value="HIQA EP 3.5.6 Period of use (Required 0..1): overall period of all dosage schemes."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod|0.1.0"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.extension:renderedDosageInstruction">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.extension"/>
<sliceName value="renderedDosageInstruction"/>
<short value="Full representation of the dosage instructions"/>
<definition
value="R5: `MedicationRequest.renderedDosageInstruction` (new:markdown)"/>
<comment
value="Element `MedicationRequest.renderedDosageInstruction` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`.
Element `MedicationRequest.renderedDosageInstruction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction|0.1.0"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.extension:ageAtPrescribing">
<path value="MedicationRequest.extension"/>
<sliceName value="ageAtPrescribing"/>
<short
value="Patient age at prescribing (a legal requirement if under 12)"/>
<definition
value="HIQA EP 1.4.2 Age (cluster): the patient's age recorded on the prescription. HIQA: if the date of birth shows the patient is under 12 years, recording the age on the prescription record is a legal requirement in Ireland. Age should be entered in years, and to the nearest three months (or less) for children under two. 1.4.2.1 value and 1.4.2.2 type are Mandatory within the cluster."/>
<comment
value="HIQA EP 1.4.2 Age (Required 0..1; 1.4.2.1 value and 1.4.2.2 type Mandatory within the cluster). Required when the patient is under 12 at authoredOn (invariants ie-rx-age-1, ie-bnd-rx-3)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.extension:quantityInWordsAndFigures">
<path value="MedicationRequest.extension"/>
<sliceName value="quantityInWordsAndFigures"/>
<short value="IE MPD Quantity Prescribed (Words and Figures)"/>
<definition
value="HIQA EP 3.5.7.2 Quantity prescribed (free text): the overall quantity in words and figures, e.g. 'twenty-eight (28) tablets'. HIQA: a legal requirement if the item is a controlled drug under the Misuse of Drugs Act 1977 (as amended) and the Misuse of Drugs Regulations 2017 (S.I. No. 173/2017). Enforced for MDA Schedules 2, 3 and 4 Part 1 by invariant ie-rx-cd-1."/>
<comment
value="HIQA EP 3.5.7.2 Quantity prescribed (free text, words and figures): must be recorded for any medication listed as a controlled drug under the Misuse of Drugs Regulations 2017 (invariant ie-rx-cd-1)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.modifierExtension">
<path value="MedicationRequest.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.identifier"/>
<short value="Prescription/prescribed item ID"/>
<definition
value="Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server."/>
<comment
value="HIQA EP 3.5.1 Prescription item identifier (Mandatory 1..*). For a single-item prescription this is typically the same as the electronic prescription identifier (EP 3.1)."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="MedicationRequest.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.identifier"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="Message/Header/PrescriberOrderNumber"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".id"/>
</mapping>
</element>
<element id="MedicationRequest.status">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.status"/>
<short
value="active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown"/>
<definition
value="A code specifying the current state of the order. Generally, this will be active or completed state."/>
<comment
value="HIQA EP 3.5.2.1 Prescription item status (Mandatory 1..1): e.g. active, on-hold (inactive) or completed (dispensed). The status of the whole prescription (EP 3.3) is derived from its items: all completed = complete; any active = active; otherwise inactive."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestStatus"/>
</extension>
<strength value="required"/>
<description
value="A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.status"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="no mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".statusCode"/>
</mapping>
</element>
<element id="MedicationRequest.statusReason">
<path value="MedicationRequest.statusReason"/>
<short value="Reason for current status"/>
<definition
value="Captures the reason for the current state of the MedicationRequest."/>
<comment
value="HIQA EP 3.5.2.2 (Required) and 3.5.2.3 (free text, in statusReason.text). Must be given unless the status is active or completed (invariant ie-rx-status-1)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.statusReason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestStatusReason"/>
</extension>
<strength value="example"/>
<description value="Identifies the reasons for a given status."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.statusReason"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/>
</mapping>
</element>
<element id="MedicationRequest.intent">
<path value="MedicationRequest.intent"/>
<short
value="proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option"/>
<definition
value="Whether the request is a proposal, plan, or an original order."/>
<comment
value="It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.
An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.
This element is labeled as a modifier because the intent alters when and how the resource is actually applicable."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.intent"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="order"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestIntent"/>
</extension>
<strength value="required"/>
<description value="The kind of medication order."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.intent"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/>
</mapping>
</element>
<element id="MedicationRequest.category">
<path value="MedicationRequest.category"/>
<short value="Type of medication usage"/>
<definition
value="Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient))."/>
<comment
value="HIQA EP 3.5.5 Intended use of prescription item (Optional), e.g. prophylaxis, therapeutic or diagnostic."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.category"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestCategory"/>
</extension>
<strength value="example"/>
<description
value="A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1"/>
</binding>
<mapping>
<identity value="script10.6"/>
<map
value="Message/Body/NewRx/MedicationPrescribed/Directions
or
Message/Body/NewRx/MedicationPrescribed/StructuredSIG"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value"/>
</mapping>
</element>
<element id="MedicationRequest.priority">
<path value="MedicationRequest.priority"/>
<short value="routine | urgent | asap | stat"/>
<definition
value="Indicates how quickly the Medication Request should be addressed with respect to other requests."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.priority"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestPriority"/>
</extension>
<strength value="required"/>
<description
value="Identifies the level of importance to be assigned to actioning the request."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.priority"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.grade"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".priorityCode"/>
</mapping>
</element>
<element id="MedicationRequest.doNotPerform">
<path value="MedicationRequest.doNotPerform"/>
<short value="True if request is prohibiting action"/>
<definition
value="If true indicates that the provider is asking for the medication request not to occur."/>
<comment
value="If do not perform is not specified, the request is a positive request e.g. "do perform"."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.doNotPerform"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="SubstanceAdministration.actionNegationInd"/>
</mapping>
</element>
<element id="MedicationRequest.reported[x]">
<path value="MedicationRequest.reported[x]"/>
<short value="Reported rather than primary record"/>
<definition
value="Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.reported[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=INF].role"/>
</mapping>
</element>
<element id="MedicationRequest.medication[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.medication[x]"/>
<short value="Medication to be taken"/>
<definition
value="Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications."/>
<comment
value="HIQA EP 3.5.3 Prescribed medication item (Mandatory 1..1); see Section 4 (IEMpdMedicationEPrescription). A reference is required (not an inline CodeableConcept): HIQA EP 4.7.2 makes the ingredient Mandatory, and the controlled-drug rules (ie-rx-cd-1/2/3) read the MDA schedule from the Medication (independent review R-01). SNOMED CT Irish Edition / NMPC coding in Medication.code."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.medication[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.code"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map
value="Message/Body/NewRx/MedicationPrescribed
Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode
Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier
Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.what[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="consumable.administrableMedication"/>
</mapping>
</element>
<element id="MedicationRequest.subject">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.subject"/>
<short value="Who or group medication request is for"/>
<definition
value="A link to a resource representing the person or set of individuals to whom the medication will be given."/>
<comment
value="HIQA EP Section 1 Patient Details. The patient profile carries only the HIQA EP dataset (IE Core ADR-002)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.subject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.subject"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map
value="Message/Body/NewRx/Patient
(need detail to link to specific patient … Patient.Identification in SCRIPT)"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PID-3-Patient ID List"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].role"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject"/>
</mapping>
</element>
<element id="MedicationRequest.encounter">
<path value="MedicationRequest.encounter"/>
<short value="Encounter created as part of encounter/admission/stay"/>
<definition
value="The Encounter during which this [x] was created or to which the creation of this record is tightly associated."/>
<comment
value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.context"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="no mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.context"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PV1-19-Visit Number"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]"/>
</mapping>
</element>
<element id="MedicationRequest.supportingInformation">
<path value="MedicationRequest.supportingInformation"/>
<short value="Information to support ordering of the medication"/>
<definition
value="Include additional information (for example, patient height and weight) that supports the ordering of the medication."/>
<comment
value="HIQA EP 1.6 Clinical information: SHALL reference the allergy statement (IEMpdListAllergiesAtPrescribing; EP 1.6.1/1.6.2, invariant ie-bnd-rx-2) and MAY reference weight (IEMpdBodyWeight, EP 1.6.3) and height (IEMpdBodyHeight, EP 1.6.4)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.supportingInformation"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.supportingInfo"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.context"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/>
</mapping>
</element>
<element id="MedicationRequest.authoredOn">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.authoredOn"/>
<short value="When request was initially authored"/>
<definition
value="The date (and perhaps time) when the prescription was initially written or authored on."/>
<comment
value="HIQA EP 3.2 Date and time of issuing the prescription (Mandatory 1..1)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.authoredOn"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.authoredOn"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/WrittenDate"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.recorded"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="author.time"/>
</mapping>
</element>
<element id="MedicationRequest.requester">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.requester"/>
<short value="Who/What requested the Request"/>
<definition
value="The individual, organization, or device that initiated the request and has responsibility for its activation."/>
<comment
value="HIQA EP Section 2 Health Practitioner Details. The prescriber must be a registered health practitioner (EP 2.6, Mandatory), so an Organization is not allowed. Prefer PractitionerRole, which carries the role (2.5), facility (2.7–2.12) and contact details (2.10)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.requester"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole|0.1.0"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.requester"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.author"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].role"/>
</mapping>
</element>
<element id="MedicationRequest.performer">
<path value="MedicationRequest.performer"/>
<short value="Intended performer of administration"/>
<definition
value="The specified desired performer of the medication treatment (e.g. the performer of the medication administration)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.performer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.performer"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
</mapping>
</element>
<element id="MedicationRequest.performerType">
<path value="MedicationRequest.performerType"/>
<short
value="Desired kind of performer of the medication administration"/>
<definition
value="Indicates the type of performer of the administration of the medication."/>
<comment
value="If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.performerType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestPerformerType"/>
</extension>
<strength value="example"/>
<description
value="Identifies the type of individual that is desired to administer the medication."/>
<valueSet value="http://hl7.org/fhir/ValueSet/performer-role|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.performerType"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/>
</mapping>
</element>
<element id="MedicationRequest.recorder">
<path value="MedicationRequest.recorder"/>
<short value="Person who entered the request"/>
<definition
value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.recorder"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.who"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"/>
</mapping>
</element>
<element id="MedicationRequest.reasonCode">
<path value="MedicationRequest.reasonCode"/>
<short value="Reason or indication for this prescription"/>
<definition
value="The reason or the indication for ordering or not ordering the medication."/>
<comment
value="HIQA EP 3.5.4.1 Indication (coded, Optional) and 3.5.4.2 (free text, in reasonCode.text)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.reasonCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
<extension url="purpose">
<valueCode value="candidate"/>
</extension>
<extension url="valueSet">
<valueCanonical
value="http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder"/>
</extension>
<extension url="documentation">
<valueMarkdown
value="MyHealth@EU crossborder value set for diagnoses. Based on WHO ICD 10."/>
</extension>
</extension>
<strength value="example"/>
<description
value="A coded concept indicating why the medication was ordered."/>
<valueSet value="http://hl7.org/fhir/ValueSet/condition-code|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.reasonCode"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map
value="Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="reason.observation.reasonCode"/>
</mapping>
</element>
<element id="MedicationRequest.reasonReference">
<path value="MedicationRequest.reasonReference"/>
<short
value="Condition or observation that supports this prescription"/>
<definition
value="Condition or observation that supports why the medication was ordered."/>
<comment
value="This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.reasonReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.reasonReference"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="no mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="reason.observation[code=ASSERTION].value"/>
</mapping>
</element>
<element id="MedicationRequest.instantiatesCanonical">
<path value="MedicationRequest.instantiatesCanonical"/>
<short value="Instantiates FHIR protocol or definition"/>
<definition
value="The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.instantiatesCanonical"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="canonical"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.instantiates"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=DEFN].target"/>
</mapping>
</element>
<element id="MedicationRequest.instantiatesUri">
<path value="MedicationRequest.instantiatesUri"/>
<short value="Instantiates external protocol or definition"/>
<definition
value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.instantiatesUri"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=DEFN].target"/>
</mapping>
</element>
<element id="MedicationRequest.basedOn">
<path value="MedicationRequest.basedOn"/>
<short value="What request fulfills"/>
<definition
value="A plan or request that is fulfilled in whole or in part by this medication request."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.basedOn"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.basedOn"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"/>
</mapping>
</element>
<element id="MedicationRequest.groupIdentifier">
<path value="MedicationRequest.groupIdentifier"/>
<short
value="Prescription this is part of. Not needed if a presciption includes only one prescribed item."/>
<definition
value="A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription."/>
<comment
value="HIQA EP 3.1 Electronic prescription (group) identifier (Mandatory 1..*): the NePS identifier used throughout the prescription and dispensation life cycle. Required when the prescription has more than one item (Bundle invariant ie-bnd-rx-1)."/>
<requirements
value="Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.groupIdentifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.groupIdentifier"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"/>
</mapping>
</element>
<element id="MedicationRequest.courseOfTherapyType">
<path value="MedicationRequest.courseOfTherapyType"/>
<short value="Overall pattern of medication administration"/>
<definition
value="The description of the overall patte3rn of the administration of the medication to the patient."/>
<comment
value="Acute or continuous (repeat) prescribing. Not a HIQA element; supports EP 3.5.11."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.courseOfTherapyType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestCourseOfTherapy"/>
</extension>
<strength value="example"/>
<description
value="Identifies the overall pattern of medication administratio."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="Act.code where classCode = LIST and moodCode = EVN"/>
</mapping>
</element>
<element id="MedicationRequest.insurance">
<path value="MedicationRequest.insurance"/>
<short value="Associated insurance coverage"/>
<definition
value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.insurance"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Coverage|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.insurance"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=COVBY].target"/>
</mapping>
</element>
<element id="MedicationRequest.note">
<path value="MedicationRequest.note"/>
<short value="Information about the prescription"/>
<definition
value="Extra information about the prescription that could not be conveyed by the other attributes."/>
<comment
value="HIQA EP 3.6.1 Note (Optional) and 1.6.5 Additional clinical notes (Optional): for the patient or the pharmacist."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.note"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Annotation"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.note"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/Note"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value"/>
</mapping>
</element>
<element id="MedicationRequest.note.id">
<path value="MedicationRequest.note.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.note.extension">
<path value="MedicationRequest.note.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.note.author[x]">
<path value="MedicationRequest.note.author[x]"/>
<short value="Individual responsible for the annotation"/>
<definition
value="The individual responsible for making the annotation."/>
<comment
value="Organization is used when there's no need for specific attribution as to who made the comment."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Annotation.author[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
</type>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act.participant[typeCode=AUT].role"/>
</mapping>
</element>
<element id="MedicationRequest.note.time">
<path value="MedicationRequest.note.time"/>
<short value="When the annotation was made"/>
<definition
value="Indicates when this particular annotation was made."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Annotation.time"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act.effectiveTime"/>
</mapping>
</element>
<element id="MedicationRequest.note.text">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.note.text"/>
<short value="The annotation - text content (as markdown)"/>
<definition value="The text of the annotation in markdown format."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Annotation.text"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="markdown"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act.text"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction"/>
<short value="How the medication should be taken."/>
<definition
value="Indicates how the medication is to be used by the patient."/>
<comment
value="HIQA EP 3.5.8 Dosage instructions (Mandatory 1..1) and Section 5 Dosaging."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="MedicationRequest.dosageInstruction"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Dosage"/>
<profile
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ie-rx-dosage-1"/>
<severity value="error"/>
<human
value="A structured dosage SHALL be accompanied by a human-readable dosage text (safety fallback; HIQA EP 5.1 / 5.2)"/>
<expression
value="(timing.exists() or doseAndRate.exists()) implies text.exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.occurrence[x]"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="see dosageInstruction mapping"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.id">
<path value="MedicationRequest.dosageInstruction.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.extension">
<path value="MedicationRequest.dosageInstruction.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.modifierExtension">
<path value="MedicationRequest.dosageInstruction.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.sequence">
<path value="MedicationRequest.dosageInstruction.sequence"/>
<short value="The order of the dosage instructions"/>
<definition
value="Indicates the order in which the dosage instructions should be applied or interpreted."/>
<comment value="HIQA EP 5.2.1 Sequence (Optional)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.sequence"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="TQ1-1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.text">
<path value="MedicationRequest.dosageInstruction.text"/>
<short value="Free text dosage instructions"/>
<definition value="Free text dosage instructions e.g. SIG."/>
<comment
value="HIQA EP 5.1 Rendered dosage instruction (Optional). IE Medication Events requires it (stricter than HIQA, IE Core OI-012) as a human-readable safety fallback for the structured dosage."/>
<requirements
value="Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Dosage.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXO-6; RXE-21"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.additionalInstruction">
<path
value="MedicationRequest.dosageInstruction.additionalInstruction"/>
<short
value="Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness""/>
<definition
value="Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps")."/>
<comment
value="Additional instructions (e.g. 'with food'); complements HIQA EP 5.2.2."/>
<requirements
value="Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Dosage.additionalInstruction"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdditionalInstruction"/>
</extension>
<strength value="example"/>
<description
value="A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery"."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXO-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.patientInstruction">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction.patientInstruction"/>
<short value="Patient or consumer oriented instructions"/>
<definition
value="Instructions in terms that are understood by the patient or consumer."/>
<comment value="HIQA EP 5.2.2 Note for patient (Required)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.patientInstruction"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXO-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing">
<path value="MedicationRequest.dosageInstruction.timing"/>
<short value="Administration schedule"/>
<definition value="When medication should be administered."/>
<comment
value="HIQA EP 5.2.4 Repeat administration (Required): bounds (5.2.4.1), duration (5.2.4.2), frequency and period (5.2.4.3), day of week (5.2.4.4), time of day (5.2.4.5), event (5.2.4.6)."/>
<requirements
value="The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.timing"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Timing"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.id">
<path value="MedicationRequest.dosageInstruction.timing.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.extension">
<path value="MedicationRequest.dosageInstruction.timing.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.modifierExtension">
<path
value="MedicationRequest.dosageInstruction.timing.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.event">
<path value="MedicationRequest.dosageInstruction.timing.event"/>
<short value="When the event occurs"/>
<definition value="Identifies specific times when the event occurs."/>
<requirements
value="In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Timing.event"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="QLIST<TS>"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction.timing.repeat"/>
<short value="When the event is to occur"/>
<definition
value="A set of rules that describe when the event is scheduled."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="tim-1"/>
<severity value="error"/>
<human
value="if there's a duration, there needs to be duration units"/>
<expression value="duration.empty() or durationUnit.exists()"/>
<xpath value="not(exists(f:duration)) or exists(f:durationUnit)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-2"/>
<severity value="error"/>
<human value="if there's a period, there needs to be period units"/>
<expression value="period.empty() or periodUnit.exists()"/>
<xpath value="not(exists(f:period)) or exists(f:periodUnit)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-4"/>
<severity value="error"/>
<human value="duration SHALL be a non-negative value"/>
<expression value="duration.exists() implies duration >= 0"/>
<xpath value="f:duration/@value >= 0 or not(f:duration/@value)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-5"/>
<severity value="error"/>
<human value="period SHALL be a non-negative value"/>
<expression value="period.exists() implies period >= 0"/>
<xpath value="f:period/@value >= 0 or not(f:period/@value)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-6"/>
<severity value="error"/>
<human value="If there's a periodMax, there must be a period"/>
<expression value="periodMax.empty() or period.exists()"/>
<xpath value="not(exists(f:periodMax)) or exists(f:period)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-7"/>
<severity value="error"/>
<human value="If there's a durationMax, there must be a duration"/>
<expression value="durationMax.empty() or duration.exists()"/>
<xpath value="not(exists(f:durationMax)) or exists(f:duration)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-8"/>
<severity value="error"/>
<human value="If there's a countMax, there must be a count"/>
<expression value="countMax.empty() or count.exists()"/>
<xpath value="not(exists(f:countMax)) or exists(f:count)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-9"/>
<severity value="error"/>
<human
value="If there's an offset, there must be a when (and not C, CM, CD, CV)"/>
<expression
value="offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))"/>
<xpath value="not(exists(f:offset)) or exists(f:when)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<constraint>
<key value="tim-10"/>
<severity value="error"/>
<human
value="If there's a timeOfDay, there cannot be a when, or vice versa"/>
<expression value="timeOfDay.empty() or when.empty()"/>
<xpath value="not(exists(f:timeOfDay)) or not(exists(f:when))"/>
<source value="http://hl7.org/fhir/StructureDefinition/Dosage|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="Implies PIVL or EIVL"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.id">
<path value="MedicationRequest.dosageInstruction.timing.repeat.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.extension">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.bounds[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension url="documentation">
<valueMarkdown
value="System SHALL support at least Duration data type for the element"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path
value="MedicationRequest.dosageInstruction.timing.repeat.bounds[x]"/>
<short value="Length/Range of lengths, or (Start and/or end) limits"/>
<definition
value="Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.bounds[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Duration"/>
</type>
<type>
<code value="Range"/>
</type>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="IVL(TS) used in a QSI"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.count">
<path value="MedicationRequest.dosageInstruction.timing.repeat.count"/>
<short value="Number of times to repeat"/>
<definition
value="A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values."/>
<comment
value="If you have both bounds and count, then this should be understood as within the bounds period, until count times happens."/>
<requirements
value="Repetitions may be limited by end time or total occurrences."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.count"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.count"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.countMax">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.countMax"/>
<short value="Maximum number of times to repeat"/>
<definition
value="If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.countMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.count"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.duration">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.duration"/>
<short value="Duration of the treatment"/>
<definition
value="How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration."/>
<comment
value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.duration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.durationMax">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.durationMax"/>
<short value="How long when it happens (Max)"/>
<definition
value="If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length."/>
<comment
value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)."/>
<requirements
value="Some activities are not instantaneous and need to be maintained for a period of time."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.durationMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.durationUnit">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.durationUnit"/>
<short value="s | min | h | d | wk | mo | a - unit of time (UCUM)"/>
<definition value="The units of time for the duration, in UCUM units."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.durationUnit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="UnitsOfTime"/>
</extension>
<strength value="required"/>
<description value="A unit of time (units from UCUM)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase.unit"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.frequency">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path
value="MedicationRequest.dosageInstruction.timing.repeat.frequency"/>
<short value="Frequency times per period"/>
<definition
value="The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency."/>
<comment
value="HIQA EP 5.2.4.3.1 Frequency of administration (Mandatory within the frequency cluster)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.frequency"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<meaningWhenMissing
value="If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.frequencyMax">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.frequencyMax"/>
<short value="Event occurs up to frequencyMax times per period"/>
<definition
value="If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.frequencyMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.period">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction.timing.repeat.period"/>
<short value="Duration of time over which repetitions are to occur"/>
<definition
value="Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length."/>
<comment
value="HIQA EP 5.2.4.3.2 Period (Mandatory within the frequency cluster), with periodUnit."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.periodMax">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.periodMax"/>
<short value="Upper limit of period (3-4 hours)"/>
<definition
value="If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.periodMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.periodUnit">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path
value="MedicationRequest.dosageInstruction.timing.repeat.periodUnit"/>
<short value="Unit of the period (e.g. day)"/>
<definition value="The units of time for the period in UCUM units."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.periodUnit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="UnitsOfTime"/>
</extension>
<strength value="required"/>
<description value="A unit of time (units from UCUM)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase.unit"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek"/>
<short value="mon | tue | wed | thu | fri | sat | sun"/>
<definition
value="If one or more days of week is provided, then the action happens only on the specified day(s)."/>
<comment
value="If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Timing.repeat.dayOfWeek"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DayOfWeek"/>
</extension>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.timeOfDay">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.timeOfDay"/>
<short value="Time of day for action"/>
<definition value="Specified time of day for action to take place."/>
<comment
value="When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Timing.repeat.timeOfDay"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="time"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.when">
<path value="MedicationRequest.dosageInstruction.timing.repeat.when"/>
<short value="Code for time period of occurrence"/>
<definition
value="An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur."/>
<comment
value="When more than one event is listed, the event is tied to the union of the specified events."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Timing.repeat.when"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="EventTiming"/>
</extension>
<strength value="required"/>
<description value="Real world event relating to the schedule."/>
<valueSet value="http://hl7.org/fhir/ValueSet/event-timing|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="EIVL.event"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.offset">
<path value="MedicationRequest.dosageInstruction.timing.repeat.offset"/>
<short value="Minutes from event (before or after)"/>
<definition
value="The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.offset"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="EIVL.offset"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.timing.code">
<path value="MedicationRequest.dosageInstruction.timing.code"/>
<short value="A code for the timing schedule."/>
<definition
value="A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code)."/>
<comment
value="BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="TimingAbbreviation"/>
</extension>
<strength value="preferred"/>
<description value="Code for a known / defined timing pattern."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="QSC.code"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.asNeeded[x]">
<path value="MedicationRequest.dosageInstruction.asNeeded[x]"/>
<slicing>
<discriminator>
<type value="type"/>
<path value="$this"/>
</discriminator>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Take "as needed" (for x)"/>
<definition
value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept)."/>
<comment value="HIQA EP 5.2.5 Administer as needed (Optional)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationAsNeededReason"/>
</extension>
<strength value="example"/>
<description
value="A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="TQ1-9"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.asNeeded[x]:asNeededBoolean">
<path value="MedicationRequest.dosageInstruction.asNeeded[x]"/>
<sliceName value="asNeededBoolean"/>
<short value="Take "as needed" (for x)"/>
<definition
value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept)."/>
<comment
value="Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed"."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="TQ1-9"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.site">
<path value="MedicationRequest.dosageInstruction.site"/>
<short value="Body site to administer to"/>
<definition value="Body site to administer to."/>
<comment
value="HIQA EP 5.2.6 Body site (Optional): morphology, location, qualifier and laterality post-coordinated in SNOMED CT, or described in site.text (5.2.6.5)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.site"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationAdministrationSite"/>
</extension>
<strength value="example"/>
<description
value="A coded concept describing the site location the medicine enters into or onto the body."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".approachSiteCode"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.route">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction.route"/>
<short value="Route of administration"/>
<definition value="How drug should enter body."/>
<comment
value="HIQA EP 5.2.7 Route of administration (Required); EDQM Standard Terms preferred."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.route"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="RouteOfAdministration"/>
</extension>
<strength value="example"/>
<description
value="A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject."/>
<valueSet value="http://hl7.org/fhir/ValueSet/route-codes|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".routeCode"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.method">
<path value="MedicationRequest.dosageInstruction.method"/>
<short value="Technique for administering medication"/>
<definition value="Technique for administering medication."/>
<comment
value="Terminologies used often pre-coordinate this term with the route and or form of administration."/>
<requirements
value="A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.method"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationAdministrationMethod"/>
</extension>
<strength value="example"/>
<description
value="A coded concept describing the technique by which the medicine is administered."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".doseQuantity"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate">
<path value="MedicationRequest.dosageInstruction.doseAndRate"/>
<short value="Amount of medication administered"/>
<definition value="The amount of medication administered."/>
<comment
value="HIQA EP 5.2.3 Dose and rate (Required): dose quantity or range (5.2.3.1), rate (5.2.3.2)."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Dosage.doseAndRate"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="TQ1-2"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate.id">
<path value="MedicationRequest.dosageInstruction.doseAndRate.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate.extension">
<path
value="MedicationRequest.dosageInstruction.doseAndRate.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate.type">
<path value="MedicationRequest.dosageInstruction.doseAndRate.type"/>
<short value="The kind of dose or rate specified"/>
<definition
value="The kind of dose or rate specified, for example, ordered or calculated."/>
<requirements
value="If the type is not populated, assume to be "ordered"."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.doseAndRate.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DoseAndRateType"/>
</extension>
<strength value="example"/>
<description value="The kind of dose or rate specified."/>
<valueSet value="http://hl7.org/fhir/ValueSet/dose-rate-type|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXO-21; RXE-23"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension url="documentation">
<valueMarkdown
value="System SHALL support at least Quantity data type for the element"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"/>
<slicing>
<discriminator>
<type value="type"/>
<path value="$this"/>
</discriminator>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Amount of medication per dose"/>
<definition value="Amount of medication per dose."/>
<comment
value="Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.doseAndRate.dose[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Range"/>
</type>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXO-2, RXE-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".doseQuantity"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension url="documentation">
<valueMarkdown
value="System SHALL support at least Quantity data type for the element"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/Dosage-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"/>
<sliceName value="doseQuantity"/>
<short value="Amount of medication per dose"/>
<definition value="Amount of medication per dose."/>
<comment
value="Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.doseAndRate.dose[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXO-2, RXE-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".doseQuantity"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate.rate[x]">
<path value="MedicationRequest.dosageInstruction.doseAndRate.rate[x]"/>
<short value="Amount of medication per unit of time"/>
<definition value="Amount of medication per unit of time."/>
<comment
value="It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.
It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour."/>
<requirements value="EHDSDosage"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.doseAndRate.rate[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<type>
<code value="Range"/>
</type>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXE22, RXE23, RXE-24"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".rateQuantity"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.maxDosePerPeriod">
<path value="MedicationRequest.dosageInstruction.maxDosePerPeriod"/>
<short value="Upper limit on medication per unit of time"/>
<definition value="Upper limit on medication per unit of time."/>
<comment
value="Maximum dose per period (not a distinct HIQA element; supports safe 'as needed' dosing)."/>
<requirements
value="The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.maxDosePerPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXO-23, RXE-19"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".maxDoseQuantity"/>
</mapping>
</element>
<element
id="MedicationRequest.dosageInstruction.maxDosePerAdministration">
<path
value="MedicationRequest.dosageInstruction.maxDosePerAdministration"/>
<short value="Upper limit on medication per administration"/>
<definition value="Upper limit on medication per administration."/>
<comment
value="This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg."/>
<requirements
value="The maximum total quantity of a therapeutic substance that may be administered to a subject per administration."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.maxDosePerAdministration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="not supported"/>
</mapping>
</element>
<element id="MedicationRequest.dosageInstruction.maxDosePerLifetime">
<path value="MedicationRequest.dosageInstruction.maxDosePerLifetime"/>
<short value="Upper limit on medication per lifetime of the patient"/>
<definition
value="Upper limit on medication per lifetime of the patient."/>
<requirements
value="The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Dosage.maxDosePerLifetime"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="not supported"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest">
<path value="MedicationRequest.dispenseRequest"/>
<short value="Medication supply authorization"/>
<definition
value="Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/ExpirationDate"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="component.supplyEvent"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.id">
<path value="MedicationRequest.dispenseRequest.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.extension">
<path value="MedicationRequest.dispenseRequest.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationRequest.dispenseRequest.extension:prescribedQuantity">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dispenseRequest.extension"/>
<sliceName value="prescribedQuantity"/>
<short value="MedicationRequest - Prescribed Quantity"/>
<definition
value="Total amount of product being requested. This may refer to number of packages when package size is indicated in Medication resource."/>
<comment
value="HIQA EP 3.5.7.1 Quantity prescribed (Required): overall quantity, independent of repeats (IHE extension via HL7 Europe MPD)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity|1.0.0-comment-2"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationRequest.dispenseRequest.extension:numberOfInstalments">
<path value="MedicationRequest.dispenseRequest.extension"/>
<sliceName value="numberOfInstalments"/>
<short value="IE MPD Number of Instalments"/>
<definition
value="HIQA EP 3.5.12 Number of instalments (Required 0..1): whether the total quantity can be dispensed in smaller, specified amounts at specified intervals (phased dispensing). This differs from repeats (numberOfRepeatsAllowed, EP 3.5.11). HIQA: a legal requirement for Schedule 2, 3 and 4 Part 1 controlled drugs; the interval is dispenseRequest.dispenseInterval (EP 3.5.13)."/>
<comment
value="HIQA EP 3.5.12 Number of instalments (Required): a legal requirement for Schedule 2, 3 and 4 Part 1 controlled drugs (invariant ie-rx-cd-3)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.dispenseRequest.extension:doNotExtend">
<path value="MedicationRequest.dispenseRequest.extension"/>
<sliceName value="doNotExtend"/>
<short value="IE MPD Do Not Extend"/>
<definition
value="HIQA EP 3.5.9.2 'Do Not Extend' (Optional 0..1): true when the prescriber does not want the pharmacist to extend the prescription beyond its validity period. HIQA: pharmacists can extend a six-month prescription for up to a further six months."/>
<comment value="HIQA EP 3.5.9.2 'Do Not Extend' (Optional)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-do-not-extend|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationRequest.dispenseRequest.modifierExtension">
<path value="MedicationRequest.dispenseRequest.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.initialFill">
<path value="MedicationRequest.dispenseRequest.initialFill"/>
<short value="First fill details"/>
<definition
value="Indicates the quantity or duration for the first dispense of the medication."/>
<comment
value="If populating this element, either the quantity or the duration must be included."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.initialFill"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value="SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.initialFill.id">
<path value="MedicationRequest.dispenseRequest.initialFill.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.initialFill.extension">
<path value="MedicationRequest.dispenseRequest.initialFill.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationRequest.dispenseRequest.initialFill.modifierExtension">
<path
value="MedicationRequest.dispenseRequest.initialFill.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.initialFill.quantity">
<path value="MedicationRequest.dispenseRequest.initialFill.quantity"/>
<short value="First fill quantity"/>
<definition
value="The amount or quantity to provide as part of the first dispense."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.initialFill.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Supply.quantity[moodCode=RQO]"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.initialFill.duration">
<path value="MedicationRequest.dispenseRequest.initialFill.duration"/>
<short value="First fill duration"/>
<definition
value="The length of time that the first dispense is expected to last."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.initialFill.duration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Duration"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Supply.effectivetime[moodCode=RQO]"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.dispenseInterval">
<path value="MedicationRequest.dispenseRequest.dispenseInterval"/>
<short value="Minimum period of time between dispenses"/>
<definition
value="The minimum period of time that must occur between dispenses of the medication."/>
<comment
value="HIQA EP 3.5.13 Minimum dispense interval (Required); also the instalment interval, which must be specified for Schedule 2, 3 and 4 Part 1 instalment prescriptions (invariant ie-rx-cd-3)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.dispenseInterval"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Duration"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Supply.effectivetime[moodCode=RQO]"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.validityPeriod">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.dispenseRequest.validityPeriod"/>
<short value="Time period supply is authorized for"/>
<definition
value="This indicates the validity period of a prescription (stale dating the Prescription)."/>
<comment
value="HIQA EP 3.5.9.1 Validity period (Required). If no start is given, it is the date of issue. Up to 12 months for non-controlled drugs. Schedule 2 and 3 controlled drugs: 14 days, or for instalment prescriptions the final instalment within two months (the first instalment within 14 days is checked at dispensing, IE Core OI-027) (invariant ie-rx-cd-2)."/>
<requirements
value="Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.validityPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/Refills"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed">
<path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/>
<short value="Number of refills authorized"/>
<definition
value="An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense."/>
<comment
value="HIQA EP 3.5.11 Repeats of prescription item allowed (Optional); default 0. Repeats already dispensed are DERIVED from the completed MedicationDispense records that reference this request, not stored (IE Core ADR-003)."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/Quantity"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RXE-12-Number of Refills"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="repeatNumber"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.quantity">
<path value="MedicationRequest.dispenseRequest.quantity"/>
<short value="Amount of medication to supply per dispense"/>
<definition value="The amount that is to be dispensed for one fill."/>
<comment
value="Quantity to supply per dispense. IE Medication Events requires it (1..1, stricter than HIQA EP 3.5.7 Required 0..1; IE Core OI-012)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/DaysSupply"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="quantity"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.expectedSupplyDuration">
<path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/>
<short value="Number of days supply per dispense"/>
<definition
value="Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last."/>
<comment
value="In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Duration"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map value="Message/Body/NewRx/MedicationPrescribed/Substitutions"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="expectedUseTime"/>
</mapping>
</element>
<element id="MedicationRequest.dispenseRequest.performer">
<path value="MedicationRequest.dispenseRequest.performer"/>
<short value="Intended dispenser"/>
<definition
value="Indicates the intended dispensing Organization specified by the prescriber."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.dispenseRequest.performer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.who"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
</mapping>
</element>
<element id="MedicationRequest.substitution">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHOULD:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.substitution"/>
<short
value="Any restrictions on medication substitution. Substitution rules (including the definition of substitution) vary across different countries, and the semantics of this element should be interpreted accordingly."/>
<definition
value="Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.substitution"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map
value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="subjectOf.substitutionPersmission"/>
</mapping>
</element>
<element id="MedicationRequest.substitution.id">
<path value="MedicationRequest.substitution.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.substitution.extension">
<path value="MedicationRequest.substitution.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationRequest.substitution.modifierExtension">
<path value="MedicationRequest.substitution.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationRequest.substitution.allowed[x]">
<path value="MedicationRequest.substitution.allowed[x]"/>
<slicing>
<discriminator>
<type value="type"/>
<path value="$this"/>
</discriminator>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Whether substitution is allowed or not"/>
<definition
value="True if the prescriber allows a different drug to be dispensed from what was prescribed."/>
<comment
value="HIQA EP 3.5.10.2 'Do Not Substitute' (Optional): allowedBoolean = false means 'Do Not Substitute'. A legal requirement to endorse the item if the prescriber invokes it."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationRequest.substitution.allowed[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationRequestSubstitution"/>
</extension>
<strength value="example"/>
<description value="Identifies the type of substitution allowed."/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0"/>
</binding>
<mapping>
<identity value="script10.6"/>
<map
value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="code"/>
</mapping>
</element>
<element id="MedicationRequest.substitution.allowed[x]:allowedBoolean">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:able-to-populate"/>
</extension>
<extension url="actor">
<valueCanonical
value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical
value="http://hl7.eu/fhir/mpd/StructureDefinition/MedicationRequest-eu-mpd|1.0.0"/>
</extension>
</extension>
<path value="MedicationRequest.substitution.allowed[x]"/>
<sliceName value="allowedBoolean"/>
<short value="Whether substitution is allowed or not"/>
<definition
value="True if the prescriber allows a different drug to be dispensed from what was prescribed."/>
<comment
value="This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.substitution.allowed[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="script10.6"/>
<map
value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="code"/>
</mapping>
</element>
<element id="MedicationRequest.substitution.reason">
<path value="MedicationRequest.substitution.reason"/>
<short value="Why should (not) substitution be made"/>
<definition
value="Indicates the reason for the substitution, or why substitution must or must not be performed."/>
<comment
value="HIQA EP 3.5.10.3 Reason for not allowing substitution (Required when 'Do Not Substitute'; free text in reason.text; invariant ie-rx-subst-1)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.substitution.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationIntendedSubstitutionReason"/>
</extension>
<strength value="example"/>
<description
value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed."/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0"/>
</binding>
<mapping>
<identity value="script10.6"/>
<map value="not mapped"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RXE-9 Substition status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="reasonCode"/>
</mapping>
</element>
<element id="MedicationRequest.priorPrescription">
<path value="MedicationRequest.priorPrescription"/>
<short value="An order/prescription that is being replaced"/>
<definition
value="A link to a resource representing an earlier order related order or prescription."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationRequest.priorPrescription"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.replaces"/>
</mapping>
<mapping>
<identity value="script10.6"/>
<map value="not mapped"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"/>
</mapping>
</element>
<element id="MedicationRequest.detectedIssue">
<path value="MedicationRequest.detectedIssue"/>
<short value="Clinical Issue with action"/>
<definition
value="Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc."/>
<comment
value="This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue."/>
<alias value="Contraindication"/>
<alias value="Drug Utilization Review (DUR)"/>
<alias value="Alert"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.detectedIssue"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"/>
</mapping>
</element>
<element id="MedicationRequest.eventHistory">
<path value="MedicationRequest.eventHistory"/>
<short value="A list of events of interest in the lifecycle"/>
<definition
value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."/>
<comment
value="This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationRequest.eventHistory"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.relevantHistory"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="MedicationRequest">
<path value="MedicationRequest"/>
<constraint>
<key value="ie-rx-status-1"/>
<severity value="error"/>
<human
value="A status reason SHALL be given unless the prescription item is active, completed or draft (HIQA EP 3.5.2.2 / 3.5.2.3)"/>
<expression
value="(status = 'active' or status = 'completed' or status = 'draft') or statusReason.exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-age-1"/>
<severity value="error"/>
<human
value="If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, the patient's age SHALL be recorded on the prescription (HIQA EP 1.4.2; a legal requirement in Ireland)"/>
<expression
value="subject.resolve().ofType(Patient).birthDate.empty() or authoredOn.empty() or ((subject.resolve().ofType(Patient).birthDate.toString().length() = 10) and ((subject.resolve().ofType(Patient).birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))) or extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing').exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-cd-1"/>
<severity value="error"/>
<human
value="A prescription for a controlled drug (any schedule of the Misuse of Drugs Regulations 2017) SHALL state the quantity in words and figures (HIQA EP 3.5.7.2)"/>
<expression
value="(medication.ofType(Reference).resolve().extension('https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification').value.ofType(CodeableConcept).coding.where(system = 'https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-mda-schedule').exists()) implies extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures').exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-cd-2"/>
<severity value="error"/>
<human
value="A prescription for a Schedule 2 or 3 controlled drug SHALL have a validity period ending no later than 14 days after the date of issue, or, for an instalment prescription, no later than two months after (the final instalment) (HIQA EP 3.5.9.1; Misuse of Drugs Regulations 2017)"/>
<expression
value="(medication.ofType(Reference).resolve().extension('https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification').value.ofType(CodeableConcept).coding.where(system = 'https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-mda-schedule' and (code = 'schedule-2' or code = 'schedule-3')).exists()) implies (dispenseRequest.validityPeriod.end.exists() and ((dispenseRequest.extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments').exists() and dispenseRequest.validityPeriod.end.toString().substring(0,10) <= (authoredOn + 2 months).toString().substring(0,10)) or (dispenseRequest.validityPeriod.end.toString().substring(0,10) <= (authoredOn + 14 days).toString().substring(0,10))))"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-cd-3"/>
<severity value="error"/>
<human
value="A prescription for a Schedule 2, 3 or 4 Part 1 controlled drug SHALL state the number of instalments and, when there is more than one, the interval between them (HIQA EP 3.5.12, 3.5.13; Misuse of Drugs Regulations 2017)"/>
<expression
value="(medication.ofType(Reference).resolve().extension('https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification').value.ofType(CodeableConcept).coding.where(system = 'https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-mda-schedule' and (code = 'schedule-2' or code = 'schedule-3' or code = 'schedule-4-part-1')).exists()) implies (dispenseRequest.extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments').exists() and ((dispenseRequest.extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments').value.ofType(positiveInt) > 1) implies dispenseRequest.dispenseInterval.exists()))"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<constraint>
<key value="ie-rx-subst-1"/>
<severity value="error"/>
<human
value="When substitution is not allowed ('Do Not Substitute'), a reason SHALL be given (HIQA EP 3.5.10.3)"/>
<expression
value="substitution.allowed.ofType(boolean).where($this = false).exists() implies substitution.reason.exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
</element>
<element id="MedicationRequest.extension:offLabelUse">
<path value="MedicationRequest.extension"/>
<sliceName value="offLabelUse"/>
<comment
value="HIQA EP 3.5.14 Off label (Required): 3.5.14.1 off-label use (Mandatory within the cluster) and 3.5.14.2 reason (coded or free text). IHE ihe-ext-offLabel, inherited from HL7 Europe MPD; replaces the retired IEMpdOffLabelUse."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.extension:effectiveDosePeriod">
<path value="MedicationRequest.extension"/>
<sliceName value="effectiveDosePeriod"/>
<comment
value="HIQA EP 3.5.6 Period of use (Required 0..1): overall period of all dosage schemes."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.extension:ageAtPrescribing">
<path value="MedicationRequest.extension"/>
<sliceName value="ageAtPrescribing"/>
<short
value="Patient age at prescribing (a legal requirement if under 12)"/>
<comment
value="HIQA EP 1.4.2 Age (Required 0..1; 1.4.2.1 value and 1.4.2.2 type Mandatory within the cluster). Required when the patient is under 12 at authoredOn (invariants ie-rx-age-1, ie-bnd-rx-3)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing|0.1.0"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.extension:quantityInWordsAndFigures">
<path value="MedicationRequest.extension"/>
<sliceName value="quantityInWordsAndFigures"/>
<comment
value="HIQA EP 3.5.7.2 Quantity prescribed (free text, words and figures): must be recorded for any medication listed as a controlled drug under the Misuse of Drugs Regulations 2017 (invariant ie-rx-cd-1)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures|0.1.0"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.identifier">
<path value="MedicationRequest.identifier"/>
<comment
value="HIQA EP 3.5.1 Prescription item identifier (Mandatory 1..*). For a single-item prescription this is typically the same as the electronic prescription identifier (EP 3.1)."/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.status">
<path value="MedicationRequest.status"/>
<comment
value="HIQA EP 3.5.2.1 Prescription item status (Mandatory 1..1): e.g. active, on-hold (inactive) or completed (dispensed). The status of the whole prescription (EP 3.3) is derived from its items: all completed = complete; any active = active; otherwise inactive."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.statusReason">
<path value="MedicationRequest.statusReason"/>
<comment
value="HIQA EP 3.5.2.2 (Required) and 3.5.2.3 (free text, in statusReason.text). Must be given unless the status is active or completed (invariant ie-rx-status-1)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.intent">
<path value="MedicationRequest.intent"/>
<patternCode value="order"/>
</element>
<element id="MedicationRequest.category">
<path value="MedicationRequest.category"/>
<comment
value="HIQA EP 3.5.5 Intended use of prescription item (Optional), e.g. prophylaxis, therapeutic or diagnostic."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.medication[x]">
<path value="MedicationRequest.medication[x]"/>
<comment
value="HIQA EP 3.5.3 Prescribed medication item (Mandatory 1..1); see Section 4 (IEMpdMedicationEPrescription). A reference is required (not an inline CodeableConcept): HIQA EP 4.7.2 makes the ingredient Mandatory, and the controlled-drug rules (ie-rx-cd-1/2/3) read the MDA schedule from the Medication (independent review R-01). SNOMED CT Irish Edition / NMPC coding in Medication.code."/>
<type>
<code value="Reference"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription|0.1.0"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.subject">
<path value="MedicationRequest.subject"/>
<comment
value="HIQA EP Section 1 Patient Details. The patient profile carries only the HIQA EP dataset (IE Core ADR-002)."/>
<type>
<code value="Reference"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription|0.1.0"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.supportingInformation">
<path value="MedicationRequest.supportingInformation"/>
<comment
value="HIQA EP 1.6 Clinical information: SHALL reference the allergy statement (IEMpdListAllergiesAtPrescribing; EP 1.6.1/1.6.2, invariant ie-bnd-rx-2) and MAY reference weight (IEMpdBodyWeight, EP 1.6.3) and height (IEMpdBodyHeight, EP 1.6.4)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.authoredOn">
<path value="MedicationRequest.authoredOn"/>
<comment
value="HIQA EP 3.2 Date and time of issuing the prescription (Mandatory 1..1)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.requester">
<path value="MedicationRequest.requester"/>
<comment
value="HIQA EP Section 2 Health Practitioner Details. The prescriber must be a registered health practitioner (EP 2.6, Mandatory), so an Organization is not allowed. Prefer PractitionerRole, which carries the role (2.5), facility (2.7–2.12) and contact details (2.10)."/>
<type>
<code value="Reference"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole|0.1.0"/>
<targetProfile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner|0.1.0"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.reasonCode">
<path value="MedicationRequest.reasonCode"/>
<comment
value="HIQA EP 3.5.4.1 Indication (coded, Optional) and 3.5.4.2 (free text, in reasonCode.text)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.groupIdentifier">
<path value="MedicationRequest.groupIdentifier"/>
<comment
value="HIQA EP 3.1 Electronic prescription (group) identifier (Mandatory 1..*): the NePS identifier used throughout the prescription and dispensation life cycle. Required when the prescription has more than one item (Bundle invariant ie-bnd-rx-1)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.courseOfTherapyType">
<path value="MedicationRequest.courseOfTherapyType"/>
<comment
value="Acute or continuous (repeat) prescribing. Not a HIQA element; supports EP 3.5.11."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.note">
<path value="MedicationRequest.note"/>
<comment
value="HIQA EP 3.6.1 Note (Optional) and 1.6.5 Additional clinical notes (Optional): for the patient or the pharmacist."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction">
<path value="MedicationRequest.dosageInstruction"/>
<comment
value="HIQA EP 3.5.8 Dosage instructions (Mandatory 1..1) and Section 5 Dosaging."/>
<min value="1"/>
<constraint>
<key value="ie-rx-dosage-1"/>
<severity value="error"/>
<human
value="A structured dosage SHALL be accompanied by a human-readable dosage text (safety fallback; HIQA EP 5.1 / 5.2)"/>
<expression
value="(timing.exists() or doseAndRate.exists()) implies text.exists()"/>
<source
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0"/>
</constraint>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.sequence">
<path value="MedicationRequest.dosageInstruction.sequence"/>
<comment value="HIQA EP 5.2.1 Sequence (Optional)."/>
</element>
<element id="MedicationRequest.dosageInstruction.text">
<path value="MedicationRequest.dosageInstruction.text"/>
<comment
value="HIQA EP 5.1 Rendered dosage instruction (Optional). IE Medication Events requires it (stricter than HIQA, IE Core OI-012) as a human-readable safety fallback for the structured dosage."/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.additionalInstruction">
<path
value="MedicationRequest.dosageInstruction.additionalInstruction"/>
<comment
value="Additional instructions (e.g. 'with food'); complements HIQA EP 5.2.2."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.patientInstruction">
<path value="MedicationRequest.dosageInstruction.patientInstruction"/>
<comment value="HIQA EP 5.2.2 Note for patient (Required)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.timing">
<path value="MedicationRequest.dosageInstruction.timing"/>
<comment
value="HIQA EP 5.2.4 Repeat administration (Required): bounds (5.2.4.1), duration (5.2.4.2), frequency and period (5.2.4.3), day of week (5.2.4.4), time of day (5.2.4.5), event (5.2.4.6)."/>
<mustSupport value="true"/>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.frequency">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.frequency"/>
<comment
value="HIQA EP 5.2.4.3.1 Frequency of administration (Mandatory within the frequency cluster)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.timing.repeat.period">
<path value="MedicationRequest.dosageInstruction.timing.repeat.period"/>
<comment
value="HIQA EP 5.2.4.3.2 Period (Mandatory within the frequency cluster), with periodUnit."/>
<mustSupport value="true"/>
</element>
<element
id="MedicationRequest.dosageInstruction.timing.repeat.periodUnit">
<path
value="MedicationRequest.dosageInstruction.timing.repeat.periodUnit"/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.asNeeded[x]">
<path value="MedicationRequest.dosageInstruction.asNeeded[x]"/>
<comment value="HIQA EP 5.2.5 Administer as needed (Optional)."/>
</element>
<element id="MedicationRequest.dosageInstruction.site">
<path value="MedicationRequest.dosageInstruction.site"/>
<comment
value="HIQA EP 5.2.6 Body site (Optional): morphology, location, qualifier and laterality post-coordinated in SNOMED CT, or described in site.text (5.2.6.5)."/>
</element>
<element id="MedicationRequest.dosageInstruction.route">
<path value="MedicationRequest.dosageInstruction.route"/>
<comment
value="HIQA EP 5.2.7 Route of administration (Required); EDQM Standard Terms preferred."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate">
<path value="MedicationRequest.dosageInstruction.doseAndRate"/>
<comment
value="HIQA EP 5.2.3 Dose and rate (Required): dose quantity or range (5.2.3.1), rate (5.2.3.2)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]">
<path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dosageInstruction.maxDosePerPeriod">
<path value="MedicationRequest.dosageInstruction.maxDosePerPeriod"/>
<comment
value="Maximum dose per period (not a distinct HIQA element; supports safe 'as needed' dosing)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dispenseRequest">
<path value="MedicationRequest.dispenseRequest"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element
id="MedicationRequest.dispenseRequest.extension:prescribedQuantity">
<path value="MedicationRequest.dispenseRequest.extension"/>
<sliceName value="prescribedQuantity"/>
<comment
value="HIQA EP 3.5.7.1 Quantity prescribed (Required): overall quantity, independent of repeats (IHE extension via HL7 Europe MPD)."/>
<mustSupport value="true"/>
</element>
<element
id="MedicationRequest.dispenseRequest.extension:numberOfInstalments">
<path value="MedicationRequest.dispenseRequest.extension"/>
<sliceName value="numberOfInstalments"/>
<comment
value="HIQA EP 3.5.12 Number of instalments (Required): a legal requirement for Schedule 2, 3 and 4 Part 1 controlled drugs (invariant ie-rx-cd-3)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments|0.1.0"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dispenseRequest.extension:doNotExtend">
<path value="MedicationRequest.dispenseRequest.extension"/>
<sliceName value="doNotExtend"/>
<comment value="HIQA EP 3.5.9.2 'Do Not Extend' (Optional)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-do-not-extend|0.1.0"/>
</type>
</element>
<element id="MedicationRequest.dispenseRequest.dispenseInterval">
<path value="MedicationRequest.dispenseRequest.dispenseInterval"/>
<comment
value="HIQA EP 3.5.13 Minimum dispense interval (Required); also the instalment interval, which must be specified for Schedule 2, 3 and 4 Part 1 instalment prescriptions (invariant ie-rx-cd-3)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dispenseRequest.validityPeriod">
<path value="MedicationRequest.dispenseRequest.validityPeriod"/>
<comment
value="HIQA EP 3.5.9.1 Validity period (Required). If no start is given, it is the date of issue. Up to 12 months for non-controlled drugs. Schedule 2 and 3 controlled drugs: 14 days, or for instalment prescriptions the final instalment within two months (the first instalment within 14 days is checked at dispensing, IE Core OI-027) (invariant ie-rx-cd-2)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed">
<path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/>
<comment
value="HIQA EP 3.5.11 Repeats of prescription item allowed (Optional); default 0. Repeats already dispensed are DERIVED from the completed MedicationDispense records that reference this request, not stored (IE Core ADR-003)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.dispenseRequest.quantity">
<path value="MedicationRequest.dispenseRequest.quantity"/>
<comment
value="Quantity to supply per dispense. IE Medication Events requires it (1..1, stricter than HIQA EP 3.5.7 Required 0..1; IE Core OI-012)."/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.substitution">
<path value="MedicationRequest.substitution"/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.substitution.allowed[x]">
<path value="MedicationRequest.substitution.allowed[x]"/>
<comment
value="HIQA EP 3.5.10.2 'Do Not Substitute' (Optional): allowedBoolean = false means 'Do Not Substitute'. A legal requirement to endorse the item if the prescriber invokes it."/>
<mustSupport value="true"/>
</element>
<element id="MedicationRequest.substitution.reason">
<path value="MedicationRequest.substitution.reason"/>
<comment
value="HIQA EP 3.5.10.3 Reason for not allowing substitution (Required when 'Do Not Substitute'; free text in reason.text; invariant ie-rx-subst-1)."/>
<mustSupport value="true"/>
</element>
</differential>
</StructureDefinition>