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Resource StructureDefinition/FHIR Server from package ca.on.oh-setp#1.0.38 (46 ms)

Package ca.on.oh-setp
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=ca.on.oh-setp@1.0.38&canonical=http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medicationrequest
Url http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medicationrequest
Version 0.10.0
Status active
Date 2022-10-15T12:00:00+00:00
Name MedicationRequestPSON
Title Medication Request (PS-ON)
Experimental False
Realm ca
Description This profile defines a set of constraints to the FHIR MedicationRequest resource for use in Ontario Patient Summaries (PS-ON). It refines constraints applied to the MedicationRequest resource by the PS-CA project to represent a record of a medication request in the patient summary. It is informed by the constraints of the most recent direction of the IPS-UV (September Connectathon Build) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-medicationstatement.html) to allow for cross-border and cross-jurisdiction sharing of Medication Summary information.
Type MedicationRequest
Kind resource

Resources that use this resource

StructureDefinition
http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-composition Composition (PS-ON)

Resources that this resource uses

StructureDefinition
http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept Codeable Concept (PS-ON)
http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-coding Coding (PS-ON)
http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medication Medication (PS-ON)
http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient Patient (PS-ON)
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct Canadian Clinical Drug Data Set-CCDD


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "ca-on-ps-profile-medicationrequest",
  "url" : "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medicationrequest",
  "version" : "0.10.0",
  "name" : "MedicationRequestPSON",
  "title" : "Medication Request (PS-ON)",
  "status" : "active",
  "date" : "2022-10-15T12:00:00+00:00",
  "publisher" : "Ontario Health",
  "description" : "This profile defines a set of constraints to the FHIR MedicationRequest resource for use in Ontario Patient Summaries (PS-ON). It refines constraints applied to the MedicationRequest resource by the PS-CA project to represent a record of a medication request in the patient summary. It is informed by the constraints of the most recent direction of the IPS-UV (September Connectathon Build) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-medicationstatement.html) to allow for cross-border and cross-jurisdiction sharing of Medication Summary information.",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "MedicationRequest",
        "path" : "MedicationRequest",
        "comment" : "Jurisdictions mapping prescription data into FHIR profiles for the patient summary should support the MedicationRequest resource. Use of the MedicationStatement profile should be reserved for communicating a statement about the patient's usage of the medication that is ultimately provided by a patient, significant other, or a clinican."
      },
      {
        "id" : "MedicationRequest.meta",
        "path" : "MedicationRequest.meta",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.meta.profile",
        "path" : "MedicationRequest.meta.profile",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.extension:RenderedDosageInstruction",
        "path" : "MedicationRequest.extension",
        "sliceName" : "RenderedDosageInstruction",
        "short" : "Extension for representing rendered dosage instruction.",
        "definition" : "A free form textual specification generated from the input specifications as created by the provider.This is made up of either an 'Ad-hoc instruction' or 'Textual rendition of the structured dosage lines', plus route, dosage unit, and other pertinent administration information specified by the provider.",
        "comment" : "Use of structured fields for dosage instructions is heavily encouraged by this specification to promote interoperability of patient summaries. However, this extension is provided to make implementers aware that legacy medication data may come from some systems in this format. This extension is used by PrescribeIT implementations when the system has difficulty sending very complex dosage instructions in the form of structured data. Implementers are encouraged to read the PrescribeIT Specification (https://specs.prescribeit.ca/R5.0/erx/extension-ext-medication-rendered-dosage.html) to understand the context around its use.",
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://prescribeit.ca/fhir/StructureDefinition/ext-rendered-dosage-instruction"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.status",
        "path" : "MedicationRequest.status",
        "comment" : "In the scope of the IPS the entered-in-error concept is not allowed.",
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.intent",
        "path" : "MedicationRequest.intent",
        "comment" : "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. This element is mandatory."
      },
      {
        "id" : "MedicationRequest.medication[x]",
        "path" : "MedicationRequest.medication[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "closed"
        },
        "definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.",
        "mustSupport" : true,
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"
        }
      },
      {
        "id" : "MedicationRequest.medication[x]:medicationReference",
        "path" : "MedicationRequest.medication[x]",
        "sliceName" : "medicationReference",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medication"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.medication[x]:medicationCodeableConcept",
        "path" : "MedicationRequest.medication[x]",
        "sliceName" : "medicationCodeableConcept",
        "short" : "Code for the medication being administered",
        "definition" : "Code for the medication being administered.",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true,
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"
        }
      },
      {
        "id" : "MedicationRequest.subject",
        "path" : "MedicationRequest.subject",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.subject.reference",
        "path" : "MedicationRequest.subject.reference",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.authoredOn",
        "path" : "MedicationRequest.authoredOn",
        "comment" : "This is a MS element in the CA Baseline that will likely make its way into the IPS-UV when/if they decide to profile MedicationRequest (likely at transition to R5). Included as preliminary analysis shows most participating systems could support this, further feedback and discussion is required on whether systems should be able to demonstrate this element for conformance",
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.dosageInstruction",
        "path" : "MedicationRequest.dosageInstruction",
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.dosageInstruction.text",
        "path" : "MedicationRequest.dosageInstruction.text",
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing",
        "path" : "MedicationRequest.dosageInstruction.timing",
        "mustSupport" : true
      },
      {
        "id" : "MedicationRequest.dosageInstruction.route",
        "path" : "MedicationRequest.dosageInstruction.route",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept"
            ]
          }
        ],
        "binding" : {
          "strength" : "preferred",
          "description" : "SCTCA Route of Administration",
          "valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration"
        }
      },
      {
        "id" : "MedicationRequest.dosageInstruction.route.coding",
        "path" : "MedicationRequest.dosageInstruction.route.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "pattern",
              "path" : "$this"
            }
          ],
          "description" : "Discriminated by value set",
          "rules" : "open"
        },
        "mustSupport" : true,
        "type" : [
          {
            "code" : "Coding",
            "profile" : [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-coding"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.dosageInstruction.route.coding:routeSCTCA",
        "path" : "MedicationRequest.dosageInstruction.route.coding",
        "sliceName" : "routeSCTCA",
        "short" : "Optional slice for representing SNOMED CT Canadian edition routes of administration",
        "definition" : "SNOMED CT Canadian edition routes of administration",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration"
        }
      }
    ]
  },
  "text" : {
  }
}

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