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{
  "resourceType": "StructureDefinition",
  "id": "ie-core-bundle-eprescription",
  "url": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription",
  "version": "0.2.0",
  "name": "IECoreBundleEPrescription",
  "title": "IE Core Bundle (ePrescription)",
  "status": "draft",
  "description": "An Irish electronic prescription as exchanged: one patient (IECorePatientEPrescription), one or more prescription items (IECoreMedicationRequestEPrescription) sharing a group identifier, the prescriber, the prescriber's facility, the medicinal products, and the allergy statement (IECoreListAllergiesAtPrescribing). Prescription-level legal and safety rules (HIQA EP 1.4.2, 1.6.1, 2.10.1, 3.1) are enforced here because they span resources.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Bundle",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Bundle",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Bundle",
        "path": "Bundle",
        "constraint": [
          {
            "key": "ie-bnd-rx-1",
            "severity": "error",
            "human": "A multi-item prescription SHALL share one group identifier (system and value) across all its items (HIQA EP 3.1)",
            "expression": "entry.resource.ofType(MedicationRequest).count() <= 1 or (entry.resource.ofType(MedicationRequest).all(groupIdentifier.exists()) and entry.resource.ofType(MedicationRequest).select(groupIdentifier.system + '|' + groupIdentifier.value).distinct().count() = 1)",
            "source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription"
          },
          {
            "key": "ie-bnd-rx-2",
            "severity": "error",
            "human": "Every prescription item SHALL reference the allergy statement (a List coded LOINC 48765-2) in supportingInformation (HIQA EP 1.6.1 / 1.6.2)",
            "expression": "entry.resource.ofType(MedicationRequest).all(supportingInformation.where(resolve() is List and resolve().code.coding.where(system = 'http://loinc.org' and code = '48765-2').exists()).exists())",
            "source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription"
          },
          {
            "key": "ie-bnd-rx-3",
            "severity": "error",
            "human": "If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, every prescription item SHALL record the patient's age (HIQA EP 1.4.2; a legal requirement)",
            "expression": "entry.resource.ofType(MedicationRequest).all(extension('https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient-age-at-prescribing').exists() or ((%resource.entry.resource.ofType(Patient).first().birthDate.toString().length() = 10) and ((%resource.entry.resource.ofType(Patient).first().birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))))",
            "source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription"
          },
          {
            "key": "ie-bnd-rx-4",
            "severity": "error",
            "human": "The prescriber (the requester, its practitioner, or its organisation) SHALL have a telephone number (HIQA EP 2.10 / 2.10.1, Mandatory)",
            "expression": "entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'phone').exists())",
            "source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription"
          },
          {
            "key": "ie-bnd-rx-5",
            "severity": "error",
            "human": "Every prescription item, the allergy statement and every allergy SHALL be about the one Patient in the Bundle (patient safety: the allergy statement must be the patient's own)",
            "expression": "(entry.resource.ofType(MedicationRequest).subject.reference | entry.resource.ofType(List).subject.reference | entry.resource.ofType(AllergyIntolerance).patient.reference).all(($this = %resource.entry.where(resource is Patient).fullUrl) or ($this = ('Patient/' + %resource.entry.resource.ofType(Patient).id)))",
            "source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription"
          },
          {
            "key": "ie-bnd-rx-6",
            "severity": "error",
            "human": "Every allergy listed in the allergy statement SHALL be included in the Bundle (HIQA EP 1.6.2)",
            "expression": "entry.resource.ofType(List).entry.item.reference.all(($this in %resource.entry.fullUrl) or ($this.replace('AllergyIntolerance/', '') in %resource.entry.resource.ofType(AllergyIntolerance).id))",
            "source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-bundle-eprescription"
          }
        ]
      },
      {
        "id": "Bundle.identifier",
        "path": "Bundle.identifier",
        "comment": "Bundle identifier; typically the NePS electronic prescription (group) identifier (HIQA EP 3.1).",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Bundle.type",
        "path": "Bundle.type",
        "patternCode": "collection"
      },
      {
        "id": "Bundle.timestamp",
        "path": "Bundle.timestamp",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Bundle.entry",
        "path": "Bundle.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "resource"
            }
          ],
          "rules": "open"
        },
        "min": 3,
        "mustSupport": true
      },
      {
        "id": "Bundle.entry.fullUrl",
        "path": "Bundle.entry.fullUrl",
        "min": 1
      },
      {
        "id": "Bundle.entry.resource",
        "path": "Bundle.entry.resource",
        "min": 1
      },
      {
        "id": "Bundle.entry:patient",
        "path": "Bundle.entry",
        "sliceName": "patient",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:patient.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "Patient",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient-eprescription"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:prescriptionItem",
        "path": "Bundle.entry",
        "sliceName": "prescriptionItem",
        "min": 1,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:prescriptionItem.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "MedicationRequest",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationrequest-eprescription"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:allergyStatement",
        "path": "Bundle.entry",
        "sliceName": "allergyStatement",
        "comment": "HIQA EP 1.6.1 / 1.6.2: exactly one allergy statement per prescription, either listing the allergies or giving the reason none are recorded.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:allergyStatement.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "List",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-list-allergies-at-prescribing"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:allergy",
        "path": "Bundle.entry",
        "sliceName": "allergy",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:allergy.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "AllergyIntolerance",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-allergyintolerance"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:practitioner",
        "path": "Bundle.entry",
        "sliceName": "practitioner",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:practitioner.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "Practitioner",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:practitionerRole",
        "path": "Bundle.entry",
        "sliceName": "practitionerRole",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:practitionerRole.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "PractitionerRole",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:organization",
        "path": "Bundle.entry",
        "sliceName": "organization",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:organization.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "Organization",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:medication",
        "path": "Bundle.entry",
        "sliceName": "medication",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:medication.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "Medication",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medication-eprescription"
            ]
          }
        ]
      },
      {
        "id": "Bundle.entry:signature",
        "path": "Bundle.entry",
        "sliceName": "signature",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Bundle.entry:signature.resource",
        "path": "Bundle.entry.resource",
        "type": [
          {
            "code": "Provenance",
            "profile": [
              "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-provenance-eprescription-signature"
            ]
          }
        ]
      }
    ]
  }
}