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Source1

{
  "resourceType": "StructureDefinition",
  "id": "profile-ds-medicationrequest",
  "url": "https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest",
  "version": "1.2.2",
  "name": "MedicationRequest",
  "title": "Discharge Summary Medication Request Profile",
  "status": "active",
  "publisher": "Synapxe",
  "description": "Medication request profile for documenting discharge medications and prescriptions at hospital discharge.",
  "fhirVersion": "5.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest.contained",
        "path": "MedicationRequest.contained",
        "max": "0"
      },
      {
        "id": "MedicationRequest.modifierExtension",
        "path": "MedicationRequest.modifierExtension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.identifier",
        "path": "MedicationRequest.identifier",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-identifier-sequence-no"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "max": "0"
      },
      {
        "id": "MedicationRequest.priorPrescription",
        "path": "MedicationRequest.priorPrescription",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier",
        "path": "MedicationRequest.groupIdentifier",
        "max": "0"
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.synapxe.sg/ValueSet/medicationrequest-status"
        }
      },
      {
        "id": "MedicationRequest.statusReason",
        "path": "MedicationRequest.statusReason",
        "short": "Reason for cancellation, if it is cancelled",
        "max": "0"
      },
      {
        "id": "MedicationRequest.statusChanged",
        "path": "MedicationRequest.statusChanged",
        "short": "if status is Discontinued, this is the discontinued date time",
        "definition": "if status is Discontinued, this is the discontinued date time",
        "max": "0"
      },
      {
        "id": "MedicationRequest.intent",
        "path": "MedicationRequest.intent",
        "patternCode": "order"
      },
      {
        "id": "MedicationRequest.category",
        "path": "MedicationRequest.category",
        "short": "The specific clinical setting when this medication is ordered",
        "definition": "The specific clinical setting when this medication is ordered",
        "max": "0"
      },
      {
        "id": "MedicationRequest.priority",
        "path": "MedicationRequest.priority",
        "max": "0"
      },
      {
        "id": "MedicationRequest.doNotPerform",
        "path": "MedicationRequest.doNotPerform",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication",
        "path": "MedicationRequest.medication",
        "type": [
          {
            "code": "CodeableReference",
            "targetProfile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-medication"
            ],
            "aggregation": [
              "contained"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication.id",
        "path": "MedicationRequest.medication.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.extension",
        "path": "MedicationRequest.medication.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.concept",
        "path": "MedicationRequest.medication.concept",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-codeableconcept"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.synapxe.sg/ValueSet/med-code"
        }
      },
      {
        "id": "MedicationRequest.medication.concept.extension",
        "path": "MedicationRequest.medication.concept.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.concept.coding.system",
        "path": "MedicationRequest.medication.concept.coding.system",
        "patternUri": "https://fhir.synapxe.sg/CodeSystem/med-code"
      },
      {
        "id": "MedicationRequest.medication.concept.coding.version",
        "path": "MedicationRequest.medication.concept.coding.version",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.id",
        "path": "MedicationRequest.medication.reference.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.extension",
        "path": "MedicationRequest.medication.reference.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.type",
        "path": "MedicationRequest.medication.reference.type",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.id",
        "path": "MedicationRequest.medication.reference.identifier.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.extension",
        "path": "MedicationRequest.medication.reference.identifier.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.use",
        "path": "MedicationRequest.medication.reference.identifier.use",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.type",
        "path": "MedicationRequest.medication.reference.identifier.type",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.system",
        "path": "MedicationRequest.medication.reference.identifier.system",
        "min": 1
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.value",
        "path": "MedicationRequest.medication.reference.identifier.value",
        "min": 1
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.period",
        "path": "MedicationRequest.medication.reference.identifier.period",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication.reference.identifier.assigner",
        "path": "MedicationRequest.medication.reference.identifier.assigner",
        "max": "0"
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-reference-patient"
            ],
            "targetProfile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-patient"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.subject.display",
        "path": "MedicationRequest.subject.display",
        "max": "0"
      },
      {
        "id": "MedicationRequest.informationSource",
        "path": "MedicationRequest.informationSource",
        "max": "0"
      },
      {
        "id": "MedicationRequest.encounter",
        "path": "MedicationRequest.encounter",
        "max": "0"
      },
      {
        "id": "MedicationRequest.supportingInformation",
        "path": "MedicationRequest.supportingInformation",
        "max": "0"
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "short": "medication order date time",
        "max": "0"
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-reference-practitioner"
            ],
            "targetProfile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-practitioner"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester.display",
        "path": "MedicationRequest.requester.display",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reported",
        "path": "MedicationRequest.reported",
        "max": "0"
      },
      {
        "id": "MedicationRequest.performerType",
        "path": "MedicationRequest.performerType",
        "max": "0"
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "max": "0"
      },
      {
        "id": "MedicationRequest.device",
        "path": "MedicationRequest.device",
        "max": "0"
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "short": "The healthcare professional responsible for prescribing this medication order",
        "definition": "The healthcare professional responsible for prescribing this medication order",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reason",
        "path": "MedicationRequest.reason",
        "max": "1"
      },
      {
        "id": "MedicationRequest.reason.id",
        "path": "MedicationRequest.reason.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reason.extension",
        "path": "MedicationRequest.reason.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reason.concept",
        "path": "MedicationRequest.reason.concept",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-codeableconcept"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.synapxe.sg/ValueSet/reason-for-medication"
        }
      },
      {
        "id": "MedicationRequest.reason.concept.extension",
        "path": "MedicationRequest.reason.concept.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reason.concept.coding.system",
        "path": "MedicationRequest.reason.concept.coding.system",
        "patternUri": "https://fhir.synapxe.sg/CodeSystem/reason-for-medication"
      },
      {
        "id": "MedicationRequest.reason.concept.coding.version",
        "path": "MedicationRequest.reason.concept.coding.version",
        "max": "0"
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "max": "0"
      },
      {
        "id": "MedicationRequest.insurance",
        "path": "MedicationRequest.insurance",
        "max": "0"
      },
      {
        "id": "MedicationRequest.note",
        "path": "MedicationRequest.note",
        "max": "0"
      },
      {
        "id": "MedicationRequest.renderedDosageInstruction",
        "path": "MedicationRequest.renderedDosageInstruction",
        "max": "0"
      },
      {
        "id": "MedicationRequest.effectiveDosePeriod",
        "path": "MedicationRequest.effectiveDosePeriod",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.id",
        "path": "MedicationRequest.dosageInstruction.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension",
        "path": "MedicationRequest.dosageInstruction.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.modifierExtension",
        "path": "MedicationRequest.dosageInstruction.modifierExtension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.sequence",
        "path": "MedicationRequest.dosageInstruction.sequence",
        "short": "The sequence number of the dosage instructions for step or variable dose",
        "definition": "The sequence number of the dosage instructions for step or variable dose",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction",
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction.id",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction.extension",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction.coding",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction.coding",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction.text",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction.text",
        "min": 1
      },
      {
        "id": "MedicationRequest.dosageInstruction.patientInstruction",
        "path": "MedicationRequest.dosageInstruction.patientInstruction",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing",
        "path": "MedicationRequest.dosageInstruction.timing",
        "definition": "When medication should be administered. Frequency code, duration and durationUnits. Refer to https://hl7.org/fhir/datatypes.html#timing on how to populate timing. For example duration code \"1 week\" and frquency code \"every morning\" will map to period \"1\", periodUnit \"week\" and when \"MORN\""
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.id",
        "path": "MedicationRequest.dosageInstruction.timing.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.extension",
        "path": "MedicationRequest.dosageInstruction.timing.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.modifierExtension",
        "path": "MedicationRequest.dosageInstruction.timing.modifierExtension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.event",
        "path": "MedicationRequest.dosageInstruction.timing.event",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.id",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.extension",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.count",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.count",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.countMax",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.countMax",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.duration",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.duration",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.durationMax",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.durationMax",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.durationUnit",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.durationUnit",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.frequency",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.frequency",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.frequencyMax",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.frequencyMax",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.period",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.period",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.periodMax",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.periodMax",
        "max": "0"
      },
      {
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        "path": "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
        "max": "0"
      },
      {
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        "path": "MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek",
        "max": "0"
      },
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        "path": "MedicationRequest.dosageInstruction.timing.repeat.timeOfDay",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.when",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.when",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.repeat.offset",
        "path": "MedicationRequest.dosageInstruction.timing.repeat.offset",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing.code",
        "path": "MedicationRequest.dosageInstruction.timing.code",
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "https://fhir.synapxe.sg/StructureDefinition/profile-codeableconcept"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded",
        "path": "MedicationRequest.dosageInstruction.asNeeded",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeededFor",
        "path": "MedicationRequest.dosageInstruction.asNeededFor",
        "short": "Frequency qualifier. Take \"as needed\" (for x)",
        "definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.extension",
        "path": "MedicationRequest.dosageInstruction.route.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding",
        "path": "MedicationRequest.dosageInstruction.route.coding",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.version",
        "path": "MedicationRequest.dosageInstruction.route.coding.version",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.text",
        "path": "MedicationRequest.dosageInstruction.route.text",
        "min": 1
      },
      {
        "id": "MedicationRequest.dosageInstruction.method",
        "path": "MedicationRequest.dosageInstruction.method",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.id",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.id",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.extension",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.extension",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.type",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.type",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "min": 1
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerPeriod",
        "path": "MedicationRequest.dosageInstruction.maxDosePerPeriod",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerAdministration",
        "path": "MedicationRequest.dosageInstruction.maxDosePerAdministration",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "path": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "max": "0"
      },
      {
        "id": "MedicationRequest.substitution",
        "path": "MedicationRequest.substitution",
        "max": "0"
      },
      {
        "id": "MedicationRequest.eventHistory",
        "path": "MedicationRequest.eventHistory",
        "max": "0"
      }
    ]
  }
}