International Patient Summary Implementation Guide
2.0.0 -

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

## Resource Profile: MedicationRequest (IPS) - JSON Profile

Page standards status: Trial-use | Maturity Level: 3

JSON representation of the MedicationRequest-uv-ips resource profile.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "MedicationRequest-uv-ips",
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition MedicationRequest-uv-ips</b></p><a name=\"MedicationRequest-uv-ips\"> </a><a name=\"hcMedicationRequest-uv-ips\"> </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 &amp; 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, \" 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-MedicationRequest-uv-ips-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\"/><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\"><a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">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\"/></tr>\r\n<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-MedicationRequest-uv-ips-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\"/><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>\r\n<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-MedicationRequest-uv-ips-definitions.html#MedicationRequest.doNotPerform\">doNotPerform</a><a name=\"MedicationRequest.doNotPerform\"> </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></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\">True if request is prohibiting action</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">false</span></td></tr>\r\n<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_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_choice.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MedicationRequest-uv-ips-definitions.html#MedicationRequest.medication[x]\" title=\"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.\">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: red\" title=\"This element has obligations and must be supported\">SO</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\"/><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><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-medication-uv-ips.html\" title=\"http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips\" class=\"binding\">Medications - IPS</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span><span title=\"null\" class=\"binding\">: </span><span title=\"null\" class=\"binding\">SNOMED CT medications (Medicinal product) or a code for absent/unknown medication</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for CodeableConcept Type: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.\">medicationCodeableConcept</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\"/><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\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a>(<a href=\"StructureDefinition-CodeableConcept-uv-ips.html\" title=\"Codeable Concept (IPS)\">CodeableConceptIPS</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\"/></tr>\r\n<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_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> medicationReference</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\"><a href=\"http://hl7.org/fhir/R4/references.html#Reference\">Reference</a>(<a href=\"StructureDefinition-Medication-uv-ips.html\">Medication (IPS)</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\"/></tr>\r\n<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_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MedicationRequest-uv-ips-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: red\" title=\"This element has obligations and must be supported\">SO</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-Patient-uv-ips.html\">Patient (IPS)</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><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<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-MedicationRequest-uv-ips-definitions.html#MedicationRequest.subject.reference\">reference</a><a name=\"MedicationRequest.subject.reference\"> </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: red\" title=\"This element has obligations and must be supported\">SO</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\">1..<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#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\">Literal reference, Relative, internal or absolute URL</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<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_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: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MedicationRequest-uv-ips-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: red\" title=\"This element has obligations and must be supported\">SO</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#Dosage\">Dosage</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><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MedicationRequest-uv-ips-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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</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#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\">Free text dosage instructions e.g. SIG</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<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-MedicationRequest-uv-ips-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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</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#Timing\">Timing</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 medication should be administered</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<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-MedicationRequest-uv-ips-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: #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\">How drug should enter body</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-route-codes.html\" title=\"http://hl7.org/fhir/ValueSet/route-codes\" class=\"binding\">SNOMEDCTRouteCodes</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span><span title=\"null\" class=\"binding\">: </span><span title=\"null\" class=\"binding\">SNOMED Route Terms</span><table class=\"binding grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td></tr><tr><td style=\"font-size: 11px\"><a href=\"ValueSet-medicine-route-of-administration.html\" title=\"http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration\">Medicine EDQM Route of Administration - IPS</a></td><td style=\"font-size: 11px\"><span title=\"Unknown code for purpose\">candidate</span></td></tr></table></td></tr>\r\n<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, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
          "valueString" : "Clinical.Medications"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "pc"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 3,
          "_valueInteger" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips",
      "version" : "2.0.0",
      "name" : "MedicationRequestIPS",
      "title" : "MedicationRequest (IPS)",
      "status" : "active",
      "date" : "2021-05-14T21:56:28-05:00",
      "publisher" : "HL7 International / Patient Care",
      "contact" : [
        {
          "name" : "HL7 International / Patient Care",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/patientcare"
            }
          ]
        }
      ],
      "description" : "This profile represents the constraints applied to the MedicationRequest resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication request is represented in the patient summary as an instance of a MedicationRequest resource constrained by this profile.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code" : "001",
              "display" : "World"
            }
          ]
        }
      ],
      "purpose" : "This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.",
      "fhirVersion" : "4.0.1",
      "mapping" : [
        {
          "identity" : "workflow",
          "uri" : "http://hl7.org/fhir/workflow",
          "name" : "Workflow Pattern"
        },
        {
          "identity" : "script10.6",
          "uri" : "http://ncpdp.org/SCRIPT10_6",
          "name" : "Mapping to NCPDP SCRIPT 10.6"
        },
        {
          "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",
      "snapshot" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
            "valueString" : "4.0.1"
          }
        ],
        "element" : [
          {
            "id" : "MedicationRequest",
            "path" : "MedicationRequest",
            "short" : "Ordering of medication for patient or group",
            "definition" : "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" : [
              "Prescription",
              "Order"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest",
              "min" : 0,
              "max" : "*"
            },
            "constraint" : [
              {
                "key" : "dom-2",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
                "expression" : "contained.contained.empty()",
                "xpath" : "not(parent::f:contained and f:contained)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-3",
                "severity" : "error",
                "human" : "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" : "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" : "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" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-4",
                "severity" : "error",
                "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
                "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-5",
                "severity" : "error",
                "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
                "expression" : "contained.meta.security.empty()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                    "valueMarkdown" : "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."
                  }
                ],
                "key" : "dom-6",
                "severity" : "warning",
                "human" : "A resource should have narrative for robust management",
                "expression" : "text.`div`.exists()",
                "xpath" : "exists(f:text/h:div)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Entity. Role, or Act"
              },
              {
                "identity" : "workflow",
                "map" : "Request"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx"
              },
              {
                "identity" : "rim",
                "map" : "CombinedMedicationRequest"
              }
            ]
          },
          {
            "id" : "MedicationRequest.id",
            "path" : "MedicationRequest.id",
            "short" : "Logical id of this artifact",
            "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "id"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationRequest.meta",
            "path" : "MedicationRequest.meta",
            "short" : "Metadata about the resource",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.meta",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Meta"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationRequest.implicitRules",
            "path" : "MedicationRequest.implicitRules",
            "short" : "A set of rules under which this content was created",
            "definition" : "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" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.implicitRules",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "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" : true
          },
          {
            "id" : "MedicationRequest.language",
            "path" : "MedicationRequest.language",
            "short" : "Language of the resource content",
            "definition" : "The base language in which the resource is written.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.language",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
                  "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "Language"
                }
              ],
              "strength" : "preferred",
              "description" : "A human language.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/languages|4.0.1"
            }
          },
          {
            "id" : "MedicationRequest.text",
            "path" : "MedicationRequest.text",
            "short" : "Text summary of the resource, for human interpretation",
            "definition" : "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" : "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" : [
              "narrative",
              "html",
              "xhtml",
              "display"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "DomainResource.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Narrative"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Act.text?"
              }
            ]
          },
          {
            "id" : "MedicationRequest.contained",
            "path" : "MedicationRequest.contained",
            "short" : "Contained, inline Resources",
            "definition" : "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" : "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" : [
              "inline resources",
              "anonymous resources",
              "contained resources"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.contained",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Resource"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.extension",
            "path" : "MedicationRequest.extension",
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. 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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.modifierExtension",
            "path" : "MedicationRequest.modifierExtension",
            "short" : "Extensions that cannot be ignored",
            "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.identifier",
            "path" : "MedicationRequest.identifier",
            "short" : "External ids for this request",
            "definition" : "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" : "This is a business identifier, not a resource identifier.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.identifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.identifier"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Header/PrescriberOrderNumber"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.identifier"
              },
              {
                "identity" : "v2",
                "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
              },
              {
                "identity" : "rim",
                "map" : ".id"
              }
            ]
          },
          {
            "id" : "MedicationRequest.status",
            "path" : "MedicationRequest.status",
            "short" : "active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown",
            "definition" : "A code specifying the current state of the order.  Generally, this will be active or completed state.",
            "comment" : "In the scope of the IPS the entered-in-error concept is not allowed.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.status",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "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" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestStatus"
                }
              ],
              "strength" : "required",
              "description" : "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.status"
              },
              {
                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.status"
              },
              {
                "identity" : "rim",
                "map" : ".statusCode"
              }
            ]
          },
          {
            "id" : "MedicationRequest.statusReason",
            "path" : "MedicationRequest.statusReason",
            "short" : "Reason for current status",
            "definition" : "Captures the reason for the current state of the MedicationRequest.",
            "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.statusReason",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestStatusReason"
                }
              ],
              "strength" : "example",
              "description" : "Identifies the reasons for a given status.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.statusReason"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
              }
            ]
          },
          {
            "id" : "MedicationRequest.intent",
            "path" : "MedicationRequest.intent",
            "short" : "proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option",
            "definition" : "Whether the request is a proposal, plan, or an original order.",
            "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.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.intent",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "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" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestIntent"
                }
              ],
              "strength" : "required",
              "description" : "The kind of medication order.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.intent"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.class"
              },
              {
                "identity" : "rim",
                "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
              }
            ]
          },
          {
            "id" : "MedicationRequest.category",
            "path" : "MedicationRequest.category",
            "short" : "Type of medication usage",
            "definition" : "Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
            "comment" : "The category can be used to include where the medication is expected to be consumed or other types of requests.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.category",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestCategory"
                }
              ],
              "strength" : "example",
              "description" : "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" : "http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.class"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
              }
            ]
          },
          {
            "id" : "MedicationRequest.priority",
            "path" : "MedicationRequest.priority",
            "short" : "routine | urgent | asap | stat",
            "definition" : "Indicates how quickly the Medication Request should be addressed with respect to other requests.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.priority",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestPriority"
                }
              ],
              "strength" : "required",
              "description" : "Identifies the level of importance to be assigned to actioning the request.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.priority"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.grade"
              },
              {
                "identity" : "rim",
                "map" : ".priorityCode"
              }
            ]
          },
          {
            "id" : "MedicationRequest.doNotPerform",
            "path" : "MedicationRequest.doNotPerform",
            "short" : "True if request is prohibiting action",
            "definition" : "If true indicates that the provider is asking for the medication request not to occur.",
            "comment" : "In the scope of the IPS MedicationRequest, the doNotPerform concept is not allowed to be set to true. Other sections may be used to convey medications that a patient should or will not take.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.doNotPerform",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "patternBoolean" : false,
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "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" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "SubstanceAdministration.actionNegationInd"
              }
            ]
          },
          {
            "id" : "MedicationRequest.reported[x]",
            "path" : "MedicationRequest.reported[x]",
            "short" : "Reported rather than primary record",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.reported[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              },
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=INF].role"
              }
            ]
          },
          {
            "id" : "MedicationRequest.medication[x]",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.medication[x]",
            "short" : "Medication to be taken",
            "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.",
            "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended.  For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.medication[x]",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept",
                "profile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
                ]
              },
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "strength" : "preferred",
              "description" : "SNOMED CT medications (Medicinal product) or a code for absent/unknown medication",
              "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.code"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.what[x]"
              },
              {
                "identity" : "v2",
                "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"
              },
              {
                "identity" : "rim",
                "map" : "consumable.administrableMedication"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.subject",
            "short" : "Who or group medication request is for",
            "definition" : "A link to a resource representing the person or set of individuals to whom the medication will be given.",
            "comment" : "The subject on a medication request is mandatory.  For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.subject",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.subject"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.subject[x]"
              },
              {
                "identity" : "v2",
                "map" : "PID-3-Patient ID List"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=AUT].role"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.subject"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject.id",
            "path" : "MedicationRequest.subject.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject.extension",
            "path" : "MedicationRequest.subject.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject.reference",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.subject.reference",
            "short" : "Literal reference, Relative, internal or absolute URL",
            "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
            "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.reference",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "condition" : [
              "ref-1"
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject.type",
            "path" : "MedicationRequest.subject.type",
            "short" : "Type the reference refers to (e.g. \"Patient\")",
            "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
            "comment" : "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "FHIRResourceTypeExt"
                }
              ],
              "strength" : "extensible",
              "description" : "Aa resource (or, for logical models, the URI of the logical model).",
              "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject.identifier",
            "path" : "MedicationRequest.subject.identifier",
            "short" : "Logical reference, when literal reference is not known",
            "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
            "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.identifier",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".identifier"
              }
            ]
          },
          {
            "id" : "MedicationRequest.subject.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "MedicationRequest.subject.display",
            "short" : "Text alternative for the resource",
            "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
            "comment" : "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.encounter",
            "path" : "MedicationRequest.encounter",
            "short" : "Encounter created as part of encounter/admission/stay",
            "definition" : "The Encounter during which this [x] was created or to which the creation of this record is tightly associated.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.encounter",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.context"
              },
              {
                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.context"
              },
              {
                "identity" : "v2",
                "map" : "PV1-19-Visit Number"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.supportingInformation",
            "path" : "MedicationRequest.supportingInformation",
            "short" : "Information to support ordering of the medication",
            "definition" : "Include additional information (for example, patient height and weight) that supports the ordering of the medication.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.supportingInformation",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.supportingInfo"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.context"
              },
              {
                "identity" : "rim",
                "map" : ".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)]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.authoredOn",
            "path" : "MedicationRequest.authoredOn",
            "short" : "When request was initially authored",
            "definition" : "The date (and perhaps time) when the prescription was initially written or authored on.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.authoredOn",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.authoredOn"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/WrittenDate"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.recorded"
              },
              {
                "identity" : "v2",
                "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"
              },
              {
                "identity" : "rim",
                "map" : "author.time"
              }
            ]
          },
          {
            "id" : "MedicationRequest.requester",
            "path" : "MedicationRequest.requester",
            "short" : "Who/What requested the Request",
            "definition" : "The individual, organization, or device that initiated the request and has responsibility for its activation.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.requester",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.requester"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.author"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=AUT].role"
              }
            ]
          },
          {
            "id" : "MedicationRequest.performer",
            "path" : "MedicationRequest.performer",
            "short" : "Intended performer of administration",
            "definition" : "The specified desired performer of the medication treatment (e.g. the performer of the medication administration).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.performer",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.performer"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.actor"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.performerType",
            "path" : "MedicationRequest.performerType",
            "short" : "Desired kind of performer of the medication administration",
            "definition" : "Indicates the type of performer of the administration of the medication.",
            "comment" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.performerType",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestPerformerType"
                }
              ],
              "strength" : "example",
              "description" : "Identifies the type of individual that is desired to administer the medication.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.performerType"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
              }
            ]
          },
          {
            "id" : "MedicationRequest.recorder",
            "path" : "MedicationRequest.recorder",
            "short" : "Person who entered the request",
            "definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.recorder",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "w5",
                "map" : "FiveWs.who"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"
              }
            ]
          },
          {
            "id" : "MedicationRequest.reasonCode",
            "path" : "MedicationRequest.reasonCode",
            "short" : "Reason or indication for ordering or not ordering the medication",
            "definition" : "The reason or the indication for ordering or not ordering the medication.",
            "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.reasonCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestReason"
                }
              ],
              "strength" : "example",
              "description" : "A coded concept indicating why the medication was ordered.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.reasonCode"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.why[x]"
              },
              {
                "identity" : "v2",
                "map" : "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"
              },
              {
                "identity" : "rim",
                "map" : "reason.observation.reasonCode"
              }
            ]
          },
          {
            "id" : "MedicationRequest.reasonReference",
            "path" : "MedicationRequest.reasonReference",
            "short" : "Condition or observation that supports why the prescription is being written",
            "definition" : "Condition or observation that supports why the medication was ordered.",
            "comment" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.reasonReference",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.reasonReference"
              },
              {
                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.why[x]"
              },
              {
                "identity" : "rim",
                "map" : "reason.observation[code=ASSERTION].value"
              }
            ]
          },
          {
            "id" : "MedicationRequest.instantiatesCanonical",
            "path" : "MedicationRequest.instantiatesCanonical",
            "short" : "Instantiates FHIR protocol or definition",
            "definition" : "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.instantiatesCanonical",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "canonical"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.instantiates"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=DEFN].target"
              }
            ]
          },
          {
            "id" : "MedicationRequest.instantiatesUri",
            "path" : "MedicationRequest.instantiatesUri",
            "short" : "Instantiates external protocol or definition",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.instantiatesUri",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=DEFN].target"
              }
            ]
          },
          {
            "id" : "MedicationRequest.basedOn",
            "path" : "MedicationRequest.basedOn",
            "short" : "What request fulfills",
            "definition" : "A plan or request that is fulfilled in whole or in part by this medication request.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.basedOn",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.basedOn"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.groupIdentifier",
            "path" : "MedicationRequest.groupIdentifier",
            "short" : "Composite request this is part of",
            "definition" : "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.",
            "requirements" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.groupIdentifier",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.groupIdentifier"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"
              }
            ]
          },
          {
            "id" : "MedicationRequest.courseOfTherapyType",
            "path" : "MedicationRequest.courseOfTherapyType",
            "short" : "Overall pattern of medication administration",
            "definition" : "The description of the overall patte3rn of the administration of the medication to the patient.",
            "comment" : "This attribute should not be confused with the protocol of the medication.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.courseOfTherapyType",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestCourseOfTherapy"
                }
              ],
              "strength" : "example",
              "description" : "Identifies the overall pattern of medication administratio.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Act.code where classCode = LIST and moodCode = EVN"
              }
            ]
          },
          {
            "id" : "MedicationRequest.insurance",
            "path" : "MedicationRequest.insurance",
            "short" : "Associated insurance coverage",
            "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.insurance",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Coverage|4.0.1"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.insurance"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=COVBY].target"
              }
            ]
          },
          {
            "id" : "MedicationRequest.note",
            "path" : "MedicationRequest.note",
            "short" : "Information about the prescription",
            "definition" : "Extra information about the prescription that could not be conveyed by the other attributes.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.note",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Annotation"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.note"
              },
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/Note"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.dosageInstruction",
            "short" : "How the medication should be taken",
            "definition" : "Indicates how the medication is to be used by the patient.",
            "comment" : "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose.  For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\".  In these cases, two medication requests would be created that could be grouped together.  The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.dosageInstruction",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Dosage"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.occurrence[x]"
              },
              {
                "identity" : "rim",
                "map" : "see dosageInstruction mapping"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.id",
            "path" : "MedicationRequest.dosageInstruction.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.extension",
            "path" : "MedicationRequest.dosageInstruction.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.modifierExtension",
            "path" : "MedicationRequest.dosageInstruction.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.sequence",
            "path" : "MedicationRequest.dosageInstruction.sequence",
            "short" : "The order of the dosage instructions",
            "definition" : "Indicates the order in which the dosage instructions should be applied or interpreted.",
            "requirements" : "If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent.  If the sequence number is different, then the Dosages are intended to be sequential.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.sequence",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "integer"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "TQ1-1"
              },
              {
                "identity" : "rim",
                "map" : ".text"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.text",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.dosageInstruction.text",
            "short" : "Free text dosage instructions e.g. SIG",
            "definition" : "Free text dosage instructions e.g. SIG.",
            "requirements" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXO-6; RXE-21"
              },
              {
                "identity" : "rim",
                "map" : ".text"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.additionalInstruction",
            "path" : "MedicationRequest.dosageInstruction.additionalInstruction",
            "short" : "Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"",
            "definition" : "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" : "Information about administration or preparation of the medication (e.g. \"infuse as rapidly as possibly via intraperitoneal port\" or \"immediately following drug x\") should be populated in dosage.text.",
            "requirements" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "Dosage.additionalInstruction",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "AdditionalInstruction"
                }
              ],
              "strength" : "example",
              "description" : "A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".",
              "valueSet" : "http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXO-7"
              },
              {
                "identity" : "rim",
                "map" : ".text"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.patientInstruction",
            "path" : "MedicationRequest.dosageInstruction.patientInstruction",
            "short" : "Patient or consumer oriented instructions",
            "definition" : "Instructions in terms that are understood by the patient or consumer.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.patientInstruction",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXO-7"
              },
              {
                "identity" : "rim",
                "map" : ".text"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.timing",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.dosageInstruction.timing",
            "short" : "When medication should be administered",
            "definition" : "When medication should be administered.",
            "comment" : "This attribute might not always be populated while the Dosage.text is expected to be populated.  If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.",
            "requirements" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.timing",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Timing"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".effectiveTime"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.asNeeded[x]",
            "path" : "MedicationRequest.dosageInstruction.asNeeded[x]",
            "short" : "Take \"as needed\" (for x)",
            "definition" : "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" : "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\".",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.asNeeded[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              },
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationAsNeededReason"
                }
              ],
              "strength" : "example",
              "description" : "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" : "http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "TQ1-9"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.site",
            "path" : "MedicationRequest.dosageInstruction.site",
            "short" : "Body site to administer to",
            "definition" : "Body site to administer to.",
            "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
            "requirements" : "A coded specification of the anatomic site where the medication first enters the body.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.site",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationAdministrationSite"
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              ],
              "strength" : "example",
              "description" : "A coded concept describing the site location the medicine enters into or onto the body.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXR-2"
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              {
                "identity" : "rim",
                "map" : ".approachSiteCode"
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          },
          {
            "id" : "MedicationRequest.dosageInstruction.route",
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            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.route",
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              "max" : "1"
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            "type" : [
              {
                "code" : "CodeableConcept"
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            ],
            "constraint" : [
              {
                "key" : "ele-1",
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                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
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            ],
            "isModifier" : false,
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            "binding" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "key",
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                      "url" : "purpose",
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                    {
                      "url" : "valueSet",
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                    {
                      "url" : "documentation",
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                  ],
                  "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
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              ],
              "strength" : "preferred",
              "description" : "SNOMED Route Terms",
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            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXR-1"
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              {
                "identity" : "rim",
                "map" : ".routeCode"
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          },
          {
            "id" : "MedicationRequest.dosageInstruction.method",
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            "comment" : "Terminologies used often pre-coordinate this term with the route and or form of administration.",
            "requirements" : "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" : 0,
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            "base" : {
              "path" : "Dosage.method",
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              {
                "code" : "CodeableConcept"
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              {
                "key" : "ele-1",
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            "isModifier" : false,
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                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationAdministrationMethod"
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              ],
              "strength" : "example",
              "description" : "A coded concept describing the technique by which the medicine is administered.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXR-4"
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                "identity" : "rim",
                "map" : ".doseQuantity"
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            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.doseAndRate",
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            "base" : {
              "path" : "Dosage.doseAndRate",
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                "key" : "ele-1",
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                "identity" : "v2",
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          },
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            "id" : "MedicationRequest.dosageInstruction.doseAndRate.id",
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              "xmlAttr"
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                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
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              {
                "identity" : "rim",
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          },
          {
            "id" : "MedicationRequest.dosageInstruction.doseAndRate.extension",
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              "discriminator" : [
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                  "type" : "value",
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            "short" : "Additional content defined by implementations",
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            "alias" : [
              "extensions",
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            "max" : "*",
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              "path" : "Element.extension",
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                "code" : "Extension"
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            "constraint" : [
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                "key" : "ele-1",
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              {
                "key" : "ext-1",
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                "human" : "Must have either extensions or value[x], not both",
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              {
                "identity" : "rim",
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          },
          {
            "id" : "MedicationRequest.dosageInstruction.doseAndRate.type",
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            "requirements" : "If the type is not populated, assume to be \"ordered\".",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Dosage.doseAndRate.type",
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            "type" : [
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                "code" : "CodeableConcept"
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            ],
            "constraint" : [
              {
                "key" : "ele-1",
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            ],
            "isModifier" : false,
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            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
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              "strength" : "example",
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            "mapping" : [
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                "identity" : "v2",
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          {
            "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
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            "max" : "1",
            "base" : {
              "path" : "Dosage.doseAndRate.dose[x]",
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            "type" : [
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                "code" : "Range"
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              {
                "code" : "Quantity",
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                  🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"
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            ],
            "constraint" : [
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                "key" : "ele-1",
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            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
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                "identity" : "v2",
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                "identity" : "rim",
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            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.doseAndRate.rate[x]",
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            "max" : "1",
            "base" : {
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                "code" : "Quantity",
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            ],
            "constraint" : [
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            ],
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                "identity" : "v2",
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                "identity" : "rim",
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          },
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            "base" : {
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            "type" : [
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                "code" : "Ratio"
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            ],
            "constraint" : [
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                "key" : "ele-1",
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            ],
            "isModifier" : false,
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            "mapping" : [
              {
                "identity" : "v2",
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                "identity" : "rim",
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            ]
          },
          {
            "id" : "MedicationRequest.dosageInstruction.maxDosePerAdministration",
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            "max" : "1",
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            ],
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                "key" : "ele-1",
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            ],
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                "identity" : "rim",
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            ]
          },
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            "id" : "MedicationRequest.dosageInstruction.maxDosePerLifetime",
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            "min" : 0,
            "max" : "1",
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                "code" : "Quantity",
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                "key" : "ele-1",
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            ],
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            "mapping" : [
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                "identity" : "rim",
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            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest",
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            "base" : {
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                "key" : "ele-1",
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            ],
            "isModifier" : false,
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            "mapping" : [
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                "identity" : "script10.6",
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                "identity" : "rim",
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            "id" : "MedicationRequest.dispenseRequest.id",
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            "base" : {
              "path" : "Element.id",
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            "type" : [
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                "identity" : "rim",
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            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.extension",
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              {
                "key" : "ext-1",
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                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
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                "identity" : "rim",
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            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.modifierExtension",
            "path" : "MedicationRequest.dispenseRequest.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.initialFill",
            "path" : "MedicationRequest.dispenseRequest.initialFill",
            "short" : "First fill details",
            "definition" : "Indicates the quantity or duration for the first dispense of the medication.",
            "comment" : "If populating this element, either the quantity or the duration must be included.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.initialFill",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.initialFill.id",
            "path" : "MedicationRequest.dispenseRequest.initialFill.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.initialFill.extension",
            "path" : "MedicationRequest.dispenseRequest.initialFill.extension",
            "short" : "Additional content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension",
            "path" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.initialFill.quantity",
            "path" : "MedicationRequest.dispenseRequest.initialFill.quantity",
            "short" : "First fill quantity",
            "definition" : "The amount or quantity to provide as part of the first dispense.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.initialFill.quantity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity",
                "profile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Supply.quantity[moodCode=RQO]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.initialFill.duration",
            "path" : "MedicationRequest.dispenseRequest.initialFill.duration",
            "short" : "First fill duration",
            "definition" : "The length of time that the first dispense is expected to last.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.initialFill.duration",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Duration"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Supply.effectivetime[moodCode=RQO]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.dispenseInterval",
            "path" : "MedicationRequest.dispenseRequest.dispenseInterval",
            "short" : "Minimum period of time between dispenses",
            "definition" : "The minimum period of time that must occur between dispenses of the medication.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.dispenseInterval",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Duration"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Supply.effectivetime[moodCode=RQO]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.validityPeriod",
            "path" : "MedicationRequest.dispenseRequest.validityPeriod",
            "short" : "Time period supply is authorized for",
            "definition" : "This indicates the validity period of a prescription (stale dating the Prescription).",
            "comment" : "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.",
            "requirements" : "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.validityPeriod",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Period"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/Refills"
              },
              {
                "identity" : "rim",
                "map" : "effectiveTime"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
            "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
            "short" : "Number of refills authorized",
            "definition" : "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" : "If displaying \"number of authorized fills\", add 1 to this number.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "unsignedInt"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/Quantity"
              },
              {
                "identity" : "v2",
                "map" : "RXE-12-Number of Refills"
              },
              {
                "identity" : "rim",
                "map" : "repeatNumber"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.quantity",
            "path" : "MedicationRequest.dispenseRequest.quantity",
            "short" : "Amount of medication to supply per dispense",
            "definition" : "The amount that is to be dispensed for one fill.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.quantity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity",
                "profile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/DaysSupply"
              },
              {
                "identity" : "v2",
                "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
              },
              {
                "identity" : "rim",
                "map" : "quantity"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
            "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
            "short" : "Number of days supply per dispense",
            "definition" : "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" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Duration"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "Message/Body/NewRx/MedicationPrescribed/Substitutions"
              },
              {
                "identity" : "rim",
                "map" : "expectedUseTime"
              }
            ]
          },
          {
            "id" : "MedicationRequest.dispenseRequest.performer",
            "path" : "MedicationRequest.dispenseRequest.performer",
            "short" : "Intended dispenser",
            "definition" : "Indicates the intended dispensing Organization specified by the prescriber.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.dispenseRequest.performer",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "w5",
                "map" : "FiveWs.who"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.substitution",
            "path" : "MedicationRequest.substitution",
            "short" : "Any restrictions on medication substitution",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.substitution",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
              },
              {
                "identity" : "rim",
                "map" : "subjectOf.substitutionPersmission"
              }
            ]
          },
          {
            "id" : "MedicationRequest.substitution.id",
            "path" : "MedicationRequest.substitution.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.substitution.extension",
            "path" : "MedicationRequest.substitution.extension",
            "short" : "Additional content defined by implementations",
            "definition" : "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" : "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" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationRequest.substitution.modifierExtension",
            "path" : "MedicationRequest.substitution.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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" : "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" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationRequest.substitution.allowed[x]",
            "path" : "MedicationRequest.substitution.allowed[x]",
            "short" : "Whether substitution is allowed or not",
            "definition" : "True if the prescriber allows a different drug to be dispensed from what was prescribed.",
            "comment" : "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.substitution.allowed[x]",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              },
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationRequestSubstitution"
                }
              ],
              "strength" : "example",
              "description" : "Identifies the type of substitution allowed.",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
            },
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
              },
              {
                "identity" : "v2",
                "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
              },
              {
                "identity" : "rim",
                "map" : "code"
              }
            ]
          },
          {
            "id" : "MedicationRequest.substitution.reason",
            "path" : "MedicationRequest.substitution.reason",
            "short" : "Why should (not) substitution be made",
            "definition" : "Indicates the reason for the substitution, or why substitution must or must not be performed.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.substitution.reason",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationIntendedSubstitutionReason"
                }
              ],
              "strength" : "example",
              "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
            },
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "not mapped"
              },
              {
                "identity" : "v2",
                "map" : "RXE-9 Substition status"
              },
              {
                "identity" : "rim",
                "map" : "reasonCode"
              }
            ]
          },
          {
            "id" : "MedicationRequest.priorPrescription",
            "path" : "MedicationRequest.priorPrescription",
            "short" : "An order/prescription that is being replaced",
            "definition" : "A link to a resource representing an earlier order related order or prescription.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationRequest.priorPrescription",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.replaces"
              },
              {
                "identity" : "script10.6",
                "map" : "not mapped"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"
              }
            ]
          },
          {
            "id" : "MedicationRequest.detectedIssue",
            "path" : "MedicationRequest.detectedIssue",
            "short" : "Clinical Issue with action",
            "definition" : "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" : "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" : [
              "Contraindication",
              "Drug Utilization Review (DUR)",
              "Alert"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.detectedIssue",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
              }
            ]
          },
          {
            "id" : "MedicationRequest.eventHistory",
            "path" : "MedicationRequest.eventHistory",
            "short" : "A list of events of interest in the lifecycle",
            "definition" : "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" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationRequest.eventHistory",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Request.relevantHistory"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "MedicationRequest.status",
            "path" : "MedicationRequest.status",
            "comment" : "In the scope of the IPS the entered-in-error concept is not allowed."
          },
          {
            "id" : "MedicationRequest.doNotPerform",
            "path" : "MedicationRequest.doNotPerform",
            "comment" : "In the scope of the IPS MedicationRequest, the doNotPerform concept is not allowed to be set to true. Other sections may be used to convey medications that a patient should or will not take.",
            "patternBoolean" : false
          },
          {
            "id" : "MedicationRequest.medication[x]",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.medication[x]",
            "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.",
            "type" : [
              {
                "code" : "CodeableConcept",
                "profile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
                ]
              },
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips"
                ]
              }
            ],
            "mustSupport" : true,
            "binding" : {
              "strength" : "preferred",
              "description" : "SNOMED CT medications (Medicinal product) or a code for absent/unknown medication",
              "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips"
            }
          },
          {
            "id" : "MedicationRequest.subject",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.subject",
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"
                ]
              }
            ],
            "mustSupport" : true
          },
          {
            "id" : "MedicationRequest.subject.reference",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.subject.reference",
            "min" : 1,
            "mustSupport" : true
          },
          {
            "id" : "MedicationRequest.dosageInstruction",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.dosageInstruction",
            "mustSupport" : true
          },
          {
            "id" : "MedicationRequest.dosageInstruction.text",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.dosageInstruction.text",
            "mustSupport" : true
          },
          {
            "id" : "MedicationRequest.dosageInstruction.timing",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "MedicationRequest.dosageInstruction.timing",
            "mustSupport" : true
          },
          {
            "id" : "MedicationRequest.dosageInstruction.route",
            "path" : "MedicationRequest.dosageInstruction.route",
            "binding" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "key",
                      "valueId" : "ips-medicine-route-of-administration"
                    },
                    {
                      "url" : "purpose",
                      "valueCode" : "candidate"
                    },
                    {
                      "url" : "valueSet",
                      "valueCanonical" : "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration"
                    },
                    {
                      "url" : "documentation",
                      "valueMarkdown" : "EDQM Route Terms"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
                }
              ],
              "strength" : "preferred",
              "description" : "SNOMED Route Terms",
              "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
            }
          }
        ]
      }
    }