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Medicationrequest.profile.json

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for medicationrequest

{
  "resourceType" : "StructureDefinition",
  "id" : "MedicationRequest",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 3
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "phx"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "version" : "3.6.0",
  "name" : "MedicationRequest",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Pharmacy)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
    }]
  }],
  "description" : "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.",
  "fhirVersion" : "3.6.0",
  "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"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "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" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или 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" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка 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 $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "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" : "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" : "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" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "MedicationRequest.meta",
      "path" : "MedicationRequest.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "MedicationRequest.implicitRules",
      "path" : "MedicationRequest.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. 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"
      }],
      "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" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "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"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "MedicationRequest.text",
      "path" : "MedicationRequest.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "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"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "MedicationRequest.contained",
      "path" : "MedicationRequest.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. 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" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "MedicationRequest.modifierExtension",
      "path" : "MedicationRequest.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "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. 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" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "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 identifer.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationRequest.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "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" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationRequest.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "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"
      },
      "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"
      }],
      "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"
      },
      "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 | 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"
      }],
      "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"
      },
      "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"
      }],
      "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"
      },
      "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"
      }],
      "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"
      },
      "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" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\".",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationRequest.doNotPerform",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "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",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role"
      }]
    },
    {
      "id" : "MedicationRequest.medication[x]",
      "path" : "MedicationRequest.medication[x]",
      "short" : "Medication to be taken",
      "definition" : "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.",
      "comment" : "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"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationCode"
        }],
        "strength" : "example",
        "description" : "A coded concept identifying substance or product that can be ordered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "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",
      "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/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "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.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"]
      }],
      "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"]
      }],
      "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"
      }],
      "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",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "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",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/CareTeam"]
      }],
      "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"
      }],
      "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"
      },
      "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"]
      }],
      "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"
      }],
      "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"
      },
      "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",
        "http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "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"
      }],
      "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"
      }],
      "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",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
      }],
      "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"
      }],
      "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"
      }],
      "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"
      },
      "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",
        "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
      }],
      "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"
      }],
      "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",
      "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"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.occurrence[x]"
      },
      {
        "identity" : "rim",
        "map" : "see dosageInstruction mapping"
      }]
    },
    {
      "id" : "MedicationRequest.dispenseRequest",
      "path" : "MedicationRequest.dispenseRequest",
      "short" : "Medication supply authorization",
      "definition" : "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order).  Note that this information is not always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationRequest.dispenseRequest",
        "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" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "Message/Body/NewRx/MedicationPrescribed/ExpirationDate"
      },
      {
        "identity" : "rim",
        "map" : "component.supplyEvent"
      }]
    },
    {
      "id" : "MedicationRequest.dispenseRequest.id",
      "path" : "MedicationRequest.dispenseRequest.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "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" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "MedicationRequest.dispenseRequest.extension",
      "path" : "MedicationRequest.dispenseRequest.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"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "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. 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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "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" : "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" : "xml:id (or equivalent in JSON)",
      "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" : [{
        "code" : "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"
      }],
      "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. 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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "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"]
      }],
      "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"
      }],
      "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"
      }],
      "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"
      }],
      "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"
      }],
      "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"]
      }],
      "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"
      }],
      "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"]
      }],
      "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" : "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" : "xml:id (or equivalent in JSON)",
      "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" : [{
        "code" : "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"
      }],
      "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. 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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "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 modifer because whether substitution is allow or not cannot be ignored.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationRequest.substitution.allowed[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      },
      {
        "code" : "CodeableConcept"
      }],
      "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"
      }],
      "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"]
      }],
      "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"]
      }],
      "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"]
      }],
      "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",
      "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" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request"
      },
      {
        "identity" : "script10.6",
        "map" : "Message/Body/NewRx"
      },
      {
        "identity" : "rim",
        "map" : "CombinedMedicationRequest"
      }]
    },
    {
      "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 identifer.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "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" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "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"
      },
      "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",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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"
      },
      "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 | 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",
      "type" : [{
        "code" : "code"
      }],
      "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"
      },
      "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" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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"
      },
      "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",
      "type" : [{
        "code" : "code"
      }],
      "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"
      },
      "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" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\".",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "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",
      "type" : [{
        "code" : "boolean"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role"
      }]
    },
    {
      "id" : "MedicationRequest.medication[x]",
      "path" : "MedicationRequest.medication[x]",
      "short" : "Medication to be taken",
      "definition" : "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.",
      "comment" : "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",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationCode"
        }],
        "strength" : "example",
        "description" : "A coded concept identifying substance or product that can be ordered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "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",
      "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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "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.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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "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" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "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",
      "type" : [{
        "code" : "dateTime"
      }],
      "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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/CareTeam"]
      }],
      "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",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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"
      },
      "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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "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" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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"
      },
      "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" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "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" : "*",
      "type" : [{
        "code" : "canonical"
      }],
      "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" : "*",
      "type" : [{
        "code" : "uri"
      }],
      "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" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
      }],
      "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",
      "type" : [{
        "code" : "Identifier"
      }],
      "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",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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"
      },
      "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" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
        "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
      }],
      "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" : "*",
      "type" : [{
        "code" : "Annotation"
      }],
      "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",
      "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" : "*",
      "type" : [{
        "code" : "Dosage"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.occurrence[x]"
      },
      {
        "identity" : "rim",
        "map" : "see dosageInstruction mapping"
      }]
    },
    {
      "id" : "MedicationRequest.dispenseRequest",
      "path" : "MedicationRequest.dispenseRequest",
      "short" : "Medication supply authorization",
      "definition" : "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order).  Note that this information is not always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "Message/Body/NewRx/MedicationPrescribed/ExpirationDate"
      },
      {
        "identity" : "rim",
        "map" : "component.supplyEvent"
      }]
    },
    {
      "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",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"
      }]
    },
    {
      "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",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "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",
      "type" : [{
        "code" : "Duration"
      }],
      "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",
      "type" : [{
        "code" : "Duration"
      }],
      "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",
      "type" : [{
        "code" : "Period"
      }],
      "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",
      "type" : [{
        "code" : "unsignedInt"
      }],
      "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",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "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",
      "type" : [{
        "code" : "Duration"
      }],
      "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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "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",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
      },
      {
        "identity" : "rim",
        "map" : "subjectOf.substitutionPersmission"
      }]
    },
    {
      "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 modifer because whether substitution is allow or not cannot be ignored.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      },
      {
        "code" : "CodeableConcept"
      }],
      "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",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
      }],
      "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" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
      }],
      "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" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.relevantHistory"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.