3.100.9 StructureDefinition: PrescribeIT® Prescription - Discontinue - XML Profile
XML representation of the profile-medicationorder-discontinue Profile.
Narrative view of the profile
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="profile-medicationorder-discontinue"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder">MedicationOrder</a><a name="MedicationOrder"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/medicationorder.html">MedicationOrder</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Prescription of medication to for patient</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.id">id</a><a name="MedicationOrder.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#id">id</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Logical id of this artifact</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.contained">contained</a><a name="MedicationOrder.contained"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Resource</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Contained, inline Resources</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.extension">extension</a><a name="MedicationOrder.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.extension:renderedDosageInstruction" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">ext-medication-rendered-dosage</a><a name="MedicationOrder.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Rendered Dosage Instruction</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-medication-rendered-dosage.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.extension:protocol" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol">ext-medicationorder-protocol</a><a name="MedicationOrder.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..10</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a>, <a href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a>, <a href="../common/dtprofile-identifier.html" title="Identifier">Shared Health Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Protocol, order set, guideline, etc.</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-medicationorder-protocol.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.extension:treatmentType" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type">ext-medicationorder-treatment-type</a><a name="MedicationOrder.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">ACU | CHRON</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-medicationorder-treatment-type.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type</a><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptiontreatmentcategory?versionid=20190415">PrescriptionTreatmentCategory (20190415)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.extension:supportingInformation" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-supportinginfo">ext-medicationorder-supportinginfo</a><a name="MedicationOrder.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..3</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Allergies, height, weight, etc.</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/fake-extension-for-r3.html">http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo</a><span style="font-weight:bold"> profiled by </span><a href="http://hl7.org/fhir/2016may/extension-ext-medicationorder-supportinginfo.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-supportinginfo</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier">identifier</a><a name="MedicationOrder.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="font-style: italic">3</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic" href="http://hl7.org/fhir/2016may/profiling.html#slicing">(Slice Definition)</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">An identifier intended for computation</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by pattern:type</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier:EMR-id" title="Slice EMR-id">identifier:EMR-id</a><a name="MedicationOrder.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-identifier-prescription.html" title="Identifier">PrescribeIT® Prescriber Prescription Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">EMR Prescription Identifier</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1341.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier:EMR-id.type">type</a><a name="MedicationOrder.identifier.type"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-code.html" title="CodeableConcept">Shared Health CodeableConcept Code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">At least the following</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13401.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_fixed.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Fixed Value" class="hierarchy"/> <a href="http://hl7.org/fhir/2016may/datatypes-definitions.html#CodeableConcept.coding">coding</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Code defined by a terminology system<br/><span style="font-weight: bold">Fixed Value: </span><span style="color: darkgreen">(complex)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_fixed.gif" alt="." style="background-color: white; background-color: inherit" title="Fixed Value" class="hierarchy"/> <a href="http://hl7.org/fhir/2016may/datatypes-definitions.html#Coding.system">system</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identity of the terminology system<br/><span style="font-weight: bold">Fixed Value: </span><a style="color: darkgreen" href="http://hl7.org/fhir/2016may/codesystem-identifier-type.html">http://hl7.org/fhir/identifier-type</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_fixed.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Fixed Value" class="hierarchy"/> <a href="http://hl7.org/fhir/2016may/datatypes-definitions.html#Coding.code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Symbol in syntax defined by the system<br/><span style="font-weight: bold">Fixed Value: </span><span style="color: darkgreen">PLAC</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier:DIS-id" title="Slice DIS-id">identifier:DIS-id</a><a name="MedicationOrder.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..2</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DIS Order identifier</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1251.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier:DIS-id.type">type</a><a name="MedicationOrder.identifier.type"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-code.html" title="CodeableConcept">Shared Health CodeableConcept Code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">At least the following</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12501.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_fixed.gif" alt="." style="background-color: white; background-color: inherit" title="Fixed Value" class="hierarchy"/> <a href="http://hl7.org/fhir/2016may/datatypes-definitions.html#CodeableConcept.coding">coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Code defined by a terminology system<br/><span style="font-weight: bold">Fixed Value: </span><span style="color: darkgreen">(complex)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_fixed.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Fixed Value" class="hierarchy"/> <a href="http://hl7.org/fhir/2016may/datatypes-definitions.html#Coding.system">system</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identity of the terminology system<br/><span style="font-weight: bold">Fixed Value: </span><a style="color: darkgreen" href="http://hl7.org/fhir/2016may/v2/0203/index.html">http://hl7.org/fhir/v2/0203</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_fixed.gif" alt="." style="background-color: white; background-color: inherit" title="Fixed Value" class="hierarchy"/> <a href="http://hl7.org/fhir/2016may/datatypes-definitions.html#Coding.code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Symbol in syntax defined by the system<br/><span style="font-weight: bold">Fixed Value: </span><span style="color: darkgreen">RRI</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier:DIS-id.system">system</a><a name="MedicationOrder.identifier.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The namespace for the identifier</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.identifier:DIS-id.value">value</a><a name="MedicationOrder.identifier.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The value that is unique</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.status">status</a><a name="MedicationOrder.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">active | on-hold | completed | entered-in-error | stopped | draft</span><br/><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">active</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.medicationReference">medicationReference</a><a name="MedicationOrder.medicationReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="profile-medication.html">PrescribeIT® Medication</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The reference is a local reference to a contained resource.">c</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A reference from one resource to another</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.patient">patient</a><a name="MedicationOrder.patient"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="../common/profile-patient.html">Shared Health Patient</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A reference from one resource to another</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.reasonCode">reasonCode</a><a name="MedicationOrder.reasonCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..5</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required-with-code.html" title="CodeableConcept">Shared Health CodeableConcept Required Text with optional code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionindicationforuse?versionid=20220331">PrescriptionIndicationForUse (20220331)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.reasonCode.text">text</a><a name="MedicationOrder.reasonCode.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Plain text representation of the concept</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.note">note</a><a name="MedicationOrder.note"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Annotation">Annotation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Information about the prescription</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.note.text">text</a><a name="MedicationOrder.note.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The annotation - text content</span><br/><span style="font-weight:bold">Max Length: </span><span style="color: darkgreen">2500</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction">dosageInstruction</a><a name="MedicationOrder.dosageInstruction"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">How medication should be taken</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.extension">extension</a><a name="MedicationOrder.dosageInstruction.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.extension:sequence" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence">ext-medication-dosageinstruction-sequence</a><a name="MedicationOrder.dosageInstruction.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Sequence of dosage instruction</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/fake-extension-for-r3.html">http://hl7.org/fhir/StructureDefinition/extension-Dosage.sequence</a><span style="font-weight:bold"> profiled by </span><a href="http://hl7.org/fhir/2016may/extension-ext-medication-dosageinstruction-sequence.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.extension:instructionRelationship" title="Extension URL = http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship">ext-medicationorder-dosageinstruction-relationship</a><a name="MedicationOrder.dosageInstruction.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">AND | THEN</span><br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/2016may/extension-ext-medicationorder-dosageinstruction-relationship.html">http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship</a><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptiondosageinstructionlinerelationship?versionid=20170626">PrescriptionDosageInstructionLineRelationship (20170626)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.text">text</a><a name="MedicationOrder.dosageInstruction.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Free text dosage instructions e.g. SIG</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.additionalInstructions">additionalInstructions</a><a name="MedicationOrder.dosageInstruction.additionalInstructions"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required.html" title="CodeableConcept">Shared Health CodeableConcept Text Required</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.additionalInstructions.text">text</a><a name="MedicationOrder.dosageInstruction.additionalInstructions.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Plain text representation of the concept</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing" title="The timing schedule on how the patient is to take the medication. The timing schedules allows many different expressions to be expressed. For example: Every 8 hours, Three times a day, 1/2 an hour before breakfast for 10 days from 17 Oct 2017 to 27 Oct 2017">timing</a><a name="MedicationOrder.dosageInstruction.timing"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Timing">Timing</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">When medication should be administered</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.event">event</a><a name="MedicationOrder.dosageInstruction.timing.event"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">When the event occurs</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat">repeat</a><a name="MedicationOrder.dosageInstruction.timing.repeat"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">When the event is to occur</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11011.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: white; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.bounds[x]" title="boundsPeriod defines the start and/or end date of the period over which the specified instruction should take place for a given dosage line. For example, if the prescriber wants a patient to start taking the medication starting the day before surgery, and the surgery is scheduled for Feb 16th 2019, the start date within bounds period would be Feb 15 2019. The end date can be included if the prescriber wants the patient to stop medication after a certain number of days. In the example above lets say the prescriber wants to the patient to stop the medication after 10 days the end date would Feb 26 2019.
boundsDuration defines the amount of time that the patient should be taking the specified instruction for a given dosage line. As an example, a prescription may call for taking 1-2 pills per day for 10 days. The boundsDuration would be 10 days.
boundsRange defines a minimum and maximum amount of time that the patient should be taking the specified instruction for a given dosage line. As an example, a prescriber may indicate that a patient should apply a cream 2 times per day for a minimum of 10 days but if the rash persists, continue applying for up to 14 days. In this case the minimum for boundsRange would be 10 days and the maximum for boundsRange would be 14 days.">bounds[x]</a><a name="MedicationOrder.dosageInstruction.timing.repeat.bounds_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Length/Range of lengths, or (Start and/or end) limits</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Period Type">boundsPeriod</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Quantity Type">boundsQuantity</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Quantity">Quantity</a>(<a href="../common/dtprofile-duration.html" title="Shared Health Duration">Shared Health Duration</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Range Type">boundsRange</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Range">Range</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.count" title="count defines how many time the dosing activities should be repeated across all periods. For example, if a prescriber wants a patient to take 1 pill morning and night every day for 10 days, the dose is 1 pill, the frequency is 2 per day, the period is one day, and the count is 20 doses (corresponding to 10 days times 2 doses per day).">count</a><a name="MedicationOrder.dosageInstruction.timing.repeat.count"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Number of times to repeat</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.countMax" title="countMax defines the max number of doses that should be taken across all periods within a dosage line. countMax is only used when the count is expressed as a range of values. For example, if a prescriber wants a patient to take a dose of 2 pills per day for 7-10 days, the dose is 2 pills, the frequency is 1 dose per day, the period is 1 days, the count is 7 doses, and the countMax is 10 doses.">countMax</a><a name="MedicationOrder.dosageInstruction.timing.repeat.countMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Maximum number of times to repeat</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.duration" title="duration defines the amount of time it takes to provide a SINGLE dose of a medication to a patient. For most medications, duration is not relevant. However, one example that uses duration would be the application of a patch. The prescriber may instruct the patient to apply a patch for 10 hours each day for 10 days. In this case, the dose would be 1 patch, the duration would be 10 hours, the period would be 1 day, and the count would be 10 doses.">duration</a><a name="MedicationOrder.dosageInstruction.timing.repeat.duration"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">How long when it happens</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.durationMax" title="durationMax defines the maximum amount of time CAN/SHOULD take to provide a SINGLE dose of a medication to a patient. durationMax implies the usage of a range of values for the duration. For most medications, duration and durationMax is not relevant. However, one example that uses duration and durationMax would be the application of a patch for a range of time each day. The prescriber may instruct the patient to apply a patch for 10-12 hours each day for 10 days. In this case, the dose would be 1 patch, the duration would be 10 hours, the durationMax would be 12 hours, the period would be 1 day, and the count would be 10 doses.">durationMax</a><a name="MedicationOrder.dosageInstruction.timing.repeat.durationMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">How long when it happens (Max)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.durationUnit">durationUnit</a><a name="MedicationOrder.dosageInstruction.timing.repeat.durationUnit"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">s | min | h | d | wk | mo | a - unit of time (UCUM)</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/x_timeunitsofmeasure?versionid=20230710">x_TimeUnitsOfMeasure (20230710)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.frequency" title="frequency defines the number of times to apply a single dose of a medication within a particular period. For example, the prescriber may instruct the patient to take 1 tablet 3 times per day for 10 days. In this cases, the dose would be 1 tablet, the frequency would be 3 times, the period would be 1 day, and the count would be 30 doses.">frequency</a><a name="MedicationOrder.dosageInstruction.timing.repeat.frequency"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Event occurs frequency times per period</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.frequencyMax" title="frequencyMax defines the maximum number of times to apply a single dose of a medication within a particular period. Using frequencyMax implies that the frequency is a range of values. For example, the prescriber may instruct the patient to take 1 tablet 3-4 times per day for 10 days. In this cases, the dose would be 1 tablet, the frequency would be 3 times, the frequencyMax would be 4 times, the period would be 1 day, and the count would be 30 doses.">frequencyMax</a><a name="MedicationOrder.dosageInstruction.timing.repeat.frequencyMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Event occurs up to frequencyMax times per period</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.period" title="The period defines the amount of time over which the frequency of doses should occur. For example, the prescriber may instruct the patient to take 1 tablet every day for 10 days. In this case, the period is 1 day.">period</a><a name="MedicationOrder.dosageInstruction.timing.repeat.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Event occurs frequency times per period</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.periodMax" title="The periodMax defines the maximum amount of time over which the frequency of doses should occur. For example, the prescriber may instruct the patient to apply one patch every 48 to 72 hours and leave the patch on for 12 hour and do this for 1 month. In this case, the dose would be one patch, the frequency would be 1, the duration would be 12 hours, the period would be 48 hours, the periodMax would be 72 hours, and the boundPeriod would be a start day of today and an end date of 2 months from now.">periodMax</a><a name="MedicationOrder.dosageInstruction.timing.repeat.periodMax"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Upper limit of period (3-4 hours)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.timing.repeat.periodUnit">periodUnit</a><a name="MedicationOrder.dosageInstruction.timing.repeat.periodUnit"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">s | min | h | d | wk | mo | a - unit of time (UCUM)</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/x_timeunitsofmeasure?versionid=20230710">x_TimeUnitsOfMeasure (20230710)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through">when</span><a name="MedicationOrder.dosageInstruction.timing.repeat.when"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through">offset</span><a name="MedicationOrder.dosageInstruction.timing.repeat.offset"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.asNeeded[x]">asNeeded[x]</a><a name="MedicationOrder.dosageInstruction.asNeeded_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#boolean">boolean</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Take "as needed" (for x)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.siteCodeableConcept">siteCodeableConcept</a><a name="MedicationOrder.dosageInstruction.siteCodeableConcept"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required-with-code.html" title="CodeableConcept">Shared Health CodeableConcept Required Text with optional code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionadministrationsite?versionid=20220331">PrescriptionAdministrationSite (20220331)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.route">route</a><a name="MedicationOrder.dosageInstruction.route"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-text-required-with-code.html" title="CodeableConcept">Shared Health CodeableConcept Required Text with optional code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionrouteofadministration?versionid=20190415">PrescriptionRouteOfAdministration (20190415)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.dose[x]">dose[x]</a><a name="MedicationOrder.dosageInstruction.dose_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Amount of medication per dose</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptiondosequantityunit?versionid=20220331">PrescriptionDoseQuantityUnit (20220331)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Quantity Type">doseQuantity</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Quantity">Quantity</a>(<a href="dtprofile-quantity-drug-admin.html" title="PrescribeIT® Drug Quantity for Administration">PrescribeIT® Drug Quantity for Administration</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Range Type">doseRange</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#Range">Range</a>(<a href="dtprofile-range-drug.html" title="PrescribeIT® Drug Range">PrescribeIT® Drug Range</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.rateRatio">rateRatio</a><a name="MedicationOrder.dosageInstruction.rateRatio"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Ratio">Ratio</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Amount of medication per unit of time</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.rateRatio.numerator">numerator</a><a name="MedicationOrder.dosageInstruction.rateRatio.numerator"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-quantity-drug-admin.html" title="Quantity">PrescribeIT® Drug Quantity for Administration</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Quantity of a medication</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescribedquantityunit?versionid=20220331">PrescribedQuantityUnit (20220331)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.rateRatio.denominator">denominator</a><a name="MedicationOrder.dosageInstruction.rateRatio.denominator"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-quantity.html" title="Quantity">Shared Health Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A measured or measurable amount</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.maxDosePerPeriod">maxDosePerPeriod</a><a name="MedicationOrder.dosageInstruction.maxDosePerPeriod"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Ratio">Ratio</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Upper limit on medication per unit of time</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.maxDosePerPeriod.numerator">numerator</a><a name="MedicationOrder.dosageInstruction.maxDosePerPeriod.numerator"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="dtprofile-quantity-drug-admin.html" title="Quantity">PrescribeIT® Drug Quantity for Administration</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Quantity of a medication</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescribedquantityunit?versionid=20220331">PrescribedQuantityUnit (20220331)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-medicationorder-discontinue-definitions.html#MedicationOrder.dosageInstruction.maxDosePerPeriod.denominator">denominator</a><a name="MedicationOrder.dosageInstruction.maxDosePerPeriod.denominator"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-quantity.html" title="Quantity">Shared Health Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A measured or measurable amount</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through">dispenseRequest</span><a name="MedicationOrder.dispenseRequest"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="http://prescribeit.ca/fhir/StructureDefinition/profile-medicationorder-discontinue"/>
<version value="5.0"/>
<name value="PrescribeIT® Prescription - Discontinue"/>
<status value="draft"/>
<date value="2023-09-22T11:59:00-04:00"/>
<description
value="Profile defining how medication prescriptions should be represented"/>
<fhirVersion value="1.4.0"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/w5"/>
<name value="W5 Mapping"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<baseType value="MedicationOrder"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/MedicationOrder"/>
<derivation value="constraint"/>
<snapshot>
<element id="MedicationOrder">
<path value="MedicationOrder"/>
<short value="Prescription of medication to for patient"/>
<definition
value="An order for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationOrder" rather than "MedicationPrescription" to generalize the use across inpatient and outpatient settings as well as for care plans, etc."/>
<comments
value="For Task e110-m - New RX Fill Request, this conveys the details of a single medication order.
For Task e120-m - Renewal RX Fill Request, this conveys the medication order for which a fill is being requested.
For Task p160-m - RX Renewal Create Request, this conveys the details of a single medication order for which the renewal is being requested."/>
<alias value="Prescription"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationOrder"/>
<min value="0"/>
<max value="*"/>
</base>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="CombinedMedicationRequest"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="clinical.medication"/>
</mapping>
</element>
<element id="MedicationOrder.id">
<path value="MedicationOrder.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comments
value="Usage Note: This will usually be a GUID and is assigned by the sending application."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="MedicationOrder.meta">
<path value="MedicationOrder.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Meta"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="MedicationOrder.implicitRules">
<path value="MedicationOrder.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
<comments
value="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 as much as possible."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
</element>
<element id="MedicationOrder.language">
<path value="MedicationOrder.language"/>
<short value="Language of the resource content"/>
<definition value="The base language in which the resource is written."/>
<comments
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<description value="A human language."/>
<valueSetReference>
<reference value="http://tools.ietf.org/html/bcp47"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.text">
<path value="MedicationOrder.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comments
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Narrative"/>
</type>
<maxLength value="0"/>
<condition value="dom-1"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="MedicationOrder.contained">
<path value="MedicationOrder.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comments
value="Conformance Rule: This will be used to contain the Medication resource. No other resources should be 'contained'."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationOrder.extension">
<path value="MedicationOrder.extension"/>
<slicing>
<discriminator value="url"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.extension:renderedDosageInstruction">
<path value="MedicationOrder.extension"/>
<name value="renderedDosageInstruction"/>
<short value="Rendered Dosage Instruction"/>
<definition
value="This represents the complete instruction on how the discontinued medication was to be taken by the patient. This is made up of 'Ad-hoc instructions' and/or the 'textual rendition of the elements within the structured dosage lines'"/>
<comments
value="Usage Note: This will be populated by the EMR and will reflect the instructions of the discontinued medication as it was provided on the original prescription or or as entered by the prescriber on a standalone discontinue order.
Conformance Rule: The rendered dosage instruction element in the message must contain ALL dosage instructions that are supported. This field must include ALL the information contained in the structured dosage instructions fields that are supported and populated, (such as dosage quantity, dosage unit, frequency, frequency period administration start/end date, route, site of admin etc.) as well as any additional patient instructions fields that may be supported and populated (e.g. take with food, starting one day before dental appointment).
Conformance Rule: If an EMR has discrete field for Pharmacy Notes (Dispenser Instructions), they should not be included here. If EMR's have both concepts combined into one instruction field, then those instructions must be included as part of the rendered dosage instructions."/>
<requirements
value="Allows the provider to verify the codified structured dosage information entered and ensure that the exploded instruction is consistent with the intended instructions. Also useful in bringing back administration instructions on query responses. This is mandatory as dosage instructions must always be available in rendered form."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.extension:protocol">
<path value="MedicationOrder.extension"/>
<name value="protocol"/>
<short value="Protocol, order set, guideline, etc."/>
<definition
value="Identifies the Protocol, Order set, Guideline or other definition that guided the creation of this prescription"/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<min value="0"/>
<max value="10"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.extension:treatmentType">
<path value="MedicationOrder.extension"/>
<name value="treatmentType"/>
<short value="ACU | CHRON"/>
<definition
value="Identifies whether this drug is for acute or chronic use"/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.extension:supportingInformation">
<path value="MedicationOrder.extension"/>
<name value="supportingInformation"/>
<short value="Allergies, height, weight, etc."/>
<definition
value="Additional information that relevant (e.g. observations, allergies, etc.)"/>
<comments
value="Conformance Rule: Cardinality must be 0..1 for Shared Health List-Allergies and 0..2 for Shared Health Pharmacy-related Observation (i.e. 1 for height and 1 for weight) as per bundle
Conformance Rule: When sending this is the current list of allergies and observation for the patient from the sending system and should not include or replay back any information that is received in an incoming message.
Conformance Rule: Only 1 allergy list, 1 weight and 1 height observation can be sent per bundle. If different values need to be sent that are specific to one medication order that must be sent as part of the pharmacist instructions or note data elements instead.
Usage Note: See the functional specifications document for further requirements related to sending the allergy and observations information.
Usage Note: The URL for this extension does not refer to an existing web-page as is a pre-adoption extension. Refer to the [Shared Health implementation Guide](../common/common.html#pre-adopted-extensions) for more information."/>
<min value="0"/>
<max value="3"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-supportinginfo"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.modifierExtension">
<path value="MedicationOrder.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="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. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationOrder.identifier">
<path value="MedicationOrder.identifier"/>
<slicing>
<discriminator value="type/@pattern"/>
<rules value="open"/>
</slicing>
<short value="An identifier intended for computation"/>
<definition
value="A technical identifier - identifies some entity uniquely and unambiguously."/>
<comments
value="These are the identifiers assigned by the EMR and, in some cases, by the DIS."/>
<min value="1"/>
<max value="3"/>
<base>
<path value="MedicationOrder.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-identifier"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="Identifier"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id">
<path value="MedicationOrder.identifier"/>
<name value="EMR-id"/>
<short value="EMR Prescription Identifier"/>
<definition
value="A technical identifier - identifies some entity uniquely and unambiguously."/>
<comments
value="In the context of a new prescription (e110, e120, e162, or e163), this Prescription business identifier is generated by the EMR.
In the context of a Cancel Rx Fill Request (e140), this Prescription Identifier should be populated with the same Rx that was included in the original new prescription message (e110, e120, e162, or e163).
In the context of a Discontinue Rx Fill Request (e150), this Prescription Identifier should be populated with the same Rx that was included in the original new prescription message (e110, e120, e162, e163, or e180).
In the context of a Renewal Request (p160), this Prescription business Identifier is for the prescription that is being requested to be renewed. In most cases, this will be a value that was originally generated by the EMR. However, in some cases (e.g. the renewal of a paper/fax prescription), there will be no EMR generated prescription identifier, and in this case, the PMS should generate its own Prescription business identifier.
In the context of an Rx Response - Denied (e161), or an Rx Response - Under Review (e164), this Prescription Identifier should be populated with the MedicationOrder.identifier(EMR-id) provided in the Renewal Request (p160)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationOrder.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-identifier-prescription"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map
value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="Identifier"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.id">
<path value="MedicationOrder.identifier.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.extension">
<path value="MedicationOrder.identifier.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.use">
<path value="MedicationOrder.identifier.use"/>
<short value="usual | official | temp | secondary (If known)"/>
<definition value="The purpose of this identifier."/>
<comments
value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/>
<requirements
value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description
value="Identifies the purpose for this identifier, if known ."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-use"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type">
<path value="MedicationOrder.identifier.type"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments value="-"/>
<requirements
value="Allows users to make use of identifiers when the identifier system is not known."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/identifier-type"/>
<code value="PLAC"/>
</coding>
</patternCodeableConcept>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description
value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-type"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.id">
<path value="MedicationOrder.identifier.type.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.extension">
<path value="MedicationOrder.identifier.type.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding">
<path value="MedicationOrder.identifier.type.coding"/>
<slicing>
<discriminator value="system"/>
<discriminator value="code"/>
<rules value="open"/>
</slicing>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.id">
<path value="MedicationOrder.identifier.type.coding.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.extension">
<path value="MedicationOrder.identifier.type.coding.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.system">
<path value="MedicationOrder.identifier.type.coding.system"/>
<short value="Identity of the terminology system"/>
<definition
value="The identification of the code system that defines the meaning of the symbol in the code."/>
<comments
value="This is the URI that represents the coding system as defined within the binding."/>
<requirements
value="Need to be unambiguous about the source of the definition of the symbol."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.version">
<path value="MedicationOrder.identifier.type.coding.version"/>
<short value="Version of the system - if relevant"/>
<definition
value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
<comments
value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.code">
<path value="MedicationOrder.identifier.type.coding.code"/>
<short value="Symbol in syntax defined by the system"/>
<definition
value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
<comments value="This is the code as defined within the binding."/>
<requirements value="Need to refer to a particular code in the system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.display">
<path value="MedicationOrder.identifier.type.coding.display"/>
<short value="Representation defined by the system"/>
<definition
value="A representation of the meaning of the code in the system, following the rules of the system."/>
<requirements
value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding.userSelected">
<path value="MedicationOrder.identifier.type.coding.userSelected"/>
<short value="If this coding was chosen directly by the user"/>
<definition
value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
<comments
value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
<requirements
value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer">
<path value="MedicationOrder.identifier.type.coding"/>
<name value="placer"/>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer.id">
<path value="MedicationOrder.identifier.type.coding.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer.extension">
<path value="MedicationOrder.identifier.type.coding.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer.system">
<path value="MedicationOrder.identifier.type.coding.system"/>
<short value="Identity of the terminology system"/>
<definition
value="The identification of the code system that defines the meaning of the symbol in the code."/>
<comments value="Fixed value: http://hl7.org/fhir/identifier-type"/>
<requirements
value="Need to be unambiguous about the source of the definition of the symbol."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<fixedUri value="http://hl7.org/fhir/identifier-type"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer.version">
<path value="MedicationOrder.identifier.type.coding.version"/>
<short value="Version of the system - if relevant"/>
<definition
value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
<comments
value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer.code">
<path value="MedicationOrder.identifier.type.coding.code"/>
<short value="Symbol in syntax defined by the system"/>
<definition
value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
<comments value="Fixed value: PLAC"/>
<requirements value="Need to refer to a particular code in the system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<fixedCode value="PLAC"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.coding:placer.display">
<path value="MedicationOrder.identifier.type.coding.display"/>
<short value="Representation defined by the system"/>
<definition
value="A representation of the meaning of the code in the system, following the rules of the system."/>
<requirements
value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
</element>
<element
id="MedicationOrder.identifier:EMR-id.type.coding:placer.userSelected">
<path value="MedicationOrder.identifier.type.coding.userSelected"/>
<short value="If this coding was chosen directly by the user"/>
<definition
value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
<comments
value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
<requirements
value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.type.text">
<path value="MedicationOrder.identifier.type.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comments
value="Very often the text is the same as a displayName of one of the codings."/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.system">
<path value="MedicationOrder.identifier.system"/>
<short value="The namespace for the identifier"/>
<definition
value="Establishes the namespace in which set of possible id values is unique."/>
<comments
value="Conformance Rule: This must be an OID of the URI form [Vendor root].[Application instance node].2 (e.g. urn:oid:1.2.3.4). The branch, “.2” is appended to create a unique namespace for the Prescription Identifer"/>
<requirements
value="There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<exampleUri
value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"/>
<maxLength value="0"/>
<constraint>
<key value="EMR-id-branch-2"/>
<severity value="error"/>
<human value="This must be an OID ending in .2"/>
<expression value="$this.matches('^urn\\:oid\\:(\\d+\\.)+2$')"/>
<xpath value="matches(@value,'^urn\\:oid\\:(\\d+\\.)+2$')"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / EI-2-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="II.root or Role.id.root"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierType"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.value">
<path value="MedicationOrder.identifier.value"/>
<short value="The value that is unique"/>
<definition
value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/>
<comments
value="Usage Rule: The business identifier that uniquely identifies a prescription."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<exampleString value="123456"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.1 / EI.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Value"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.period">
<path value="MedicationOrder.identifier.period"/>
<short value="Time period when id is/was valid for use"/>
<definition
value="Time period during which identifier is/was valid for use."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.7 + CX.8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.effectiveTime or implied by context"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:EMR-id.assigner">
<path value="MedicationOrder.identifier.assigner"/>
<short value="Organization that issued id (may be just text)"/>
<definition value="Organization that issued/manages the identifier."/>
<comments
value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.assigner"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / (CX.4,CX.9,CX.10)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierIssuingAuthority"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id">
<path value="MedicationOrder.identifier"/>
<name value="DIS-id"/>
<short value="DIS Order identifier"/>
<definition
value="External identifier - one that would be used by another non-FHIR system - for example a re-imbursement system might issue its own id for each prescription that is created. This is particularly important where FHIR only provides part of an entire workflow process where records have to be tracked through an entire system."/>
<comments
value="In the context of Tasks e110, e120, e162, e163, and e180, this identifier will not be present in the message transmitted from the EMR to the PrescribeIT® Switch. As the message passes through the PrescribeIT® Switch in a jurisdiction which has a Drug Information System (DIS), the PrescribeIT® Switch will add the DIS's identifier to the MedicationOrder. PMS is to use this identifier to record the dispense event against the correct DIS Prescription identifier, if possible.
In the context of Tasks e140 and p160, this is not applicable."/>
<min value="0"/>
<max value="2"/>
<base>
<path value="MedicationOrder.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="id"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="id"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.id">
<path value="MedicationOrder.identifier.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.extension">
<path value="MedicationOrder.identifier.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.use">
<path value="MedicationOrder.identifier.use"/>
<short value="usual | official | temp | secondary (If known)"/>
<definition value="The purpose of this identifier."/>
<comments
value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/>
<requirements
value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description
value="Identifies the purpose for this identifier, if known ."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-use"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.type">
<path value="MedicationOrder.identifier.type"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments value="-"/>
<requirements
value="Allows users to make use of identifiers when the identifier system is not known."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="RRI"/>
</coding>
</patternCodeableConcept>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description
value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-type"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.system">
<path value="MedicationOrder.identifier.system"/>
<short value="The namespace for the identifier"/>
<definition
value="Establishes the namespace in which set of possible id values is unique."/>
<requirements
value="There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<exampleUri
value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / EI-2-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="II.root or Role.id.root"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierType"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.value">
<path value="MedicationOrder.identifier.value"/>
<short value="The value that is unique"/>
<definition
value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/>
<comments
value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/2016May/extension-rendered-value.html)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<exampleString value="123456"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.1 / EI.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Value"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.period">
<path value="MedicationOrder.identifier.period"/>
<short value="Time period when id is/was valid for use"/>
<definition
value="Time period during which identifier is/was valid for use."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.7 + CX.8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.effectiveTime or implied by context"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="MedicationOrder.identifier:DIS-id.assigner">
<path value="MedicationOrder.identifier.assigner"/>
<short value="Organization that issued id (may be just text)"/>
<definition value="Organization that issued/manages the identifier."/>
<comments
value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.assigner"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / (CX.4,CX.9,CX.10)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierIssuingAuthority"/>
</mapping>
</element>
<element id="MedicationOrder.status">
<path value="MedicationOrder.status"/>
<short
value="active | on-hold | completed | entered-in-error | stopped | draft"/>
<definition
value="A code specifying the state of the order. Generally this will be active or completed state."/>
<comments value="Fixed value: active"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationOrder.status"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<fixedCode value="active"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="true"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description
value="A code specifying the state of the prescribing event. Describes the lifecycle of the prescription."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/medication-order-status"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value="statusCode"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="status"/>
</mapping>
</element>
<element id="MedicationOrder.medication[x]">
<path value="MedicationOrder.medication[x]"/>
<slicing>
<discriminator value="$this/@type"/>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Medication to be taken"/>
<definition
value="Identifies the medication being administered. 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."/>
<comments
value="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. Note: do not use Medication.name to describe the prescribed medication. When the only available information is a text description of the medication, Medication.code.text should be used."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationOrder.medication[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="consumable.administrableMedication"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="what"/>
</mapping>
</element>
<element id="MedicationOrder.medication[x]:medicationReference">
<path value="MedicationOrder.medication[x]"/>
<name value="medicationReference"/>
<short value="A reference from one resource to another"/>
<definition value="A reference from one resource to another."/>
<comments
value="Usage Note: this is populated with the reference to the Medication resource pertaining to this Medication Order. It will point to the 'contained' Medication resource. This will reference the medication id value without the '#' "/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationOrder.medication[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
<valueUri
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
</extension>
<code value="Reference"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/profile-medication"/>
<aggregation value="contained"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
</mapping>
</element>
<element id="MedicationOrder.patient">
<path value="MedicationOrder.patient"/>
<short value="A reference from one resource to another"/>
<definition value="A reference from one resource to another."/>
<comments
value="Usage Note: This must point to the patient associated with the message."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationOrder.patient"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
<valueUri
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
</extension>
<code value="Reference"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-patient"/>
<aggregation value="bundled"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
</mapping>
</element>
<element id="MedicationOrder.encounter">
<path value="MedicationOrder.encounter"/>
<short value="Created during encounter/admission/stay"/>
<definition
value="A link to a resource that identifies the particular occurrence of contact between patient and health care provider."/>
<comments
value="SubstanceAdministration->component->EncounterEvent."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PV1-19-Visit Number"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="componentOf.patientEncounter"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="context"/>
</mapping>
</element>
<element id="MedicationOrder.dateWritten">
<path value="MedicationOrder.dateWritten"/>
<short value="When prescription was authorized"/>
<definition
value="The date (and perhaps time) when the prescription was written."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dateWritten"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="author.time"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="when.recorded"/>
</mapping>
</element>
<element id="MedicationOrder.prescriber">
<path value="MedicationOrder.prescriber"/>
<short value="Who ordered the medication(s)"/>
<definition
value="The healthcare professional responsible for authorizing the prescription."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.prescriber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="RXE-13-Ordering Provider's DEA Number / RXO-14-Ordering Provider's DEA Number / RXE-14-Pharmacist/Treatment Supplier's Verifier ID / RXO-15-Pharmacist/Treatment Supplier's Verifier ID / ORC-12-Ordering Provider / PRT-5-Participation Person: PRT-4-Participation='OP' (all but last deprecated)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="author.role"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.actor"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode">
<path value="MedicationOrder.reasonCode"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<min value="0"/>
<max value="5"/>
<base>
<path value="MedicationOrder.reasonCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionindicationforuse|20220331"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.id">
<path value="MedicationOrder.reasonCode.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.extension">
<path value="MedicationOrder.reasonCode.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding">
<path value="MedicationOrder.reasonCode.coding"/>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.id">
<path value="MedicationOrder.reasonCode.coding.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.extension">
<path value="MedicationOrder.reasonCode.coding.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.system">
<path value="MedicationOrder.reasonCode.coding.system"/>
<short value="Identity of the terminology system"/>
<definition
value="The identification of the code system that defines the meaning of the symbol in the code."/>
<comments
value="This is the URI that represents the coding system as defined within the binding."/>
<requirements
value="Need to be unambiguous about the source of the definition of the symbol."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.version">
<path value="MedicationOrder.reasonCode.coding.version"/>
<short value="Version of the system - if relevant"/>
<definition
value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
<comments
value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.code">
<path value="MedicationOrder.reasonCode.coding.code"/>
<short value="Symbol in syntax defined by the system"/>
<definition
value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
<comments value="This is the code as defined within the binding."/>
<requirements value="Need to refer to a particular code in the system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.display">
<path value="MedicationOrder.reasonCode.coding.display"/>
<short value="Representation defined by the system"/>
<definition
value="A representation of the meaning of the code in the system, following the rules of the system."/>
<requirements
value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.coding.userSelected">
<path value="MedicationOrder.reasonCode.coding.userSelected"/>
<short value="If this coding was chosen directly by the user"/>
<definition
value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
<comments
value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
<requirements
value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
</element>
<element id="MedicationOrder.reasonCode.text">
<path value="MedicationOrder.reasonCode.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comments
value="Conformance Rule: This is the text used to convey the exact word that was displayed to the practitioner"/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="2500"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
</element>
<element id="MedicationOrder.reasonReference">
<path value="MedicationOrder.reasonReference"/>
<short
value="Condition that supports why the prescription is being written"/>
<definition
value="Condition that supports why the prescription is being written."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationOrder.reasonReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="w5"/>
<map value="why"/>
</mapping>
</element>
<element id="MedicationOrder.dateEnded">
<path value="MedicationOrder.dateEnded"/>
<short value="When prescription was stopped"/>
<definition
value="The date (and perhaps time) when the prescription was stopped."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dateEnded"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="MedicationOrder.reasonEnded">
<path value="MedicationOrder.reasonEnded"/>
<short value="Why prescription was stopped"/>
<definition
value="The reason why the prescription was stopped, if it was."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.reasonEnded"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description
value="Codes indicating why the medication was terminated; e.g. Adverse reaction, medication change, issue resolved, etc."/>
</binding>
</element>
<element id="MedicationOrder.note">
<path value="MedicationOrder.note"/>
<short value="Information about the prescription"/>
<definition
value="Extra information about the prescription that could not be conveyed by the other attributes."/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.note"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Annotation"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value"/>
</mapping>
</element>
<element id="MedicationOrder.note.id">
<path value="MedicationOrder.note.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.note.extension">
<path value="MedicationOrder.note.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.note.author[x]">
<path value="MedicationOrder.note.author[x]"/>
<short value="Individual responsible for the annotation"/>
<definition value="The individual responsible for making the annotation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Annotation.author[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
</type>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act.participant[typeCode=AUT].role"/>
</mapping>
</element>
<element id="MedicationOrder.note.time">
<path value="MedicationOrder.note.time"/>
<short value="When the annotation was made"/>
<definition value="Indicates when this particular annotation was made."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Annotation.time"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act.effectiveTime"/>
</mapping>
</element>
<element id="MedicationOrder.note.text">
<path value="MedicationOrder.note.text"/>
<short value="The annotation - text content"/>
<definition value="The text of the annotation."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Annotation.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="2500"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act.text"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction">
<path value="MedicationOrder.dosageInstruction"/>
<short value="How medication should be taken"/>
<definition
value="Indicates how the medication is to be used by the patient."/>
<comments
value="Conformance Rule: For EMRs that can support structured dosage instruction, this element must be populated when the prescriber specifies any of structured dosage information. Anything that is populated as part of the structured dosage information must also be part of the RENDERED_DOSAGE_INSTRUCTION element.
Usage Note: An Excel spreadsheet providing guidance on how to populate dosage instructions can be found under 'Scope and Usage'.
When the dose or rate is intended to change over the entire administration period, e.g. Tapering dose prescriptions, multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. Another common example in institutional settings is 'titration' of an IV medication dose to maintain a specific stated hemodynamic value or range e.g. drug x to be administered to maintain AM (arterial mean) greater than 65."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="MedicationOrder.dosageInstruction"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="component.substanceAdministrationRequest"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.id">
<path value="MedicationOrder.dosageInstruction.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.extension">
<path value="MedicationOrder.dosageInstruction.extension"/>
<slicing>
<discriminator value="url"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.dosageInstruction.extension:sequence">
<path value="MedicationOrder.dosageInstruction.extension"/>
<name value="sequence"/>
<short value="Sequence of dosage instruction"/>
<definition value="Optional Extensions Element - found in all resources."/>
<comments
value="Conformance Rule: This must match the positional sequence of the dosageInstruction repetition. I.e. The first dosageInstruction repetition must have a 'sequence' value of 1, the second a 'sequence' value of 2, etc."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="MedicationOrder.dosageInstruction.extension:instructionRelationship">
<path value="MedicationOrder.dosageInstruction.extension"/>
<name value="instructionRelationship"/>
<short value="AND | THEN"/>
<definition value="Optional Extensions Element - found in all resources."/>
<comments
value="Conformance Rule: As this will establish the relationship to the previous dosage lines (example: first and second dosage line, the second and thrid dosage line, etc.) this must be present for all dosage lines except for the FIRST dosage line.
Usage Note: ANDs are instructions lines that are done together and THENs are instructions that are sequential and are done following the previous line. ANDs and THENs can be used individually or mixed together depending on the specific instructions.
Example using just AND: Take 1 tablet every morning and 2 tablets every evening.
Example using just THEN: Take 1 tablet every morning for 1 week THEN take 2 tablets every morning for 1 week.
Example using both: Take 1 tablet every morning AND 2 tablets every evening for 1 week THEN take 2 tablets every morning AND 3 tablets every evening for 1 week."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="MedicationOrder.dosageInstruction.modifierExtension">
<path value="MedicationOrder.dosageInstruction.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.text">
<path value="MedicationOrder.dosageInstruction.text"/>
<short value="Free text dosage instructions e.g. SIG"/>
<definition
value="Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing."/>
<comments
value="Conformance Rule: When providing multiple dosage lines can be expressed individually. All dosage lines (full text content) must be concatenated into MedicationOrder.extension(renderedDosageInstruction) as PMS will not be forced to support the receipt of individual lines.
Usage Note: This is a string composed of any available discrete MedicationOrder.dosageInstruction child elements such as timing, asNeeded[x], siteCodeableConcept, route, dose[x], rate[x], and maxDosePerPeriod for each repetition sequence line.
Example: Prednisone; variable dosage instruction, or concurrent instructions (1 pill morning and 1 pill before bed) or sequential dosages (1 pill for 2 days, then 2 pills)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="RXE-7.2-Provider's Administration Instructions.text / RXO-7.2-Provider's Administration Instructions.text / TQ1-10-Condition Text / TQ1-11-Text Instruction"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="text"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.additionalInstructions">
<path value="MedicationOrder.dosageInstruction.additionalInstructions"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments
value="Conformance Rule: When providing an additional instruction at the dosage line level (complex), this should be populated when appropriate.
Usage Note: It may be necessary for the EMR to parse instructions such as QHS (take at bedtime), into two data elements DOSAGE_TIMING_FREQUENCY = once a day and 'at bedtime' would be placed into this field."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.additionalInstructions"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description
value="Codes identifying additional instructions such as "take with water" or "avoid operating heavy machinery"."/>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.additionalInstructions.id">
<path value="MedicationOrder.dosageInstruction.additionalInstructions.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationOrder.dosageInstruction.additionalInstructions.extension">
<path
value="MedicationOrder.dosageInstruction.additionalInstructions.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="MedicationOrder.dosageInstruction.additionalInstructions.coding">
<path
value="MedicationOrder.dosageInstruction.additionalInstructions.coding"/>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.additionalInstructions.text">
<path
value="MedicationOrder.dosageInstruction.additionalInstructions.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comments
value="Conformance Rule: This is the text used to convey the exact word that was displayed to the practitioner"/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="2500"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing">
<path value="MedicationOrder.dosageInstruction.timing"/>
<short value="When medication should be administered"/>
<definition
value="The timing schedule on how the patient is to take the medication. The timing schedules allows many different expressions to be expressed. For example: Every 8 hours, Three times a day, 1/2 an hour before breakfast for 10 days from 17 Oct 2017 to 27 Oct 2017"/>
<comments
value="Conformance Rule: For EMRs that can support structured dosage instruction, this must be populated if prescriber specifies any of structured timing information. Anything that is populated as part of the structured timing information must also be part of the RENDERED_DOSAGE_INSTRUCTION.
Usage Note: An Excel spreadsheet providing guidance on how to populate dosage instructions can be found under 'Scope and Usage'."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.timing"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Timing"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="TQ1-X / ORC Quantity/timing"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.id">
<path value="MedicationOrder.dosageInstruction.timing.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.extension">
<path value="MedicationOrder.dosageInstruction.timing.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.event">
<path value="MedicationOrder.dosageInstruction.timing.event"/>
<short value="When the event occurs"/>
<definition value="Identifies specific times when the event occurs."/>
<requirements
value="In an MAR, for instance, you need to take a general specification, and turn it into a precise specification."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.event"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="dateTime"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="QLIST<TS>"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat">
<path value="MedicationOrder.dosageInstruction.timing.repeat"/>
<short value="When the event is to occur"/>
<definition
value="A set of rules that describe when the event should occur."/>
<comments
value="Conformance Rule: If an EMR cannot send discrete elements in all cases for timing.repeat element, this is acceptable as long as RENDERED_DOSAGE_INSTRUCTION captures the timing."/>
<requirements
value="Many timing schedules are determined by regular repetitions."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Element"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="tim-3"/>
<severity value="error"/>
<human value="Either frequency or when can exist, not both"/>
<expression
value="((period.exists() or frequency.exists()) and when.exists()).not()"/>
<xpath value="not((f:period or f:frequency) and f:when)"/>
</constraint>
<constraint>
<key value="tim-1"/>
<severity value="error"/>
<human
value="if there's a duration, there needs to be duration units"/>
<expression value="duration.empty() or durationUnit.exists()"/>
<xpath value="not(exists(f:duration)) or exists(f:durationUnit)"/>
</constraint>
<constraint>
<key value="tim-2"/>
<severity value="error"/>
<human value="if there's a period, there needs to be period units"/>
<expression value="period.empty() or periodUnit.exists()"/>
<xpath value="not(exists(f:period)) or exists(f:periodUnit)"/>
</constraint>
<constraint>
<key value="tim-9"/>
<severity value="error"/>
<human value="If there's an offset, there must be a when"/>
<expression value="offset.empty() or when.exists()"/>
<xpath value="not(exists(f:offset)) or exists(f:when)"/>
</constraint>
<constraint>
<key value="tim-6"/>
<severity value="error"/>
<human value="If there's a periodMax, there must be a period"/>
<expression value="periodMax.empty() or period.exists()"/>
<xpath value="not(exists(f:periodMax)) or exists(f:period)"/>
</constraint>
<constraint>
<key value="tim-8"/>
<severity value="error"/>
<human value="If there's a countMax, there must be a count"/>
<expression value="countMax.empty() or count.exists()"/>
<xpath value="not(exists(f:countMax)) or exists(f:count)"/>
</constraint>
<constraint>
<key value="tim-7"/>
<severity value="error"/>
<human value="If there's a durationMax, there must be a duration"/>
<expression value="durationMax.empty() or duration.exists()"/>
<xpath value="not(exists(f:durationMax)) or exists(f:duration)"/>
</constraint>
<constraint>
<key value="tim-4"/>
<severity value="error"/>
<human value="duration SHALL be a non-negative value"/>
<expression value="duration >= 0"/>
<xpath value="@value >= 0 or not(@value)"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="Implies PIVL or EIVL"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.id">
<path value="MedicationOrder.dosageInstruction.timing.repeat.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.extension">
<path value="MedicationOrder.dosageInstruction.timing.repeat.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.bounds[x]">
<path value="MedicationOrder.dosageInstruction.timing.repeat.bounds[x]"/>
<short value="Length/Range of lengths, or (Start and/or end) limits"/>
<definition
value="boundsPeriod defines the start and/or end date of the period over which the specified instruction should take place for a given dosage line. For example, if the prescriber wants a patient to start taking the medication starting the day before surgery, and the surgery is scheduled for Feb 16th 2019, the start date within bounds period would be Feb 15 2019. The end date can be included if the prescriber wants the patient to stop medication after a certain number of days. In the example above lets say the prescriber wants to the patient to stop the medication after 10 days the end date would Feb 26 2019.
boundsDuration defines the amount of time that the patient should be taking the specified instruction for a given dosage line. As an example, a prescription may call for taking 1-2 pills per day for 10 days. The boundsDuration would be 10 days.
boundsRange defines a minimum and maximum amount of time that the patient should be taking the specified instruction for a given dosage line. As an example, a prescriber may indicate that a patient should apply a cream 2 times per day for a minimum of 10 days but if the rash persists, continue applying for up to 14 days. In this case the minimum for boundsRange would be 10 days and the maximum for boundsRange would be 14 days."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.bounds[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-duration"/>
</type>
<type>
<code value="Range"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="IVL(TS) used in a QSI"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.count">
<path value="MedicationOrder.dosageInstruction.timing.repeat.count"/>
<short value="Number of times to repeat"/>
<definition
value="count defines how many time the dosing activities should be repeated across all periods. For example, if a prescriber wants a patient to take 1 pill morning and night every day for 10 days, the dose is 1 pill, the frequency is 2 per day, the period is one day, and the count is 20 doses (corresponding to 10 days times 2 doses per day)."/>
<comments
value="If you have both bounds and count, then this should be understood as within the bounds period, until count times happens."/>
<requirements
value="Repetitions may be limited by end time or total occurrences."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.count"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.count"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.countMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.countMax"/>
<short value="Maximum number of times to repeat"/>
<definition
value="countMax defines the max number of doses that should be taken across all periods within a dosage line. countMax is only used when the count is expressed as a range of values. For example, if a prescriber wants a patient to take a dose of 2 pills per day for 7-10 days, the dose is 2 pills, the frequency is 1 dose per day, the period is 1 days, the count is 7 doses, and the countMax is 10 doses."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.countMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.count"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.duration">
<path value="MedicationOrder.dosageInstruction.timing.repeat.duration"/>
<short value="How long when it happens"/>
<definition
value="duration defines the amount of time it takes to provide a SINGLE dose of a medication to a patient. For most medications, duration is not relevant. However, one example that uses duration would be the application of a patch. The prescriber may instruct the patient to apply a patch for 10 hours each day for 10 days. In this case, the dose would be 1 patch, the duration would be 10 hours, the period would be 1 day, and the count would be 10 doses."/>
<comments
value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)."/>
<requirements
value="Some activities are not instantaneous and need to be maintained for a period of time."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.duration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase / EIVL.offset"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.durationMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.durationMax"/>
<short value="How long when it happens (Max)"/>
<definition
value="durationMax defines the maximum amount of time CAN/SHOULD take to provide a SINGLE dose of a medication to a patient. durationMax implies the usage of a range of values for the duration. For most medications, duration and durationMax is not relevant. However, one example that uses duration and durationMax would be the application of a patch for a range of time each day. The prescriber may instruct the patient to apply a patch for 10-12 hours each day for 10 days. In this case, the dose would be 1 patch, the duration would be 10 hours, the durationMax would be 12 hours, the period would be 1 day, and the count would be 10 doses."/>
<comments
value="For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise)."/>
<requirements
value="Some activities are not instantaneous and need to be maintained for a period of time."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.durationMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase / EIVL.offset"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.durationUnit">
<path value="MedicationOrder.dosageInstruction.timing.repeat.durationUnit"/>
<short value="s | min | h | d | wk | mo | a - unit of time (UCUM)"/>
<definition value="The units of time for the duration, in UCUM units."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.durationUnit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/x_timeunitsofmeasure|20230710"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase.unit"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.frequency">
<path value="MedicationOrder.dosageInstruction.timing.repeat.frequency"/>
<short value="Event occurs frequency times per period"/>
<definition
value="frequency defines the number of times to apply a single dose of a medication within a particular period. For example, the prescriber may instruct the patient to take 1 tablet 3 times per day for 10 days. In this cases, the dose would be 1 tablet, the frequency would be 3 times, the period would be 1 day, and the count would be 30 doses."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.frequency"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<defaultValueInteger value="1"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase / EIVL.offset"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.frequencyMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.frequencyMax"/>
<short value="Event occurs up to frequencyMax times per period"/>
<definition
value="frequencyMax defines the maximum number of times to apply a single dose of a medication within a particular period. Using frequencyMax implies that the frequency is a range of values. For example, the prescriber may instruct the patient to take 1 tablet 3-4 times per day for 10 days. In this cases, the dose would be 1 tablet, the frequency would be 3 times, the frequencyMax would be 4 times, the period would be 1 day, and the count would be 30 doses."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.frequencyMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.period">
<path value="MedicationOrder.dosageInstruction.timing.repeat.period"/>
<short value="Event occurs frequency times per period"/>
<definition
value="The period defines the amount of time over which the frequency of doses should occur. For example, the prescriber may instruct the patient to take 1 tablet every day for 10 days. In this case, the period is 1 day."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.periodMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.periodMax"/>
<short value="Upper limit of period (3-4 hours)"/>
<definition
value="The periodMax defines the maximum amount of time over which the frequency of doses should occur. For example, the prescriber may instruct the patient to apply one patch every 48 to 72 hours and leave the patch on for 12 hour and do this for 1 month. In this case, the dose would be one patch, the frequency would be 1, the duration would be 12 hours, the period would be 48 hours, the periodMax would be 72 hours, and the boundPeriod would be a start day of today and an end date of 2 months from now."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.periodMax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.periodUnit">
<path value="MedicationOrder.dosageInstruction.timing.repeat.periodUnit"/>
<short value="s | min | h | d | wk | mo | a - unit of time (UCUM)"/>
<definition value="The units of time for the period in UCUM units."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.repeat.periodUnit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/x_timeunitsofmeasure|20230710"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value="PIVL.phase.unit"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.when">
<path value="MedicationOrder.dosageInstruction.timing.repeat.when"/>
<short value="Regular life events the event is tied to"/>
<definition
value="A real world event that the occurrence of the event should be tied to."/>
<comments value="Use "additionalInstructions" instead"/>
<requirements
value="Timings are frequently determined by occurrences such as waking, eating and sleep."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Timing.repeat.when"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description value="Real world event that the relating to the schedule."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/event-timing"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value="EIVL.event"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.offset">
<path value="MedicationOrder.dosageInstruction.timing.repeat.offset"/>
<short value="Minutes from event (before or after)"/>
<definition
value="The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event."/>
<comments value="Use "additionalInstructions" instead"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Timing.repeat.offset"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.code">
<path value="MedicationOrder.dosageInstruction.timing.code"/>
<short value="QD | QOD | Q4H | Q6H | BID | TID | QID | AM | PM +"/>
<definition
value="A code for the timing pattern. Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing."/>
<comments
value="BID etc are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or the a structured representation should be used (in this case, specifying the two event times)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Timing.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="preferred"/>
<description value="Code for a known / defined timing pattern."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/timing-abbreviation"/>
</valueSetReference>
</binding>
<mapping>
<identity value="rim"/>
<map value="QSC.code"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.asNeeded[x]">
<path value="MedicationOrder.dosageInstruction.asNeeded[x]"/>
<short value="Take "as needed" (for x)"/>
<definition
value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept)."/>
<comments
value="Conformance Rule: This is ONLY populated when the medication is prescribed on an as needed (i.e. PRN) basis.
Conformance Rule: Set value = true
Conformance Rule: When this is specified, it is not acceptable to express the quantity exclusively as a duration/DAYS_SUPPLY. The DOSAGE_QUANTITY must be provided.
The CodeableConcept should not be used at this time. If it is present, treat it as though the boolean value is set to true."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description
value="A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc."/>
</binding>
<mapping>
<identity value="rim"/>
<map
value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.site[x]">
<path value="MedicationOrder.dosageInstruction.site[x]"/>
<slicing>
<discriminator value="$this/@type"/>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Body site to administer to"/>
<definition
value="A coded specification of the anatomic site where the medication first enters the body."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.site[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description
value="A coded concept describing the site location the medicine enters into or onto the body."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-2-Administration Site"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="approachSiteCode"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.site[x]:siteCodeableConcept">
<path value="MedicationOrder.dosageInstruction.site[x]"/>
<name value="siteCodeableConcept"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments
value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate. If not structured, this should be part of the SIG (RENDERED_DOSAGE_INSTRUCTION)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.site[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionadministrationsite|20220331"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.route">
<path value="MedicationOrder.dosageInstruction.route"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments
value="Conformance Rule: Coding should be populated if a code is available. However, text is always required."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.route"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionrouteofadministration|20190415"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.method">
<path value="MedicationOrder.dosageInstruction.method"/>
<short value="Technique for administering medication"/>
<definition
value="A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV."/>
<comments
value="Terminologies used often pre-coordinate this term with the route and or form of administration."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.method"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description
value="A coded concept describing the technique by which the medicine is administered."/>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXR-4-Administration Method"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="methodCode"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.dose[x]">
<path value="MedicationOrder.dosageInstruction.dose[x]"/>
<short value="Amount of medication per dose"/>
<definition
value="The amount of therapeutic or other substance given at one administration event."/>
<comments
value="Conformance Rule: Could be sent as part of the dosage instruction. OR for those EMRs that can support it, this should be specified."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.dose[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/>
</type>
<type>
<code value="Range"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-range-drug"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit|20220331"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map
value="RXE-23-Give Rate Amount / RXE-24.1-Give Rate Units.code / RXE-24.3-Give Rate Units.name of coding system"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="doseQuantity"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.rate[x]">
<path value="MedicationOrder.dosageInstruction.rate[x]"/>
<slicing>
<discriminator value="$this/@type"/>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Amount of medication per unit of time"/>
<definition
value="Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours."/>
<comments
value="It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationOrder with an updated rate, or captured with a new MedicationOrder with the new rate."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.rate[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXE-22-Give Per (Time Unit)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="rateQuantity"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.rate[x]:rateRatio">
<path value="MedicationOrder.dosageInstruction.rate[x]"/>
<name value="rateRatio"/>
<short value="Amount of medication per unit of time"/>
<definition
value="Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours."/>
<comments
value="It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationOrder with an updated rate, or captured with a new MedicationOrder with the new rate."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.rate[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXE-22-Give Per (Time Unit)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="rateQuantity"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.rate[x]:rateRatio.id">
<path value="MedicationOrder.dosageInstruction.rate[x].id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.rate[x]:rateRatio.extension">
<path value="MedicationOrder.dosageInstruction.rate[x].extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.rate[x]:rateRatio.numerator">
<path value="MedicationOrder.dosageInstruction.rate[x].numerator"/>
<short value="Quantity of a medication"/>
<definition
value="A measured or counted amount of a medication expressed as a value and human-readable string with optional coded units expressed in a local coding system"/>
<comments
value="Usage Note: Quantity is used throughout the messages. It may be a drug form (e.g. TAB) an administrable drug (e.g. PUFF) form or a unit of measure (e.g. mg)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Ratio.numerator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="qty-3"/>
<severity value="error"/>
<human
value="If a code for the unit is present, the system SHALL also be present"/>
<expression value="code.empty() or system.exists()"/>
<xpath value="not(exists(f:code)) or exists(f:system)"/>
</constraint>
<constraint>
<key value="sqty-1"/>
<severity value="error"/>
<human value="The comparator is not used on a SimpleQuantity"/>
<expression value="comparator.empty()"/>
<xpath value="not(exists(f:comparator))"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescribedquantityunit|20220331"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="SN (see also Range) or CQ"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ, IVL<PQ>, MO, CO, depending on the values"/>
</mapping>
</element>
<element
id="MedicationOrder.dosageInstruction.rate[x]:rateRatio.denominator">
<path value="MedicationOrder.dosageInstruction.rate[x].denominator"/>
<short value="A measured or measurable amount"/>
<definition
value="A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies."/>
<comments
value="This indicates the unit of time (e.g. per day, every 4 weeks, etc.)"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Ratio.denominator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="qty-3"/>
<severity value="error"/>
<human
value="If a code for the unit is present, the system SHALL also be present"/>
<expression value="code.empty() or system.exists()"/>
<xpath value="not(exists(f:code)) or exists(f:system)"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="SN (see also Range) or CQ"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ, IVL<PQ>, MO, CO, depending on the values"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod">
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod"/>
<short value="Upper limit on medication per unit of time"/>
<definition
value="The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours."/>
<comments
value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Ratio"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXE-4-Give Amount - Maximum / RXE-5-Give Units"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="maxDoseQuantity"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod.id">
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod.extension">
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod.numerator">
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod.numerator"/>
<short value="Quantity of a medication"/>
<definition
value="A measured or counted amount of a medication expressed as a value and human-readable string with optional coded units expressed in a local coding system"/>
<comments
value="Conformance Rule: Quantity is used throughout the messages. It may be a drug form (e.g. TAB) an adminstratable drug (e.g. PUFF) for or a unit of measure (e.g. mg). If this is provided it is mandatory to send a value from the PrescribeIT® Drug Quantity."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Ratio.numerator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="qty-3"/>
<severity value="error"/>
<human
value="If a code for the unit is present, the system SHALL also be present"/>
<expression value="code.empty() or system.exists()"/>
<xpath value="not(exists(f:code)) or exists(f:system)"/>
</constraint>
<constraint>
<key value="sqty-1"/>
<severity value="error"/>
<human value="The comparator is not used on a SimpleQuantity"/>
<expression value="comparator.empty()"/>
<xpath value="not(exists(f:comparator))"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescribedquantityunit|20220331"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="SN (see also Range) or CQ"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ, IVL<PQ>, MO, CO, depending on the values"/>
</mapping>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod.denominator">
<path
value="MedicationOrder.dosageInstruction.maxDosePerPeriod.denominator"/>
<short value="A measured or measurable amount"/>
<definition
value="A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies."/>
<comments
value="This indicates the unit of time (e.g. per day, every 4 weeks, etc.)"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Ratio.denominator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="qty-3"/>
<severity value="error"/>
<human
value="If a code for the unit is present, the system SHALL also be present"/>
<expression value="code.empty() or system.exists()"/>
<xpath value="not(exists(f:code)) or exists(f:system)"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="SN (see also Range) or CQ"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ, IVL<PQ>, MO, CO, depending on the values"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest">
<path value="MedicationOrder.dispenseRequest"/>
<short value="Medication supply authorization"/>
<definition
value="Indicates the specific details for the dispense or medication supply part of a medication order (also known as a Medication Prescription). 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 value="0"/>
<max value="0"/>
<base>
<path value="MedicationOrder.dispenseRequest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="component.supplyEvent"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.id">
<path value="MedicationOrder.dispenseRequest.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.extension">
<path value="MedicationOrder.dispenseRequest.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.modifierExtension">
<path value="MedicationOrder.dispenseRequest.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.medication[x]">
<path value="MedicationOrder.dispenseRequest.medication[x]"/>
<short value="Product to be supplied"/>
<definition
value="Identifies the medication being administered. 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."/>
<comments
value="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."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dispenseRequest.medication[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Medication"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="RXE-2-Give Code / RXO-1-Requested Give Code / RXD-2-Dispense/Give Code"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="consumable.role"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.validityPeriod">
<path value="MedicationOrder.dispenseRequest.validityPeriod"/>
<short value="Time period supply is authorized for"/>
<definition
value="This indicates the validity period of a prescription (stale dating the Prescription)."/>
<comments
value="It reflects the prescriber 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
value="Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dispenseRequest.validityPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.numberOfRepeatsAllowed">
<path value="MedicationOrder.dispenseRequest.numberOfRepeatsAllowed"/>
<short value="Number of refills authorized"/>
<definition
value="An integer indicating the number of additional times (aka refills or repeats) 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."/>
<comments
value="If displaying "number of authorized refills", subtract 1 from this number."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dispenseRequest.numberOfRepeatsAllowed"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RXE-12-Number of Refills"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="repeatNumber"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.quantity">
<path value="MedicationOrder.dispenseRequest.quantity"/>
<short value="Amount of medication to supply per dispense"/>
<definition value="The amount that is to be dispensed for one fill."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dispenseRequest.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="quantity"/>
</mapping>
</element>
<element id="MedicationOrder.dispenseRequest.expectedSupplyDuration">
<path value="MedicationOrder.dispenseRequest.expectedSupplyDuration"/>
<short value="Number of days supply per dispense"/>
<definition
value="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."/>
<comments
value="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 value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.dispenseRequest.expectedSupplyDuration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Duration"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="expectedUseTime"/>
</mapping>
</element>
<element id="MedicationOrder.substitution">
<path value="MedicationOrder.substitution"/>
<short value="Any restrictions on medication substitution"/>
<definition
value="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, and in others it does not matter. This block explains the prescriber's intent. If nothing is specified substitution may be done."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.substitution"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="subjectOf.substitutionPersmission"/>
</mapping>
</element>
<element id="MedicationOrder.substitution.id">
<path value="MedicationOrder.substitution.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.substitution.extension">
<path value="MedicationOrder.substitution.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="MedicationOrder.substitution.modifierExtension">
<path value="MedicationOrder.substitution.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
<comments
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="MedicationOrder.substitution.type">
<path value="MedicationOrder.substitution.type"/>
<short value="generic | formulary +"/>
<definition
value="A code signifying whether a different drug should be dispensed from what was prescribed."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="MedicationOrder.substitution.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description
value="A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="code"/>
</mapping>
</element>
<element id="MedicationOrder.substitution.reason">
<path value="MedicationOrder.substitution.reason"/>
<short value="Why should (not) substitution be made"/>
<definition
value="Indicates the reason for the substitution, or why substitution must or must not be performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.substitution.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description
value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="RXE-9 Substition status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="reasonCode"/>
</mapping>
</element>
<element id="MedicationOrder.priorPrescription">
<path value="MedicationOrder.priorPrescription"/>
<short value="An order/prescription that this supersedes"/>
<definition
value="A link to a resource representing an earlier order or prescription that this order supersedes."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="MedicationOrder.priorPrescription"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="MedicationOrder">
<path value="MedicationOrder"/>
<comments
value="For Task e110-m - New RX Fill Request, this conveys the details of a single medication order.
For Task e120-m - Renewal RX Fill Request, this conveys the medication order for which a fill is being requested.
For Task p160-m - RX Renewal Create Request, this conveys the details of a single medication order for which the renewal is being requested."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.id">
<path value="MedicationOrder.id"/>
<comments
value="Usage Note: This will usually be a GUID and is assigned by the sending application."/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.contained">
<path value="MedicationOrder.contained"/>
<comments
value="Conformance Rule: This will be used to contain the Medication resource. No other resources should be 'contained'."/>
<min value="1"/>
<max value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.extension">
<path value="MedicationOrder.extension"/>
<slicing>
<discriminator value="url"/>
<rules value="open"/>
</slicing>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.extension:renderedDosageInstruction">
<path value="MedicationOrder.extension"/>
<name value="renderedDosageInstruction"/>
<definition
value="This represents the complete instruction on how the discontinued medication was to be taken by the patient. This is made up of 'Ad-hoc instructions' and/or the 'textual rendition of the elements within the structured dosage lines'"/>
<comments
value="Usage Note: This will be populated by the EMR and will reflect the instructions of the discontinued medication as it was provided on the original prescription or or as entered by the prescriber on a standalone discontinue order.
Conformance Rule: The rendered dosage instruction element in the message must contain ALL dosage instructions that are supported. This field must include ALL the information contained in the structured dosage instructions fields that are supported and populated, (such as dosage quantity, dosage unit, frequency, frequency period administration start/end date, route, site of admin etc.) as well as any additional patient instructions fields that may be supported and populated (e.g. take with food, starting one day before dental appointment).
Conformance Rule: If an EMR has discrete field for Pharmacy Notes (Dispenser Instructions), they should not be included here. If EMR's have both concepts combined into one instruction field, then those instructions must be included as part of the rendered dosage instructions."/>
<requirements
value="Allows the provider to verify the codified structured dosage information entered and ensure that the exploded instruction is consistent with the intended instructions. Also useful in bringing back administration instructions on query responses. This is mandatory as dosage instructions must always be available in rendered form."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.extension:protocol">
<path value="MedicationOrder.extension"/>
<name value="protocol"/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<max value="10"/>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.extension:treatmentType">
<path value="MedicationOrder.extension"/>
<name value="treatmentType"/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.extension:supportingInformation">
<path value="MedicationOrder.extension"/>
<name value="supportingInformation"/>
<max value="3"/>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-supportinginfo"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier">
<path value="MedicationOrder.identifier"/>
<slicing>
<discriminator value="type/@pattern"/>
<rules value="open"/>
</slicing>
<comments
value="These are the identifiers assigned by the EMR and, in some cases, by the DIS."/>
<min value="1"/>
<max value="3"/>
<type>
<code value="Identifier"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-identifier"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier:EMR-id">
<path value="MedicationOrder.identifier"/>
<name value="EMR-id"/>
<short value="EMR Prescription Identifier"/>
<comments
value="In the context of a new prescription (e110, e120, e162, or e163), this Prescription business identifier is generated by the EMR.
In the context of a Cancel Rx Fill Request (e140), this Prescription Identifier should be populated with the same Rx that was included in the original new prescription message (e110, e120, e162, or e163).
In the context of a Discontinue Rx Fill Request (e150), this Prescription Identifier should be populated with the same Rx that was included in the original new prescription message (e110, e120, e162, e163, or e180).
In the context of a Renewal Request (p160), this Prescription business Identifier is for the prescription that is being requested to be renewed. In most cases, this will be a value that was originally generated by the EMR. However, in some cases (e.g. the renewal of a paper/fax prescription), there will be no EMR generated prescription identifier, and in this case, the PMS should generate its own Prescription business identifier.
In the context of an Rx Response - Denied (e161), or an Rx Response - Under Review (e164), this Prescription Identifier should be populated with the MedicationOrder.identifier(EMR-id) provided in the Renewal Request (p160)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-identifier-prescription"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier:EMR-id.type">
<path value="MedicationOrder.identifier.type"/>
<min value="1"/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/identifier-type"/>
<code value="PLAC"/>
</coding>
</patternCodeableConcept>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier:DIS-id">
<path value="MedicationOrder.identifier"/>
<name value="DIS-id"/>
<short value="DIS Order identifier"/>
<comments
value="In the context of Tasks e110, e120, e162, e163, and e180, this identifier will not be present in the message transmitted from the EMR to the PrescribeIT® Switch. As the message passes through the PrescribeIT® Switch in a jurisdiction which has a Drug Information System (DIS), the PrescribeIT® Switch will add the DIS's identifier to the MedicationOrder. PMS is to use this identifier to record the dispense event against the correct DIS Prescription identifier, if possible.
In the context of Tasks e140 and p160, this is not applicable."/>
<max value="2"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier:DIS-id.type">
<path value="MedicationOrder.identifier.type"/>
<min value="1"/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="RRI"/>
</coding>
</patternCodeableConcept>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier:DIS-id.system">
<path value="MedicationOrder.identifier.system"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.identifier:DIS-id.value">
<path value="MedicationOrder.identifier.value"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.status">
<path value="MedicationOrder.status"/>
<comments value="Fixed value: active"/>
<min value="1"/>
<fixedCode value="active"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.medicationReference">
<path value="MedicationOrder.medicationReference"/>
<comments
value="Usage Note: this is populated with the reference to the Medication resource pertaining to this Medication Order. It will point to the 'contained' Medication resource. This will reference the medication id value without the '#' "/>
<type>
<extension
url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
<valueUri
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
</extension>
<code value="Reference"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/profile-medication"/>
<aggregation value="contained"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.patient">
<path value="MedicationOrder.patient"/>
<comments
value="Usage Note: This must point to the patient associated with the message."/>
<min value="1"/>
<type>
<extension
url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
<valueUri
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
</extension>
<code value="Reference"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-patient"/>
<aggregation value="bundled"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.reasonCode">
<path value="MedicationOrder.reasonCode"/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<max value="5"/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionindicationforuse|20220331"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.reasonCode.text">
<path value="MedicationOrder.reasonCode.text"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.note">
<path value="MedicationOrder.note"/>
<comments
value="Conformance Rule: This element is not supported and must not be populated or included when the sender is sending the discontinue, therefore the receiver will never need to display this value."/>
<max value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.note.text">
<path value="MedicationOrder.note.text"/>
<maxLength value="2500"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction">
<path value="MedicationOrder.dosageInstruction"/>
<comments
value="Conformance Rule: For EMRs that can support structured dosage instruction, this element must be populated when the prescriber specifies any of structured dosage information. Anything that is populated as part of the structured dosage information must also be part of the RENDERED_DOSAGE_INSTRUCTION element.
Usage Note: An Excel spreadsheet providing guidance on how to populate dosage instructions can be found under 'Scope and Usage'.
When the dose or rate is intended to change over the entire administration period, e.g. Tapering dose prescriptions, multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. Another common example in institutional settings is 'titration' of an IV medication dose to maintain a specific stated hemodynamic value or range e.g. drug x to be administered to maintain AM (arterial mean) greater than 65."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.extension">
<path value="MedicationOrder.dosageInstruction.extension"/>
<slicing>
<discriminator value="url"/>
<rules value="open"/>
</slicing>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.extension:sequence">
<path value="MedicationOrder.dosageInstruction.extension"/>
<name value="sequence"/>
<definition value="Optional Extensions Element - found in all resources."/>
<comments
value="Conformance Rule: This must match the positional sequence of the dosageInstruction repetition. I.e. The first dosageInstruction repetition must have a 'sequence' value of 1, the second a 'sequence' value of 2, etc."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-dosageinstruction-sequence"/>
</type>
<mustSupport value="true"/>
</element>
<element
id="MedicationOrder.dosageInstruction.extension:instructionRelationship">
<path value="MedicationOrder.dosageInstruction.extension"/>
<name value="instructionRelationship"/>
<definition value="Optional Extensions Element - found in all resources."/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dosageinstruction-relationship"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.text">
<path value="MedicationOrder.dosageInstruction.text"/>
<comments
value="Conformance Rule: When providing multiple dosage lines can be expressed individually. All dosage lines (full text content) must be concatenated into MedicationOrder.extension(renderedDosageInstruction) as PMS will not be forced to support the receipt of individual lines.
Usage Note: This is a string composed of any available discrete MedicationOrder.dosageInstruction child elements such as timing, asNeeded[x], siteCodeableConcept, route, dose[x], rate[x], and maxDosePerPeriod for each repetition sequence line.
Example: Prednisone; variable dosage instruction, or concurrent instructions (1 pill morning and 1 pill before bed) or sequential dosages (1 pill for 2 days, then 2 pills)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.additionalInstructions">
<path value="MedicationOrder.dosageInstruction.additionalInstructions"/>
<comments
value="Conformance Rule: When providing an additional instruction at the dosage line level (complex), this should be populated when appropriate.
Usage Note: It may be necessary for the EMR to parse instructions such as QHS (take at bedtime), into two data elements DOSAGE_TIMING_FREQUENCY = once a day and 'at bedtime' would be placed into this field."/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.additionalInstructions.text">
<path
value="MedicationOrder.dosageInstruction.additionalInstructions.text"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing">
<path value="MedicationOrder.dosageInstruction.timing"/>
<definition
value="The timing schedule on how the patient is to take the medication. The timing schedules allows many different expressions to be expressed. For example: Every 8 hours, Three times a day, 1/2 an hour before breakfast for 10 days from 17 Oct 2017 to 27 Oct 2017"/>
<comments
value="Conformance Rule: For EMRs that can support structured dosage instruction, this must be populated if prescriber specifies any of structured timing information. Anything that is populated as part of the structured timing information must also be part of the RENDERED_DOSAGE_INSTRUCTION.
Usage Note: An Excel spreadsheet providing guidance on how to populate dosage instructions can be found under 'Scope and Usage'."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.event">
<path value="MedicationOrder.dosageInstruction.timing.event"/>
<max value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat">
<path value="MedicationOrder.dosageInstruction.timing.repeat"/>
<comments
value="Conformance Rule: If an EMR cannot send discrete elements in all cases for timing.repeat element, this is acceptable as long as RENDERED_DOSAGE_INSTRUCTION captures the timing."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.bounds[x]">
<path value="MedicationOrder.dosageInstruction.timing.repeat.bounds[x]"/>
<definition
value="boundsPeriod defines the start and/or end date of the period over which the specified instruction should take place for a given dosage line. For example, if the prescriber wants a patient to start taking the medication starting the day before surgery, and the surgery is scheduled for Feb 16th 2019, the start date within bounds period would be Feb 15 2019. The end date can be included if the prescriber wants the patient to stop medication after a certain number of days. In the example above lets say the prescriber wants to the patient to stop the medication after 10 days the end date would Feb 26 2019.
boundsDuration defines the amount of time that the patient should be taking the specified instruction for a given dosage line. As an example, a prescription may call for taking 1-2 pills per day for 10 days. The boundsDuration would be 10 days.
boundsRange defines a minimum and maximum amount of time that the patient should be taking the specified instruction for a given dosage line. As an example, a prescriber may indicate that a patient should apply a cream 2 times per day for a minimum of 10 days but if the rash persists, continue applying for up to 14 days. In this case the minimum for boundsRange would be 10 days and the maximum for boundsRange would be 14 days."/>
<type>
<code value="Period"/>
</type>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-duration"/>
</type>
<type>
<code value="Range"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.count">
<path value="MedicationOrder.dosageInstruction.timing.repeat.count"/>
<definition
value="count defines how many time the dosing activities should be repeated across all periods. For example, if a prescriber wants a patient to take 1 pill morning and night every day for 10 days, the dose is 1 pill, the frequency is 2 per day, the period is one day, and the count is 20 doses (corresponding to 10 days times 2 doses per day)."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.countMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.countMax"/>
<definition
value="countMax defines the max number of doses that should be taken across all periods within a dosage line. countMax is only used when the count is expressed as a range of values. For example, if a prescriber wants a patient to take a dose of 2 pills per day for 7-10 days, the dose is 2 pills, the frequency is 1 dose per day, the period is 1 days, the count is 7 doses, and the countMax is 10 doses."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.duration">
<path value="MedicationOrder.dosageInstruction.timing.repeat.duration"/>
<definition
value="duration defines the amount of time it takes to provide a SINGLE dose of a medication to a patient. For most medications, duration is not relevant. However, one example that uses duration would be the application of a patch. The prescriber may instruct the patient to apply a patch for 10 hours each day for 10 days. In this case, the dose would be 1 patch, the duration would be 10 hours, the period would be 1 day, and the count would be 10 doses."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.durationMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.durationMax"/>
<definition
value="durationMax defines the maximum amount of time CAN/SHOULD take to provide a SINGLE dose of a medication to a patient. durationMax implies the usage of a range of values for the duration. For most medications, duration and durationMax is not relevant. However, one example that uses duration and durationMax would be the application of a patch for a range of time each day. The prescriber may instruct the patient to apply a patch for 10-12 hours each day for 10 days. In this case, the dose would be 1 patch, the duration would be 10 hours, the durationMax would be 12 hours, the period would be 1 day, and the count would be 10 doses."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.durationUnit">
<path value="MedicationOrder.dosageInstruction.timing.repeat.durationUnit"/>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/x_timeunitsofmeasure|20230710"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.frequency">
<path value="MedicationOrder.dosageInstruction.timing.repeat.frequency"/>
<definition
value="frequency defines the number of times to apply a single dose of a medication within a particular period. For example, the prescriber may instruct the patient to take 1 tablet 3 times per day for 10 days. In this cases, the dose would be 1 tablet, the frequency would be 3 times, the period would be 1 day, and the count would be 30 doses."/>
<defaultValueInteger value="1"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.frequencyMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.frequencyMax"/>
<definition
value="frequencyMax defines the maximum number of times to apply a single dose of a medication within a particular period. Using frequencyMax implies that the frequency is a range of values. For example, the prescriber may instruct the patient to take 1 tablet 3-4 times per day for 10 days. In this cases, the dose would be 1 tablet, the frequency would be 3 times, the frequencyMax would be 4 times, the period would be 1 day, and the count would be 30 doses."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.period">
<path value="MedicationOrder.dosageInstruction.timing.repeat.period"/>
<definition
value="The period defines the amount of time over which the frequency of doses should occur. For example, the prescriber may instruct the patient to take 1 tablet every day for 10 days. In this case, the period is 1 day."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.periodMax">
<path value="MedicationOrder.dosageInstruction.timing.repeat.periodMax"/>
<definition
value="The periodMax defines the maximum amount of time over which the frequency of doses should occur. For example, the prescriber may instruct the patient to apply one patch every 48 to 72 hours and leave the patch on for 12 hour and do this for 1 month. In this case, the dose would be one patch, the frequency would be 1, the duration would be 12 hours, the period would be 48 hours, the periodMax would be 72 hours, and the boundPeriod would be a start day of today and an end date of 2 months from now."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.periodUnit">
<path value="MedicationOrder.dosageInstruction.timing.repeat.periodUnit"/>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/x_timeunitsofmeasure|20230710"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.when">
<path value="MedicationOrder.dosageInstruction.timing.repeat.when"/>
<comments value="Use "additionalInstructions" instead"/>
<max value="0"/>
</element>
<element id="MedicationOrder.dosageInstruction.timing.repeat.offset">
<path value="MedicationOrder.dosageInstruction.timing.repeat.offset"/>
<comments value="Use "additionalInstructions" instead"/>
<max value="0"/>
</element>
<element id="MedicationOrder.dosageInstruction.asNeeded[x]">
<path value="MedicationOrder.dosageInstruction.asNeeded[x]"/>
<comments
value="Conformance Rule: This is ONLY populated when the medication is prescribed on an as needed (i.e. PRN) basis.
Conformance Rule: Set value = true
Conformance Rule: When this is specified, it is not acceptable to express the quantity exclusively as a duration/DAYS_SUPPLY. The DOSAGE_QUANTITY must be provided.
The CodeableConcept should not be used at this time. If it is present, treat it as though the boolean value is set to true."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.siteCodeableConcept">
<path value="MedicationOrder.dosageInstruction.siteCodeableConcept"/>
<comments
value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate. If not structured, this should be part of the SIG (RENDERED_DOSAGE_INSTRUCTION)"/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionadministrationsite|20220331"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.route">
<path value="MedicationOrder.dosageInstruction.route"/>
<comments
value="Conformance Rule: Coding should be populated if a code is available. However, text is always required."/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-text-required-with-code"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionrouteofadministration|20190415"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.dose[x]">
<path value="MedicationOrder.dosageInstruction.dose[x]"/>
<comments
value="Conformance Rule: Could be sent as part of the dosage instruction. OR for those EMRs that can support it, this should be specified."/>
<type>
<code value="Quantity"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/>
</type>
<type>
<code value="Range"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-range-drug"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit|20220331"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.rateRatio">
<path value="MedicationOrder.dosageInstruction.rateRatio"/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.rateRatio.numerator">
<path value="MedicationOrder.dosageInstruction.rateRatio.numerator"/>
<min value="1"/>
<type>
<code value="Quantity"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescribedquantityunit|20220331"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.rateRatio.denominator">
<path value="MedicationOrder.dosageInstruction.rateRatio.denominator"/>
<comments
value="This indicates the unit of time (e.g. per day, every 4 weeks, etc.)"/>
<min value="1"/>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod">
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod"/>
<comments
value="Conformance Rule: When providing a structured SIG, this should be populated when appropriate."/>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod.numerator">
<path value="MedicationOrder.dosageInstruction.maxDosePerPeriod.numerator"/>
<comments
value="Conformance Rule: Quantity is used throughout the messages. It may be a drug form (e.g. TAB) an adminstratable drug (e.g. PUFF) for or a unit of measure (e.g. mg). If this is provided it is mandatory to send a value from the PrescribeIT® Drug Quantity."/>
<min value="1"/>
<type>
<code value="Quantity"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/dtprofile-quantity-drug-admin"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescribedquantityunit|20220331"/>
</valueSetReference>
</binding>
</element>
<element id="MedicationOrder.dosageInstruction.maxDosePerPeriod.denominator">
<path
value="MedicationOrder.dosageInstruction.maxDosePerPeriod.denominator"/>
<comments
value="This indicates the unit of time (e.g. per day, every 4 weeks, etc.)"/>
<min value="1"/>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/>
</type>
<mustSupport value="true"/>
</element>
<element id="MedicationOrder.dispenseRequest">
<path value="MedicationOrder.dispenseRequest"/>
<max value="0"/>
</element>
</differential>
</StructureDefinition>