Prepare 0.4.0: DGDA Drug and LOINC Integration
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// @Name: Profile
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// @Description: Example of a profile of the MedicationRequest resource. This example includes a few of the most commonly used constraints and documentation features of FHIR profiles.
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Profile: BDMedicationRequest
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Id: bd-medication-request
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Parent: MedicationRequest
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Title: "Medication Request Profile for Bangladesh-V2"
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Description: "Profile of MedicationRequest Bangladesh Standard V2"
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Title: "Medication Request Profile for Bangladesh"
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Description: """
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Profile of the MedicationRequest resource for the Bangladesh National Health
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Information Exchange (HIE). Prescriptions must reference a `BDMedication`
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resource coded against the DGDA Drug Registry, ensuring all prescribed
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medications are traceable to DGDA-registered drug products.
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This profile constrains medication references to `BDMedication` only.
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Inline `medicationCodeableConcept` is not permitted — all medication data
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must be carried in a referenced `BDMedication` resource to support ingredient
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coding for IPS and cross-border data exchange.
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Route of administration is coded using HL7 v3 RouteOfAdministration served
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via the national OCL terminology server.
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"""
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* identifier 1..* MS
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* identifier ^short = "Prescription identifier"
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* identifier ^definition = """
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Business identifier for this prescription. At least one identifier is required
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to support prescription tracking within the Bangladesh HIE.
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"""
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* identifier 1..*
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* medication[x] 1..1 MS
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* medication[x] only Reference(BDMedication) or CodeableConcept
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* medication[x] only Reference(BDMedication)
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* medication[x] ^short = "Reference to DGDA-registered medication"
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* medication[x] ^definition = """
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Reference to a BDMedication resource identifying the prescribed drug product.
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The referenced BDMedication must carry a valid DGDA drug registry code.
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Inline CodeableConcept is not permitted in this profile.
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"""
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* subject 1..1 MS
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* subject only Reference(BDPatientProfile)
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* subject ^short = "Patient for whom the medication is prescribed"
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* encounter 0..1 MS
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* encounter only Reference(BDEncounterProfile)
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* encounter ^definition = "The encounter during which this prescription was created."
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* authoredOn 1..1
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* requester 1..1
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* encounter ^short = "Encounter during which this prescription was created"
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* encounter ^definition = """
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The encounter during which this prescription was created. Should be populated
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for inpatient and outpatient prescriptions where an encounter record exists.
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"""
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* authoredOn 1..1 MS
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* authoredOn ^short = "Date and time the prescription was authored"
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* requester 1..1 MS
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* requester only Reference(BDPractitioner or BDOrganization)
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* requester ^short = "Practitioner or organisation that authored the prescription"
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* reportedReference only Reference(BDPractitioner or BDOrganization or BDPatientProfile)
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* requester only Reference(BDPractitioner or BDOrganization)
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* priorPrescription only Reference(BDMedicationRequest)
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* basedOn only Reference(BDMedicationRequest or ServiceRequest or CarePlan or ImmunizationRecommendation)
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* priorPrescription ^short = "Reference to a prior prescription this replaces"
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* basedOn only Reference(BDMedicationRequest or ServiceRequest or CarePlan or ImmunizationRecommendation)
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* basedOn ^short = "Plan or request this prescription is based on"
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* dosageInstruction.route from BDRouteOfAdministrationVS (required)
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* dosageInstruction.route ^short = "Route of administration coded using HL7 v3 RouteOfAdministration"
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