{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Medicationmanagement-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-medicationmanagement-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-ACTION.medication.v1"
    }
  ],
  "version": "0",
  "name": "Medicationmanagement",
  "title": "Medication management",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Any activity related to the planning, scheduling, prescription management, dispensing, administration, cessation and other use of a medication, vaccine, nutritional product or other therapeutic item.",
  "purpose": "For recording details about any activity related to the planning, scheduling, prescription management, dispensing, administration, cessation and other use of a medication, vaccine, nutritional product or other therapeutic item.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Medication_management",
        "path": "Medication_management",
        "short": "Medication management",
        "definition": "Any activity related to the planning, scheduling, prescription management, dispensing, administration, cessation and other use of a medication, vaccine, nutritional product or other therapeutic item.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Medication_management",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.protocol",
        "path": "Medication_management.protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.protocol.Order_ID",
        "path": "Medication_management.protocol.Order_ID",
        "short": "Order ID",
        "definition": "Unique identifier for the medication order.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.protocol.Order_ID",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Medication_management.protocol.Order_ID.value",
        "path": "Medication_management.protocol.Order_ID.value",
        "short": "Order ID",
        "definition": "Unique identifier for the medication order.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.protocol.Order_ID.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.protocol.Extension",
        "path": "Medication_management.protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description",
        "path": "Medication_management.description",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Medication_item",
        "path": "Medication_management.description.Medication_item",
        "short": "Medication item",
        "definition": "Name of the medication, vaccine or other therapeutic/prescribable item which was the focus of the activity.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Medication_item",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Medication_item.value",
        "path": "Medication_management.description.Medication_item.value",
        "short": "Medication item",
        "definition": "Name of the medication, vaccine or other therapeutic/prescribable item which was the focus of the activity.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Medication_item.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Medication_details",
        "path": "Medication_management.description.Medication_details",
        "short": "Medication details",
        "definition": "Structured details about the medication including strength, form and constituent substances.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Medication_details",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Amount",
        "path": "Medication_management.description.Amount",
        "short": "Amount",
        "definition": "Specific details about the amount of the medication item.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Amount",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Clinical_indication",
        "path": "Medication_management.description.Clinical_indication",
        "short": "Clinical indication",
        "definition": "The clinical reason for the medication activity.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Clinical_indication",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Clinical_indication.value",
        "path": "Medication_management.description.Clinical_indication.value",
        "short": "Clinical indication",
        "definition": "The clinical reason for the medication activity.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Clinical_indication.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Substitution",
        "path": "Medication_management.description.Substitution",
        "short": "Substitution",
        "definition": "Subsitution action taken by the person administering or dispensing the drug.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Substitution",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Substitution.value",
        "path": "Medication_management.description.Substitution.value",
        "short": "Substitution",
        "definition": "Subsitution action taken by the person administering or dispensing the drug.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Substitution.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Substitution_reason",
        "path": "Medication_management.description.Substitution_reason",
        "short": "Substitution reason",
        "definition": "The reason or justification for the substitution action taken.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Substitution_reason",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Substitution_reason.value",
        "path": "Medication_management.description.Substitution_reason.value",
        "short": "Substitution reason",
        "definition": "The reason or justification for the substitution action taken.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Substitution_reason.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Original_scheduled_date_time",
        "path": "Medication_management.description.Original_scheduled_date_time",
        "short": "Original scheduled date/time",
        "definition": "The datetime at which the medication action was scheduled to occur.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Original_scheduled_date_time",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Original_scheduled_date_time.value",
        "path": "Medication_management.description.Original_scheduled_date_time.value",
        "short": "Original scheduled date/time",
        "definition": "The datetime at which the medication action was scheduled to occur.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Original_scheduled_date_time.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Restart_date_time",
        "path": "Medication_management.description.Restart_date_time",
        "short": "Restart date/time",
        "definition": "The date/time on which the medication course is set to restart, as per the \\\"Administrations suspended\\\" pathway step.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Restart_date_time",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Restart_date_time.value",
        "path": "Medication_management.description.Restart_date_time.value",
        "short": "Restart date/time",
        "definition": "The date/time on which the medication course is set to restart, as per the \\\"Administrations suspended\\\" pathway step.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Restart_date_time.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Restart_criterion",
        "path": "Medication_management.description.Restart_criterion",
        "short": "Restart criterion",
        "definition": "The criterion which triggers the medication course to restart, as per the \\\"Administrations suspended\\\" pathway step.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Restart_criterion",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Restart_criterion.value",
        "path": "Medication_management.description.Restart_criterion.value",
        "short": "Restart criterion",
        "definition": "The criterion which triggers the medication course to restart, as per the \\\"Administrations suspended\\\" pathway step.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Restart_criterion.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Reason",
        "path": "Medication_management.description.Reason",
        "short": "Reason",
        "definition": "Reason that the pathway step for the identified medication was carried out.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.description.Reason",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Medication_management.description.Reason.value",
        "path": "Medication_management.description.Reason.value",
        "short": "Reason",
        "definition": "Reason that the pathway step for the identified medication was carried out.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Reason.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Administration_details",
        "path": "Medication_management.description.Administration_details",
        "short": "Administration details",
        "definition": "Details of body site and administration of the medication.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Administration_details.Route",
        "path": "Medication_management.description.Administration_details.Route",
        "short": "Route",
        "definition": "The route by which the ordered item was, or is to be, administered into the subject's body.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details.Route",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Administration_details.Route.value",
        "path": "Medication_management.description.Administration_details.Route.value",
        "short": "Route",
        "definition": "The route by which the ordered item was, or is to be, administered into the subject's body.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details.Route.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Administration_details.Body_site",
        "path": "Medication_management.description.Administration_details.Body_site",
        "short": "Body site",
        "definition": "Structured description of the site of administration of the ordered item.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details.Body_site",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Administration_details.Body_site.value",
        "path": "Medication_management.description.Administration_details.Body_site.value",
        "short": "Body site",
        "definition": "Structured description of the site of administration of the ordered item.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details.Body_site.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Administration_details.Structured_body_site",
        "path": "Medication_management.description.Administration_details.Structured_body_site",
        "short": "Structured body site",
        "definition": "Structured description of the site of administration of the medication, vaccine or therapeutic good.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details.Structured_body_site",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Administration_details.Administration_method",
        "path": "Medication_management.description.Administration_details.Administration_method",
        "short": "Administration method",
        "definition": "The technique or device by which the ordered item was, or is to be, administered.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.description.Administration_details.Administration_method",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Medication_management.description.Administration_details.Administration_method.value",
        "path": "Medication_management.description.Administration_details.Administration_method.value",
        "short": "Administration method",
        "definition": "The technique or device by which the ordered item was, or is to be, administered.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Administration_details.Administration_method.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Administration_details.Administration_device",
        "path": "Medication_management.description.Administration_details.Administration_device",
        "short": "Administration device",
        "definition": "Details of the medical device used to assist administration of the medication.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.description.Administration_details.Administration_device",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Additional_details",
        "path": "Medication_management.description.Additional_details",
        "short": "Additional details",
        "definition": "Further structured details of the action, possibly specific to a pathway step.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.description.Additional_details",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Patient_guidance",
        "path": "Medication_management.description.Patient_guidance",
        "short": "Patient guidance",
        "definition": "Any guidance, instructions or advice given to the subject of care or personal carer at the time of the pathway step.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Medication_management.description.Patient_guidance",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Medication_management.description.Patient_guidance.value",
        "path": "Medication_management.description.Patient_guidance.value",
        "short": "Patient guidance",
        "definition": "Any guidance, instructions or advice given to the subject of care or personal carer at the time of the pathway step.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Patient_guidance.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Double_checked_",
        "path": "Medication_management.description.Double_checked_",
        "short": "Double-checked?",
        "definition": "The pathway step has been checked by a separate individual.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Double_checked_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Double_checked_.value",
        "path": "Medication_management.description.Double_checked_.value",
        "short": "Double-checked?",
        "definition": "The pathway step has been checked by a separate individual.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Double_checked_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Sequence_number",
        "path": "Medication_management.description.Sequence_number",
        "short": "Sequence number",
        "definition": "The sequence number specific to the pathway step being recorded.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Sequence_number",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Sequence_number.value",
        "path": "Medication_management.description.Sequence_number.value",
        "short": "Sequence number",
        "definition": "The sequence number specific to the pathway step being recorded.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Sequence_number.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.description.Comment",
        "path": "Medication_management.description.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the activity or pathway step not captured in other fields, including details of any variance between the intended action and the action actually performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Medication_management.description.Comment.value",
        "path": "Medication_management.description.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the activity or pathway step not captured in other fields, including details of any variance between the intended action and the action actually performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.description.Comment.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Medication_recommended",
        "path": "Medication_management.Medication_recommended",
        "short": "Medication recommended",
        "definition": "The medication has been recommended but no steps have been taken to initiate prescribing.",
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        "definition": "A prescription has been issued for the medication.",
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        "short": "Prescription issued",
        "definition": "A prescription has been issued for the medication.",
        "min": 0,
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      {
        "id": "Medication_management.Prescription_dispensed",
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        "short": "Prescription dispensed",
        "definition": "The ordered medication has been dispensed, for example from a pharmacy to the patient.",
        "min": 0,
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        "min": 0,
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        "min": 0,
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      {
        "id": "Medication_management.Prescription_re_issued",
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        "short": "Prescription re-issued",
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        "short": "Prescription re-issued",
        "definition": "A prescription has been re-issued for an existing medication order.",
        "min": 0,
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        "id": "Medication_management.ism_transition_Prescription_re_issued.careflow_step",
        "path": "Medication_management.ism_transition_Prescription_re_issued.careflow_step",
        "short": "Prescription re-issued",
        "definition": "A prescription has been re-issued for an existing medication order.",
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      {
        "id": "Medication_management.Medication_prepared",
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        "short": "Medication prepared",
        "definition": "The medication has been physically prepared. For example: preparation of an intravenous mixture.",
        "min": 0,
        "max": "1",
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        "min": 0,
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      {
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        "short": "Medication prepared",
        "definition": "The medication has been physically prepared. For example: preparation of an intravenous mixture.",
        "min": 0,
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        "definition": "The medication has been taken by, or administered to, the patient for the first time. Although in some settings this significant date may be computable as the first of several administrations, in other settings, such as primary care, specific administration dates are not readily available.",
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          "path": "Medication_management.Medication_course_commenced",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Medication_course_commenced.current_state",
        "path": "Medication_management.ism_transition_Medication_course_commenced.current_state",
        "short": "Medication course commenced",
        "definition": "The medication has been taken by, or administered to, the patient for the first time. Although in some settings this significant date may be computable as the first of several administrations, in other settings, such as primary care, specific administration dates are not readily available.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Medication_course_commenced.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Medication_course_commenced.careflow_step",
        "path": "Medication_management.ism_transition_Medication_course_commenced.careflow_step",
        "short": "Medication course commenced",
        "definition": "The medication has been taken by, or administered to, the patient for the first time. Although in some settings this significant date may be computable as the first of several administrations, in other settings, such as primary care, specific administration dates are not readily available.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Medication_course_commenced.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Minor_change_to_order",
        "path": "Medication_management.Minor_change_to_order",
        "short": "Minor change to order",
        "definition": "The medication order has been changed in a manner which does not require a new instruction/order to be issued, according to local clinical rules.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Minor_change_to_order",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Minor_change_to_order.current_state",
        "path": "Medication_management.ism_transition_Minor_change_to_order.current_state",
        "short": "Minor change to order",
        "definition": "The medication order has been changed in a manner which does not require a new instruction/order to be issued, according to local clinical rules.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Minor_change_to_order.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Minor_change_to_order.careflow_step",
        "path": "Medication_management.ism_transition_Minor_change_to_order.careflow_step",
        "short": "Minor change to order",
        "definition": "The medication order has been changed in a manner which does not require a new instruction/order to be issued, according to local clinical rules.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Minor_change_to_order.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Medication_reassessed",
        "path": "Medication_management.Medication_reassessed",
        "short": "Medication reassessed",
        "definition": "The individual medication has been reassessed, for example whether the medication should still be taken. This is not intended to capture review of the medication list.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Medication_reassessed",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Medication_reassessed.current_state",
        "path": "Medication_management.ism_transition_Medication_reassessed.current_state",
        "short": "Medication reassessed",
        "definition": "The individual medication has been reassessed, for example whether the medication should still be taken. This is not intended to capture review of the medication list.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Medication_reassessed.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Medication_reassessed.careflow_step",
        "path": "Medication_management.ism_transition_Medication_reassessed.careflow_step",
        "short": "Medication reassessed",
        "definition": "The individual medication has been reassessed, for example whether the medication should still be taken. This is not intended to capture review of the medication list.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Medication_reassessed.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Dose_administered",
        "path": "Medication_management.Dose_administered",
        "short": "Dose administered",
        "definition": "A single administration of the medication has taken place.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Dose_administered",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Dose_administered.current_state",
        "path": "Medication_management.ism_transition_Dose_administered.current_state",
        "short": "Dose administered",
        "definition": "A single administration of the medication has taken place.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Dose_administered.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Dose_administered.careflow_step",
        "path": "Medication_management.ism_transition_Dose_administered.careflow_step",
        "short": "Dose administered",
        "definition": "A single administration of the medication has taken place.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Dose_administered.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Dose_administration_omitted",
        "path": "Medication_management.Dose_administration_omitted",
        "short": "Dose administration omitted",
        "definition": "An administration of the medication has been withheld and not given. There is no expectation that it will be given later, though the next dose (if any) should be administered according to the original order.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Dose_administration_omitted",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Dose_administration_omitted.current_state",
        "path": "Medication_management.ism_transition_Dose_administration_omitted.current_state",
        "short": "Dose administration omitted",
        "definition": "An administration of the medication has been withheld and not given. There is no expectation that it will be given later, though the next dose (if any) should be administered according to the original order.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Dose_administration_omitted.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Dose_administration_omitted.careflow_step",
        "path": "Medication_management.ism_transition_Dose_administration_omitted.careflow_step",
        "short": "Dose administration omitted",
        "definition": "An administration of the medication has been withheld and not given. There is no expectation that it will be given later, though the next dose (if any) should be administered according to the original order.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Dose_administration_omitted.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Dose_administration_deferred",
        "path": "Medication_management.Dose_administration_deferred",
        "short": "Dose administration deferred",
        "definition": "An administration of a dose of the medication has been delayed but is expected to be given as soon as possible.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Dose_administration_deferred",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Dose_administration_deferred.current_state",
        "path": "Medication_management.ism_transition_Dose_administration_deferred.current_state",
        "short": "Dose administration deferred",
        "definition": "An administration of a dose of the medication has been delayed but is expected to be given as soon as possible.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Dose_administration_deferred.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Dose_administration_deferred.careflow_step",
        "path": "Medication_management.ism_transition_Dose_administration_deferred.careflow_step",
        "short": "Dose administration deferred",
        "definition": "An administration of a dose of the medication has been delayed but is expected to be given as soon as possible.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Dose_administration_deferred.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Prescription_supply_delayed",
        "path": "Medication_management.Prescription_supply_delayed",
        "short": "Prescription supply delayed",
        "definition": "The prescription has not been dispensed due to a technical or pharamaceutical supply issue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Prescription_supply_delayed",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Prescription_supply_delayed.current_state",
        "path": "Medication_management.ism_transition_Prescription_supply_delayed.current_state",
        "short": "Prescription supply delayed",
        "definition": "The prescription has not been dispensed due to a technical or pharamaceutical supply issue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Prescription_supply_delayed.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Prescription_supply_delayed.careflow_step",
        "path": "Medication_management.ism_transition_Prescription_supply_delayed.careflow_step",
        "short": "Prescription supply delayed",
        "definition": "The prescription has not been dispensed due to a technical or pharamaceutical supply issue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Prescription_supply_delayed.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Administrations_suspended",
        "path": "Medication_management.Administrations_suspended",
        "short": "Administrations suspended",
        "definition": "The administration of the medication has been suspended until further notice. No further doses should be given until the restart date or conditions have been met. When setting the date/conditions for restart after suspending, a step from ‘Administrations suspended’ and back to 'Medication start date/condition set' should be performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Administrations_suspended",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Administrations_suspended.current_state",
        "path": "Medication_management.ism_transition_Administrations_suspended.current_state",
        "short": "Administrations suspended",
        "definition": "The administration of the medication has been suspended until further notice. No further doses should be given until the restart date or conditions have been met. When setting the date/conditions for restart after suspending, a step from ‘Administrations suspended’ and back to 'Medication start date/condition set' should be performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Administrations_suspended.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Administrations_suspended.careflow_step",
        "path": "Medication_management.ism_transition_Administrations_suspended.careflow_step",
        "short": "Administrations suspended",
        "definition": "The administration of the medication has been suspended until further notice. No further doses should be given until the restart date or conditions have been met. When setting the date/conditions for restart after suspending, a step from ‘Administrations suspended’ and back to 'Medication start date/condition set' should be performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Administrations_suspended.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Prescription_re_authorisation_pending",
        "path": "Medication_management.Prescription_re_authorisation_pending",
        "short": "Prescription re-authorisation pending",
        "definition": "Issue of the prescription is awaiting re-authorisation by a clinician.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Prescription_re_authorisation_pending",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Prescription_re_authorisation_pending.current_state",
        "path": "Medication_management.ism_transition_Prescription_re_authorisation_pending.current_state",
        "short": "Prescription re-authorisation pending",
        "definition": "Issue of the prescription is awaiting re-authorisation by a clinician.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Prescription_re_authorisation_pending.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Prescription_re_authorisation_pending.careflow_step",
        "path": "Medication_management.ism_transition_Prescription_re_authorisation_pending.careflow_step",
        "short": "Prescription re-authorisation pending",
        "definition": "Issue of the prescription is awaiting re-authorisation by a clinician.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Prescription_re_authorisation_pending.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Medication_course_stopped",
        "path": "Medication_management.Medication_course_stopped",
        "short": "Medication course stopped",
        "definition": "Administration of the medication has been ceased during the period of the intended course.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Medication_course_stopped",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Medication_course_stopped.current_state",
        "path": "Medication_management.ism_transition_Medication_course_stopped.current_state",
        "short": "Medication course stopped",
        "definition": "Administration of the medication has been ceased during the period of the intended course.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Medication_course_stopped.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Medication_course_stopped.careflow_step",
        "path": "Medication_management.ism_transition_Medication_course_stopped.careflow_step",
        "short": "Medication course stopped",
        "definition": "Administration of the medication has been ceased during the period of the intended course.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Medication_course_stopped.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Major_change_to_order",
        "path": "Medication_management.Major_change_to_order",
        "short": "Major change to order",
        "definition": "A major change to the order was required, resulting in this order being stopped and a replacement order being started.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Major_change_to_order",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Major_change_to_order.current_state",
        "path": "Medication_management.ism_transition_Major_change_to_order.current_state",
        "short": "Major change to order",
        "definition": "A major change to the order was required, resulting in this order being stopped and a replacement order being started.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Major_change_to_order.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Major_change_to_order.careflow_step",
        "path": "Medication_management.ism_transition_Major_change_to_order.careflow_step",
        "short": "Major change to order",
        "definition": "A major change to the order was required, resulting in this order being stopped and a replacement order being started.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Major_change_to_order.careflow_step",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.Prescription_invalid_or_expired",
        "path": "Medication_management.Prescription_invalid_or_expired",
        "short": "Prescription invalid or expired",
        "definition": "Prescription has been invalidated or has expired without being fulfilled.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.Prescription_invalid_or_expired",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Prescription_invalid_or_expired.current_state",
        "path": "Medication_management.ism_transition_Prescription_invalid_or_expired.current_state",
        "short": "Prescription invalid or expired",
        "definition": "Prescription has been invalidated or has expired without being fulfilled.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Medication_management.ism_transition_Prescription_invalid_or_expired.current_state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Medication_management.ism_transition_Prescription_invalid_or_expired.careflow_step",
        "path": "Medication_management.ism_transition_Prescription_invalid_or_expired.careflow_step",
        "short": "Prescription invalid or expired",
        "definition": "Prescription has been invalidated or has expired without being fulfilled.",
        "min": 0,
        "max": "1",
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        "id": "Medication_management.Prescription_fulfilled",
        "path": "Medication_management.Prescription_fulfilled",
        "short": "Prescription fulfilled",
        "definition": "The prescription has been fulfilled successfully.",
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}