{
  "resourceType": "StructureDefinition",
  "url": "http://digen.nublar.de/fhir/StructureDefinition/DigenAbstractPresentableMedicationStatement",
  "version": "Sprint12",
  "name": "DigenAbstractPresentableMedicationStatement",
  "status": "draft",
  "description": "The DiGeN PresentableMedicationStatement (aka PMS) is derived object that pulls together data from multiple sources to create a unified view on a patient's interactions with a specific medication. The resource includes multiple contained resources to allow for simple retrieval of the complete object. Please note that requesting the backend to store this resource will lead to changed data being persisted in the dedicated backend structures, but the resource itself will be discarded and a new instance will be derived instead.",
  "copyright": "AOK BV",
  "fhirVersion": "3.0.2",
  "kind": "resource",
  "abstract": true,
  "type": "MedicationStatement",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationStatement.meta.lastUpdated",
        "path": "MedicationStatement.meta.lastUpdated",
        "comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This can be used for querying for new data."
      },
      {
        "id": "MedicationStatement.meta.security",
        "path": "MedicationStatement.meta.security",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "max": "1"
      },
      {
        "id": "MedicationStatement.meta.security:confidentialityCode",
        "path": "MedicationStatement.meta.security",
        "sliceName": "confidentialityCode",
        "short": "Confidentiality",
        "definition": "The confidentiality of the object. Based on the patient's judgement or the object's origin (e.g. if it is derived from claims data). Among other things, this allows the patient to hide the object from all other users.",
        "max": "1",
        "defaultValueCoding": {
          "system": "http://hl7.org/fhir/v3/Confidentiality",
          "code": "R",
          "display": "Restricted"
        },
        "binding": {
          "strength": "required",
          "description": "ValueSet for confidentialityCodes in DiGeN",
          "valueSetReference": {
            "reference": "http://digen.nublar.de/fhir/ValueSet/confidentialityCodesForDiGeN"
          }
        }
      },
      {
        "id": "MedicationStatement.meta.security:confidentialityCode.id",
        "path": "MedicationStatement.meta.security.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.meta.security:confidentialityCode.system",
        "path": "MedicationStatement.meta.security.system",
        "min": 1
      },
      {
        "id": "MedicationStatement.meta.security:confidentialityCode.version",
        "path": "MedicationStatement.meta.security.version",
        "max": "0"
      },
      {
        "id": "MedicationStatement.meta.security:confidentialityCode.code",
        "path": "MedicationStatement.meta.security.code",
        "min": 1
      },
      {
        "id": "MedicationStatement.meta.security:confidentialityCode.userSelected",
        "path": "MedicationStatement.meta.security.userSelected",
        "max": "0"
      },
      {
        "id": "MedicationStatement.meta.tag",
        "path": "MedicationStatement.meta.tag",
        "max": "0"
      },
      {
        "id": "MedicationStatement.implicitRules",
        "path": "MedicationStatement.implicitRules",
        "max": "0"
      },
      {
        "id": "MedicationStatement.language",
        "path": "MedicationStatement.language",
        "fixedCode": "de"
      },
      {
        "id": "MedicationStatement.contained",
        "path": "MedicationStatement.contained",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.contained:medicationResource",
        "path": "MedicationStatement.contained",
        "sliceName": "medicationResource",
        "short": "Main Medication Resource",
        "definition": "Medication that the containing MedicationStatement focusses on. All Medication data comes from the Medication-DB and is read-only.",
        "comment": "Medication Resourcess included in create/update interactions will be ignored, as all Medication data comes from the Medication-DB and is read-only. Referenced from medicationReference.",
        "max": "1",
        "type": [
          {
            "code": "Medication",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/DigenMedication"
          }
        ]
      },
      {
        "id": "MedicationStatement.contained:medicationResource.text",
        "path": "MedicationStatement.contained.text",
        "max": "0"
      },
      {
        "id": "MedicationStatement.contained:dispenseResource",
        "path": "MedicationStatement.contained",
        "sliceName": "dispenseResource",
        "short": "Erwerbsdaten",
        "definition": "This MedicationDispense Resource stores the dispensing information for the containing MedicationStatement",
        "comment": "Referenced from partOf",
        "max": "1",
        "type": [
          {
            "code": "MedicationDispense",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/DigenMedicationStatementDispense"
          }
        ]
      },
      {
        "id": "MedicationStatement.contained:requestResource",
        "path": "MedicationStatement.contained",
        "sliceName": "requestResource",
        "short": "Verordnungsdaten",
        "definition": "This MedicationRequest Resource stores the ordering information for the containing MedicationStatement",
        "comment": "Referenced from basedOn",
        "max": "1",
        "type": [
          {
            "code": "MedicationRequest",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/DigenMedicationStatementRequest"
          }
        ]
      },
      {
        "id": "MedicationStatement.contained:informationSourcePractitionerResource",
        "path": "MedicationStatement.contained",
        "sliceName": "informationSourcePractitionerResource",
        "short": "Ausgedruckt von",
        "definition": "The practitioner that printed out the medication plan for the patient. This must be included inline, as we do not know the LANR.",
        "comment": "Referenced from informationSource\r\nAlthough the medication plan may be created by either a Practitioner (individual physician) or an Organization (hospital, pharmacy) we wanted to simplify usage. We therefore always use the practitioner resource and do not require distinguishing between individuals and organizations.",
        "max": "1",
        "type": [
          {
            "code": "Practitioner",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/DigenBmpPractitioner"
          }
        ]
      },
      {
        "id": "MedicationStatement.contained:informationSourcePractitionerResource.identifier",
        "path": "MedicationStatement.contained.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.contained:informationSourcePractitionerResource.telecom",
        "path": "MedicationStatement.contained.telecom",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.extension",
        "path": "MedicationStatement.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.extension:validationlevel",
        "path": "MedicationStatement.extension",
        "sliceName": "validationlevel",
        "short": "Validationlevel",
        "definition": "Defines the validationlevel of the object. This enables the DiGeN backend to distinguish between different variants of the same resource, based on whether the patient or a professional validated the data.",
        "type": [
          {
            "code": "Extension",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/ValidationlevelExtension"
          }
        ]
      },
      {
        "id": "MedicationStatement.extension:BmpPrintDate",
        "path": "MedicationStatement.extension",
        "sliceName": "BmpPrintDate",
        "short": "Ausdruckdatum BMP",
        "definition": "Date when the BMP (Bundesmedikationsplan) was printed.",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/BmpPrintDate"
          }
        ]
      },
      {
        "id": "MedicationStatement.extension:BmpPrintDate.valueDate:valueDate",
        "path": "MedicationStatement.extension.valueDate",
        "sliceName": "valueDate",
        "short": "Ausdrucksdatum BMP",
        "definition": "Date when the BMP (Bundesmedikationsplan) was printed."
      },
      {
        "id": "MedicationStatement.extension:previousEffectivePeriod",
        "path": "MedicationStatement.extension",
        "sliceName": "previousEffectivePeriod",
        "type": [
          {
            "code": "Extension",
            "profile": "http://digen.nublar.de/fhir/StructureDefinition/previousEffectivePeriod"
          }
        ]
      },
      {
        "id": "MedicationStatement.identifier",
        "path": "MedicationStatement.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.identifier.id",
        "path": "MedicationStatement.identifier.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.identifier.use",
        "path": "MedicationStatement.identifier.use",
        "max": "0"
      },
      {
        "id": "MedicationStatement.identifier.type",
        "path": "MedicationStatement.identifier.type",
        "max": "0"
      },
      {
        "id": "MedicationStatement.identifier.period",
        "path": "MedicationStatement.identifier.period",
        "max": "0"
      },
      {
        "id": "MedicationStatement.identifier.assigner",
        "path": "MedicationStatement.identifier.assigner",
        "max": "0"
      },
      {
        "id": "MedicationStatement.basedOn",
        "path": "MedicationStatement.basedOn",
        "short": "Verordnung",
        "definition": "Link to the order object that contains the date and identifiers of the ordering practitioner and/or organization.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://digen.nublar.de/fhir/StructureDefinition/DigenMedicationStatementRequest",
            "aggregation": [
              "contained"
            ]
          }
        ]
      },
      {
        "id": "MedicationStatement.basedOn.id",
        "path": "MedicationStatement.basedOn.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.basedOn.reference",
        "path": "MedicationStatement.basedOn.reference",
        "min": 1
      },
      {
        "id": "MedicationStatement.basedOn.identifier",
        "path": "MedicationStatement.basedOn.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.basedOn.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.basedOn.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.partOf",
        "path": "MedicationStatement.partOf",
        "short": "Erwerb",
        "definition": "Link to the related dispensing object that contains the dispensing date and pharmacy.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://digen.nublar.de/fhir/StructureDefinition/DigenMedicationStatementDispense"
          }
        ]
      },
      {
        "id": "MedicationStatement.partOf.id",
        "path": "MedicationStatement.partOf.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.partOf.reference",
        "path": "MedicationStatement.partOf.reference",
        "min": 1
      },
      {
        "id": "MedicationStatement.partOf.identifier",
        "path": "MedicationStatement.partOf.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.partOf.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.partOf.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.context",
        "path": "MedicationStatement.context",
        "max": "0"
      },
      {
        "id": "MedicationStatement.status",
        "path": "MedicationStatement.status",
        "short": "Aktiv oder Beendigungsgrund",
        "definition": "A code representing the patient judgment about the state of the medication used that this statement is about.  This will be active, completed (\"Regulär beendet\"), stopped (\"Ungeplant abgesetzt\"), or on-hold (\"Aktuell pausiert\"). In case a medication is planned to be taken, the status will be \"intended\". The code intended is therefore uses for planned medications, with a begin date in the future. The other code (entered-in-error) is currently not in use.",
        "comment": "All status values other than \"active\" are interpreted as \"inactive\" by the domain logic."
      },
      {
        "id": "MedicationStatement.category",
        "path": "MedicationStatement.category",
        "short": "Type of medication",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "Data Source",
          "valueSetReference": {
            "reference": "http://digen.nublar.de/fhir/ValueSet/dataSourceTypes"
          }
        }
      },
      {
        "id": "MedicationStatement.category.id",
        "path": "MedicationStatement.category.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.category.coding",
        "path": "MedicationStatement.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationStatement.category.coding.id",
        "path": "MedicationStatement.category.coding.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.category.coding.system",
        "path": "MedicationStatement.category.coding.system",
        "min": 1
      },
      {
        "id": "MedicationStatement.category.coding.version",
        "path": "MedicationStatement.category.coding.version",
        "max": "0"
      },
      {
        "id": "MedicationStatement.category.coding.code",
        "path": "MedicationStatement.category.coding.code",
        "short": "Type of medication",
        "definition": "Indicates where type of medication statement and where the medication is expected to be consumed or administered.",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "dataSourceTypes for DiGeN",
          "valueSetUri": "http://digen.nublar.de/fhir/CodeSystem/1.2.276.0.76.3.1.321.1.1.5.8"
        }
      },
      {
        "id": "MedicationStatement.category.coding.userSelected",
        "path": "MedicationStatement.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "MedicationStatement.category.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.category.text",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x]",
        "path": "MedicationStatement.medication[x]",
        "comment": "If only a code is specified, then it needs to be a PZN. No element of a referenced Medication resource other than the PZN will be stored in the backend. When the DigenPresentableMedicationStatement is read from the server, it will always include a referenced medication in \"contained\".",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "http://digen.nublar.de/fhir/StructureDefinition/DigenMedication_SP11",
            "aggregation": [
              "contained"
            ]
          }
        ]
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod",
        "path": "MedicationStatement.effectivePeriod",
        "sliceName": "effectivePeriod",
        "short": "The date interval when the medication was taken",
        "definition": "The interval of time during which it is being asserted that the patient was taking the medication.",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod.id",
        "path": "MedicationStatement.effectivePeriod.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod.start",
        "path": "MedicationStatement.effectivePeriod.start",
        "short": "Einnahme von",
        "comment": "The start date will always be set, either by the patient or derived from existing dates (e.g. dispense date).",
        "min": 1
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod.end",
        "path": "MedicationStatement.effectivePeriod.end",
        "short": "Einnahme bis"
      },
      {
        "id": "MedicationStatement.dateAsserted",
        "path": "MedicationStatement.dateAsserted",
        "definition": "The date when the medication statement was derived from its sources.",
        "comment": "May be left empty when the frontend wants to create or update a PMS."
      },
      {
        "id": "MedicationStatement.informationSource",
        "path": "MedicationStatement.informationSource",
        "short": "Ausgedruckt von",
        "definition": "Practitioner that created the underlying medication plan, that was used in deriving this medication statement.",
        "comment": "Although the medication plan may be created by either a Practitioner (individual physician) or an Organization (hospital, pharmacy) we wanted to simplify usage. We therefore always use the practitioner resource and do not require distinguishing between individuals and organizations.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://digen.nublar.de/fhir/StructureDefinition/DigenBmpPractitioner",
            "aggregation": [
              "contained"
            ]
          }
        ]
      },
      {
        "id": "MedicationStatement.informationSource.id",
        "path": "MedicationStatement.informationSource.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.informationSource.reference",
        "path": "MedicationStatement.informationSource.reference",
        "min": 1
      },
      {
        "id": "MedicationStatement.informationSource.identifier",
        "path": "MedicationStatement.informationSource.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.informationSource.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.informationSource.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject",
        "path": "MedicationStatement.subject",
        "short": "Patient taking the medication",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ]
      },
      {
        "id": "MedicationStatement.subject.id",
        "path": "MedicationStatement.subject.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject.reference",
        "path": "MedicationStatement.subject.reference",
        "min": 1
      },
      {
        "id": "MedicationStatement.subject.identifier",
        "path": "MedicationStatement.subject.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.subject.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.derivedFrom",
        "path": "MedicationStatement.derivedFrom",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.derivedFrom:originalMedicationStatementReferences",
        "path": "MedicationStatement.derivedFrom",
        "sliceName": "originalMedicationStatementReferences",
        "short": "Underlying OriginalMedicationStatements",
        "comment": "References to the underlying OriginalMedicationStatements that were considered when deriving this PresentableMedicationStatement",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
          }
        ]
      },
      {
        "id": "MedicationStatement.derivedFrom:originalMedicationStatementReferences.id",
        "path": "MedicationStatement.derivedFrom.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.derivedFrom:originalMedicationStatementReferences.reference",
        "path": "MedicationStatement.derivedFrom.reference",
        "min": 1
      },
      {
        "id": "MedicationStatement.derivedFrom:originalMedicationStatementReferences.identifier",
        "path": "MedicationStatement.derivedFrom.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.derivedFrom:originalMedicationStatementReferences.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.derivedFrom.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.taken",
        "path": "MedicationStatement.taken",
        "short": "y | unk",
        "comment": "SHALL be 'y' if the medication has been marked by the patient as status=active or completed . Shall be 'unk' in all other cases.",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://digen.nublar.de/fhir/ValueSet/Digen-medication-statement-taken"
          }
        }
      },
      {
        "id": "MedicationStatement.reasonNotTaken",
        "path": "MedicationStatement.reasonNotTaken",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonCode",
        "path": "MedicationStatement.reasonCode",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonReference",
        "path": "MedicationStatement.reasonReference",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note",
        "path": "MedicationStatement.note",
        "short": "Patient's Notes",
        "definition": "Provides extra information about the medication statement entered and maintained by the patient.",
        "comment": "Managed by the patient",
        "max": "1"
      },
      {
        "id": "MedicationStatement.note.id",
        "path": "MedicationStatement.note.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.author[x]:authorReference",
        "path": "MedicationStatement.note.authorReference",
        "sliceName": "authorReference",
        "short": "Autor der Bemerkungen",
        "definition": "This always references the patient",
        "comment": "Use the same reference as for subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ]
      },
      {
        "id": "MedicationStatement.note.author[x]:authorReference.id",
        "path": "MedicationStatement.note.authorReference.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.author[x]:authorReference.reference",
        "path": "MedicationStatement.note.authorReference.reference",
        "min": 1
      },
      {
        "id": "MedicationStatement.note.author[x]:authorReference.identifier",
        "path": "MedicationStatement.note.authorReference.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.author[x]:authorReference.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.note.authorReference.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.time",
        "path": "MedicationStatement.note.time",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.text",
        "path": "MedicationStatement.note.text",
        "short": "Eigene Bemerkungen",
        "definition": "Patient's notes"
      },
      {
        "id": "MedicationStatement.dosage",
        "path": "MedicationStatement.dosage",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "sequence"
            }
          ],
          "rules": "open"
        },
        "short": "Einnahmeschema"
      },
      {
        "id": "MedicationStatement.dosage:generalInformation",
        "path": "MedicationStatement.dosage",
        "sliceName": "generalInformation",
        "short": "All dosing details unrelated to timing",
        "definition": "Indicates how the medication is/was or should be taken by the patient. This slice carries all information not directly related to a timing.",
        "max": "1"
      },
      {
        "id": "MedicationStatement.dosage:generalInformation.id",
        "path": "MedicationStatement.dosage.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage:generalInformation.sequence",
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      {
        "id": "MedicationStatement.dosage:generalInformation.patientInstruction",
        "path": "MedicationStatement.dosage.patientInstruction",
        "short": "Ärztliche Hinweise",
        "definition": "Doctor's instructions in terms that are understood by the patient. Content comes from \"Bundesmedikationsplan\" via QR-Code and cannot be edited."
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        "short": "Bei Bedarf",
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        "comment": "Can express \"as needed\" without a reason by setting the Boolean = True. If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".",
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          {
            "code": "boolean"
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        ]
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        "path": "MedicationStatement.dosage.doseQuantity.code",
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        "max": "1"
      },
      {
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}