<status value="draft" /> <date value="2026-10-08" /> <publisher value="Novari AS - DigiDOT" /> <description value="Readiness: [In review](https://simplifier.net/guide/Visual-overview/Home/Review-status-and-releases.page.md?version=current#readiness-medicationstatement). Draft DigiDOT profile for recording medication use reported by a person or health professional with knowledge of the patient's medication use. When structured medication information is available, the medication is represented directly by a versioned SNOMED CT Medicinal Product, Medicinal Product Form or Clinical Drug concept, optionally accompanied by a FEST coding and reported product name. When structured medication information is not available, the medication is recorded as reported text. This narrow profile is not used to store medication information retrieved or imported from SFM or PLL." /> <purpose value="Use this profile to record, in DigiDOT, medication use reported by the patient or another person or healthcare professional with knowledge of the patient's medication use during dental care. It represents a report of current or historical medication use and is not a medication order or an administration event. When structured medication information is available, use the most specific supported SNOMED CT concept justified by the reported information. An additional FEST coding and text may preserve a specific Norwegian medicinal product or brand name. When structured medication information is not available, record the medication as reported text. Medication information retrieved or imported from SFM or PLL is outside the scope of this profile." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <derivation value="constraint" /> <snapshot> <element id="MedicationStatement"> <path value="MedicationStatement" /> <short value="Reported medication use" /> <definition value="A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information." /> <comment value="Interpret the resource as a report of medication use, not as evidence of a prescription, dispense or administration. Use status together with the reported medication, information source, asserted date and any dosage information." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" /> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" /> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event" /> </mapping> <mapping> <identity value="rim" /> <map value="SubstanceAdministration" /> </mapping> </element> <element id="MedicationStatement.id"> <path value="MedicationStatement.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="id" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.meta"> <path value="MedicationStatement.meta" /> <short value="Metadata about the resource" /> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.implicitRules"> <path value="MedicationStatement.implicitRules" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="A DigiDot MedicationStatement must be interpretable from the published FHIR R4 profile, terminology versions and agreed exchange documentation. Do not use implicitRules to introduce undocumented processing rules." /> <comment value="implicitRules is prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.language"> <path value="MedicationStatement.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.text"> <path value="MedicationStatement.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." /> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="MedicationStatement.contained"> <path value="MedicationStatement.contained" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="Resources relevant to the DigiDot information model must be stored as independently identifiable FHIR resources and linked by reference. Contained resources are not used in this profile." /> <comment value="Contained resources are prohibited in this profile." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="0" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.extension"> <path value="MedicationStatement.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="No extension is defined for the current DigiDot MedicationStatement scope. This also prevents SFM-specific extension content from being stored through this profile." /> <comment value="Extensions are prohibited in this profile." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.modifierExtension"> <path value="MedicationStatement.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="Modifier extensions can change the meaning of a MedicationStatement and require every consumer to understand them. No modifier extension is defined for the current DigiDot scope." /> <comment value="Modifier extensions are prohibited in this profile." /> <requirements value="The current DigiDot MedicationStatement must be interpretable without modifier extensions." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.identifier"> <path value="MedicationStatement.identifier" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not carry a treatment identifier, prescription identifier or other MedicationStatement business identifier." /> <comment value="MedicationStatement business identifiers are prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="rim" /> <map value=".id" /> </mapping> </element> <element id="MedicationStatement.basedOn"> <path value="MedicationStatement.basedOn" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported medication use is not represented as fulfillment of a plan, proposal or medication order." /> <comment value="basedOn is prohibited in this profile." /> <requirements value="The reported medication use is intentionally independent of an authorization or medication order." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.basedOn" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.basedOn" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]" /> </mapping> </element> <element id="MedicationStatement.partOf"> <path value="MedicationStatement.partOf" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported medication use is not represented as a component of another medication event or statement." /> <comment value="partOf is prohibited in this profile." /> <requirements value="The narrow reporting model does not represent this statement as part of another medication event." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.partOf" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationDispense" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.partOf" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]" /> </mapping> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <short value="Lifecycle status of the reported medication use" /> <definition value="Use status to indicate whether the patient is currently using the medication, used it previously, has stopped using it, or whether the reported status is unknown or was entered in error. Use a standard FHIR R4 MedicationStatement status." /> <comment value="Status represents the medication use as known when the statement was asserted. It does not represent the lifecycle of a prescription, dispense or administration event." /> <min value="1" /> <max value="1" /> <base> <path value="MedicationStatement.status" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isModifier value="true" /> <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationStatementStatus" /> </extension> <strength value="required" /> <description value="A coded concept indicating the current status of a MedicationStatement." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.status" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="rim" /> <map value=".statusCode" /> </mapping> </element> <element id="MedicationStatement.statusReason"> <path value="MedicationStatement.statusReason" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a separate reason for the MedicationStatement status." /> <comment value="statusReason is prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.statusReason" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationStatementStatusReason" /> </extension> <strength value="example" /> <description value="A coded concept indicating the reason for the status of the statement." /> <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-status-codes" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.statusReason" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" /> </mapping> </element> <element id="MedicationStatement.category"> <path value="MedicationStatement.category" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not classify reported medication use by category." /> <comment value="category is prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.category" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationStatementCategory" /> </extension> <strength value="preferred" /> <description value="A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-statement-category" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.class" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value" /> </mapping> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <short value="Medication reported as used" /> <definition value="When structured medication information is available, record the medication directly with one versioned SNOMED CT concept from DigidotReportedMedicationNo. Use a Medicinal Product, Medicinal Product Form or Clinical Drug concept according to the level of detail supported by the reported information. An optional second coding may preserve the specific reported product with its FEST identifier. When structured medication information is not available, record the medication name or description in CodeableConcept.text." /> <comment value="When a SNOMED CT coding is present, Coding.version SHALL identify the SNOMED CT edition and release using a version URI of the form http://snomed.info/sct/{edition}/version/{yyyymmdd}. If any structured coding is provided, one SNOMED CT coding is required. A reference to a separate Medication resource SHALL NOT be used in this profile. Do not infer a more specific medication concept than the information source supports." /> <requirements value="DigiDOT uses a structured and versioned SNOMED CT representation when structured medication information is available, while permitting reported text when it is not." /> <min value="1" /> <max value="1" /> <base> <path value="MedicationStatement.medication[x]" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="dd-ms-1" /> <severity value="error" /> <human value="Provide either a structured medication coding or a textual medication description." /> <expression value="coding.exists() or text.exists()" /> <source value="https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationStatement-no" /> </constraint> <constraint> <key value="dd-ms-2" /> <severity value="error" /> <human value="When structured medication coding is provided, it SHALL include a SNOMED CT code." /> <expression value="coding.exists() implies coding.where(system = 'http://snomed.info/sct' and code.exists()).exists()" /> <source value="https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationStatement-no" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationCode" /> </extension> <strength value="example" /> <description value="A coded concept identifying the substance or product being taken." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.code" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.what[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=CSM].role[classCode=ADMM or MANU]" /> </mapping> </element> <element id="MedicationStatement.medication[x].id"> <path value="MedicationStatement.medication[x].id" /> <representation value="xmlAttr" /> <short value="Not used on the medicinal product concept" /> <definition value="The medicinal product CodeableConcept does not use an element id in the current DigiDot profile." /> <comment value="An element id on the medicinal product concept is prohibited." /> <min value="0" /> <max value="0" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.medication[x].extension"> <path value="MedicationStatement.medication[x].extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="No extensions on the medicinal product concept" /> <definition value="The medication identity is represented by standard Coding elements when structured information is available, or by CodeableConcept.text otherwise. Extensions on the CodeableConcept are not used." /> <comment value="Extensions on the medicinal product concept are prohibited." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding"> <path value="MedicationStatement.medication[x].coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="closed" /> </slicing> <short value="Structured SNOMED CT coding and optional FEST coding" /> <definition value="When structured medication information is provided, record one SNOMED CT coding and optionally one additional coding for the specific Norwegian medicinal product or brand identified by the information source. The additional coding SHALL use the FEST code system. Every coding must include its code system and code. Do not provide a FEST coding without the SNOMED CT coding." /> <comment value="If coding is used, the required SNOMED CT coding uses system http://snomed.info/sct. The optional product coding uses system http://ehelse.no/fhir/CodeSystem/FEST and may only accompany the SNOMED CT coding. No other code systems are permitted. Multiple codings do not permit two different medications to be recorded in one MedicationStatement." /> <requirements value="Structured medication information requires one versioned SNOMED CT concept for interoperability and decision support. An additional FEST coding can preserve a more specific reported product identity. When structured medication information is not available, coding is omitted and CodeableConcept.text is required." /> <min value="0" /> <max value="2" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.id"> <path value="MedicationStatement.medication[x].coding.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.extension"> <path value="MedicationStatement.medication[x].coding.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="No extensions on the medicinal product coding" /> <definition value="The code system, version, code and display are represented by the standard Coding elements. Extensions on a medication coding are not used." /> <comment value="Extensions on the medicinal product coding are prohibited." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.system"> <path value="MedicationStatement.medication[x].coding.system" /> <short value="Code system for the medication coding" /> <definition value="Identify the code system used by each medication coding. Only the SNOMED CT and FEST systems represented by the defined slices are permitted." /> <comment value="The closed slicing rules prohibit medication codings from other code systems." /> <requirements value="Need to be unambiguous about the source of the definition of the symbol." /> <min value="1" /> <max value="1" /> <base> <path value="Coding.system" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.3" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystem" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.version"> <path value="MedicationStatement.medication[x].coding.version" /> <short value="Version of the system - if relevant" /> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." /> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.version" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.7" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystemVersion" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.code"> <path value="MedicationStatement.medication[x].coding.code" /> <short value="Medication code in the stated code system" /> <definition value="Record the concept identifier from the code system stated in Coding.system." /> <comment value="The code and system together identify the structured medication concept or product." /> <requirements value="Need to refer to a particular code in the system." /> <min value="1" /> <max value="1" /> <base> <path value="Coding.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./code" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="MedicationStatement.medication[x].coding.display" /> <short value="Representation defined by the system" /> <definition value="A representation of the meaning of the code in the system, following the rules of the system." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.display" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.2 - but note this is not well followed" /> </mapping> <mapping> <identity value="rim" /> <map value="CV.displayName" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding.userSelected"> <path value="MedicationStatement.medication[x].coding.userSelected" /> <short value="If this coding was chosen directly by the user" /> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." /> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." /> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.userSelected" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="Sometimes implied by being first" /> </mapping> <mapping> <identity value="rim" /> <map value="CD.codingRationale" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="snomed" /> <short value="Versioned SNOMED CT medication concept" /> <definition value="When structured medication information is available, record exactly one precoordinated SNOMED CT Medicinal Product, Medicinal Product Form or Clinical Drug concept from DigidotReportedMedicationNo. The coding conforms to DigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept identifier and versioned edition URI." /> <comment value="Use the most specific SNOMED CT concept supported by the reported information. Coding.display may carry the corresponding SNOMED CT term. Omit the coding only when structured medication information is not available and represent the reported medication in CodeableConcept.text." /> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> <profile value="https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <binding> <strength value="required" /> <valueSet value="https://novari.no/fhir/digidot/ValueSet/digidot-reported-medication-no" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.id"> <path value="MedicationStatement.medication[x].coding.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.extension"> <path value="MedicationStatement.medication[x].coding.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extensions are not used" /> <definition value="This helper profile represents one direct SNOMED CT concept. No named Coding extension is agreed for the current DigiDOT scope, so extensions are prohibited to avoid a parallel representation of code meaning or terminology context." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.system"> <path value="MedicationStatement.medication[x].coding.system" /> <short value="SNOMED CT code system" /> <definition value="The SNOMED CT medication coding uses the canonical SNOMED CT code system URI." /> <comment value="The value is fixed to http://snomed.info/sct." /> <requirements value="Need to be unambiguous about the source of the definition of the symbol." /> <min value="1" /> <max value="1" /> <base> <path value="Coding.system" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="http://snomed.info/sct" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.3" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystem" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.version"> <path value="MedicationStatement.medication[x].coding.version" /> <short value="Published SNOMED CT edition release URI" /> <definition value="Identify the SNOMED CT edition and release used to select the precoordinated concept, for example the Norwegian edition version URI." /> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." /> <min value="1" /> <max value="1" /> <base> <path value="Coding.version" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="sct-pre-version-sct" /> <severity value="error" /> <human value="Version must be an SCT version in the form .../sct/edition/version/yyyymmdd." /> <expression value="matches('^http://snomed[.]info/sct/.*/version/[0-9]{8}$')" /> <source value="https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.7" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystemVersion" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.code"> <path value="MedicationStatement.medication[x].coding.code" /> <short value="Numeric SNOMED CT concept identifier" /> <definition value="A directly usable numeric SNOMED CT concept identifier. Use the SNOMED CT Extended code profile when a coding must also support postcoordinated expressions." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to refer to a particular code in the system." /> <min value="1" /> <max value="1" /> <base> <path value="Coding.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="sct-pre-numeric" /> <severity value="error" /> <human value="SNOMED conceptId (6-18 digits)." /> <expression value="matches('^[0-9]{6,18}$')" /> <source value="https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./code" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="MedicationStatement.medication[x].coding.display" /> <short value="Human-readable SNOMED CT term" /> <definition value="Include the display term when it is available from the terminology service. It is informative and must remain consistent with the code and version." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.display" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.2 - but note this is not well followed" /> </mapping> <mapping> <identity value="rim" /> <map value="CV.displayName" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:snomed.userSelected"> <path value="MedicationStatement.medication[x].coding.userSelected" /> <short value="User-selection marker is not used" /> <definition value="Whether a code was selected directly by a user is a source-system interaction detail, not stable clinical or terminology meaning. It is not retained in the current DigiDOT coding model." /> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." /> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." /> <min value="0" /> <max value="0" /> <base> <path value="Coding.userSelected" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="Sometimes implied by being first" /> </mapping> <mapping> <identity value="rim" /> <map value="CD.codingRationale" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="fest" /> <short value="Optional FEST identifier for the reported medicinal product" /> <definition value="Record the FEST identifier when the reported medication was identified as a specific medicinal product or brand in FEST and a corresponding SNOMED CT coding is provided. The FEST and SNOMED CT codings SHALL represent the same medication." /> <comment value="Use system http://ehelse.no/fhir/CodeSystem/FEST and the corresponding FEST identifier. Coding.display may carry the FEST product or brand name. Do not use FEST as the only structured coding." /> <requirements value="The optional FEST coding preserves the Norwegian product identity selected or reported by the information source while the accompanying SNOMED CT coding provides the standardized clinical representation." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.id"> <path value="MedicationStatement.medication[x].coding.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.extension"> <path value="MedicationStatement.medication[x].coding.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.system"> <path value="MedicationStatement.medication[x].coding.system" /> <short value="FEST code system" /> <definition value="The optional Norwegian medicinal product coding uses the FEST code system URI." /> <comment value="The value is fixed to http://ehelse.no/fhir/CodeSystem/FEST." /> <requirements value="Need to be unambiguous about the source of the definition of the symbol." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.system" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="http://ehelse.no/fhir/CodeSystem/FEST" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.3" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystem" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.version"> <path value="MedicationStatement.medication[x].coding.version" /> <short value="Version of the system - if relevant" /> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." /> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.version" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.7" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystemVersion" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.code"> <path value="MedicationStatement.medication[x].coding.code" /> <short value="Symbol in syntax defined by the system" /> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to refer to a particular code in the system." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./code" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="MedicationStatement.medication[x].coding.display" /> <short value="Representation defined by the system" /> <definition value="A representation of the meaning of the code in the system, following the rules of the system." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.display" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.2 - but note this is not well followed" /> </mapping> <mapping> <identity value="rim" /> <map value="CV.displayName" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" /> </mapping> </element> <element id="MedicationStatement.medication[x].coding:fest.userSelected"> <path value="MedicationStatement.medication[x].coding.userSelected" /> <short value="If this coding was chosen directly by the user" /> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." /> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." /> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.userSelected" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="Sometimes implied by being first" /> </mapping> <mapping> <identity value="rim" /> <map value="CD.codingRationale" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" /> </mapping> </element> <element id="MedicationStatement.medication[x].text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="MedicationStatement.medication[x].text" /> <short value="Medication name as reported" /> <definition value="When structured medication information is not available, record the medication name or description as stated by the information source. Text may also preserve useful reported wording alongside structured coding, for example "Paralgin forte". Do not use text as the sole representation when a structured SNOMED CT medication concept is available to the recording system." /> <comment value="Text is required when coding is absent. When text and codings are both present, they must describe the same reported medication." /> <requirements value="Reported text provides a fallback when structured medication information is unavailable and can preserve clinically relevant product wording alongside coding." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.9. But note many systems use C*E.2 for this" /> </mapping> <mapping> <identity value="rim" /> <map value="./originalText[mediaType/code="text/plain"]/data" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" /> </mapping> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <short value="Patient whose medication use is reported" /> <definition value="Reference the patient whose medication use is reported through no-basis-Patient." /> <comment value="Use a direct reference to a no-basis-Patient resource." /> <requirements value="The reported medication use must be associated with one identifiable patient." /> <min value="1" /> <max value="1" /> <base> <path value="MedicationStatement.subject" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Patient" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.subject" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3-Patient ID List" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=SBJ].role[classCode=PAT]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject" /> </mapping> </element> <element id="MedicationStatement.context"> <path value="MedicationStatement.context" /> <short value="DigiDot encounter in which the medication use was reported" /> <definition value="Reference the DigiDot Encounter during which the medication use was reported when that clinical context is known." /> <comment value="context is optional but must reference a DigiDot Encounter when present." /> <requirements value="The encounter provides the dental-care context when the medication use was reported during an encounter." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.context" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.context" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]" /> </mapping> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <short value="When the medication is reported as being used" /> <definition value="Record the date, date and time, or period during which the patient is reported as using or having used the medication when this information is known." /> <comment value="Use dateAsserted for when the statement was reported; use effective[x] for when the medication use applies." /> <requirements value="The effective time distinguishes the period of medication use from the date on which the information was reported." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.effective[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.done[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <short value="Date when the medication use was reported" /> <definition value="Record when the information source asserted the medication-use information." /> <comment value="dateAsserted is the date the information was reported, not the medication administration time." /> <requirements value="DigiDOT requires the assertion date to distinguish when the medication-use information was reported from when the medication was taken." /> <min value="1" /> <max value="1" /> <base> <path value="MedicationStatement.dateAsserted" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.recorded" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=AUT].time" /> </mapping> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <short value="Patient, related person or practitioner who reported the medication use" /> <definition value="The patient, a related person or a healthcare practitioner who reported the patient's medication use. Reference no-basis-Patient, no-basis-Practitioner or no-basis-RelatedPerson according to the type of information source. Omit informationSource when the source is unknown. This element identifies the reporting person, not SFM, PLL or a technical integration system." /> <comment value="Use standard FHIR R4 Reference. Prefer a reference to a reusable resource when available. Identifier-only references may be used when supported by the receiving system; the exchange agreement must specify accepted identifiers and how they are handled. The referenced Patient, Practitioner or RelatedPerson resource must conform to the corresponding no-basis profile. No DigiDOT Reference helper is required." /> <requirements value="The information source supports assessment of the provenance of the reported medication use when the source is known." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.informationSource" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Patient" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.source" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)" /> </mapping> </element> <element id="MedicationStatement.derivedFrom"> <path value="MedicationStatement.derivedFrom" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="This profile records information reported by the information source. Do not use it for a statement derived from SFM, PLL, a medication order, dispense record, claim or other source resource." /> <comment value="derivedFrom is prohibited so this profile is not used for medication information derived from SFM, PLL or another source resource." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.derivedFrom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]" /> </mapping> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record an inline coded reason for the reported medication use." /> <comment value="reasonCode is prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.reasonCode" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationReason" /> </extension> <strength value="example" /> <description value="A coded concept identifying why the medication is being taken." /> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.reasonCode" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".reasonCode" /> </mapping> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not link the reported medication use to a Condition, Observation or other reason resource." /> <comment value="reasonReference is prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="MedicationStatement.reasonReference" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.reasonReference" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value" /> </mapping> </element> <element id="MedicationStatement.note"> <path value="MedicationStatement.note" /> <short value="Additional note about the reported medication use" /> <definition value="Record supplementary information about the reported medication use that cannot be represented in another retained element of this profile." /> <comment value="Do not use note as an alternative representation of the medicinal product or dosage." /> <requirements value="A note permits limited supplementary context without replacing the retained medication representation or dosage elements." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.note" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Annotation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.note" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value" /> </mapping> </element> <element id="MedicationStatement.note.id"> <path value="MedicationStatement.note.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.note.extension"> <path value="MedicationStatement.note.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="No extensions on medication statement notes" /> <definition value="Medication statement notes use the standard Annotation elements retained by this profile. Extensions on Annotation are not used in the current DigiDot scope." /> <comment value="Extensions on MedicationStatement.note are prohibited in this profile." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.note.author[x]"> <path value="MedicationStatement.note.author[x]" /> <short value="Practitioner who authored the note" /> <definition value="Reference the healthcare practitioner responsible for authoring the annotation. The referenced resource must conform to no-basis-Practitioner." /> <comment value="Only the Reference variant is permitted, and its target is restricted to no-basis-Practitioner. Patient, RelatedPerson, Organization and free-text authors are not permitted in this profile." /> <requirements value="The author identifies the practitioner responsible for supplementary note content when an author is provided." /> <min value="0" /> <max value="1" /> <base> <path value="Annotation.author[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.participant[typeCode=AUT].role" /> </mapping> </element> <element id="MedicationStatement.note.time"> <path value="MedicationStatement.note.time" /> <short value="When the annotation was made" /> <definition value="Indicates when this particular annotation was made." /> <min value="0" /> <max value="1" /> <base> <path value="Annotation.time" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.effectiveTime" /> </mapping> </element> <element id="MedicationStatement.note.text"> <path value="MedicationStatement.note.text" /> <short value="The annotation - text content (as markdown)" /> <definition value="The text of the annotation in markdown format." /> <comment value="Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/" /> <min value="1" /> <max value="1" /> <base> <path value="Annotation.text" /> <min value="1" /> <max value="1" /> </base> <type> <code value="markdown" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text" /> </mapping> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <short value="Dosage reported by the information source" /> <definition value="Record textual or structured dosage information only as reported by the information source. Dosage.text may carry the reported regimen, timing may represent how often it is taken, and doseAndRate.dose[x] may represent the amount taken at one time. Do not infer information that the source did not provide." /> <comment value="Record only information supplied by the information source. This profile is not used for dosage copied or derived from a MedicationRequest, SFM or PLL." /> <requirements value="Dosage preserves the medication-use regimen as reported without turning the statement into a prescription." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.dosage" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Dosage" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]" /> </mapping> <mapping> <identity value="rim" /> <map value="refer dosageInstruction mapping" /> </mapping> </element> <element id="MedicationStatement.dosage.id"> <path value="MedicationStatement.dosage.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.dosage.extension"> <path value="MedicationStatement.dosage.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="No extensions on the reported dosage" /> <definition value="Extensions on Dosage are not used in this profile." /> <comment value="Extensions on Dosage are prohibited in this profile." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.dosage.modifierExtension"> <path value="MedicationStatement.dosage.modifierExtension" /> <short value="No modifier extensions on the reported dosage" /> <definition value="Modifier extensions on Dosage are not used in this profile." /> <comment value="Modifier extensions on Dosage are prohibited in this profile." /> <requirements value="The reported dosage must be interpretable without modifier extensions." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="0" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.dosage.sequence"> <path value="MedicationStatement.dosage.sequence" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record an ordering sequence between dosage instructions." /> <comment value="sequence is prohibited in this profile." /> <requirements value="Only one Dosage element is permitted, so an ordering sequence is not required." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.sequence" /> <min value="0" /> <max value="1" /> </base> <type> <code value="integer" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1-1" /> </mapping> <mapping> <identity value="rim" /> <map value=".text" /> </mapping> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <short value="Reported human-readable dosage information" /> <definition value="Record the dosage wording provided by the information source when a human-readable regimen is available." /> <comment value="When text and structured dosage elements are both present, they must describe the same reported regimen." /> <requirements value="Human-readable text preserves reported dosage information that is not fully represented by the retained structured elements." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-6; RXE-21" /> </mapping> <mapping> <identity value="rim" /> <map value=".text" /> </mapping> </element> <element id="MedicationStatement.dosage.additionalInstruction"> <path value="MedicationStatement.dosage.additionalInstruction" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record additional coded or textual dosage instructions." /> <comment value="additionalInstruction is prohibited in this profile." /> <requirements value="The narrow DigiDot model retains the reported regimen in dosage.text and the selected structured dosage elements." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.additionalInstruction" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdditionalInstruction" /> </extension> <strength value="example" /> <description value="A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery"." /> <valueSet value="http://hl7.org/fhir/ValueSet/additional-instruction-codes" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-7" /> </mapping> <mapping> <identity value="rim" /> <map value=".text" /> </mapping> </element> <element id="MedicationStatement.dosage.patientInstruction"> <path value="MedicationStatement.dosage.patientInstruction" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record separate patient-oriented dosage instructions." /> <comment value="patientInstruction is prohibited in this profile." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.patientInstruction" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-7" /> </mapping> <mapping> <identity value="rim" /> <map value=".text" /> </mapping> </element> <element id="MedicationStatement.dosage.timing"> <path value="MedicationStatement.dosage.timing" /> <short value="Reported timing of medication use" /> <definition value="Record when or how often the medication is reported as being taken when structured timing information is available." /> <comment value="Use timing for the reported schedule. Do not use it to infer or reconstruct an administration rate." /> <requirements value="Structured timing supports consistent representation of when or how often the medication is reported as taken." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.timing" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Timing" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="QSET<TS> (GTS)" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> </element> <element id="MedicationStatement.dosage.asNeeded[x]"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Take "as needed" (for x)" /> <definition value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept)." /> <comment value="Only the Boolean variant is permitted in this profile." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.asNeeded[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAsNeededReason" /> </extension> <strength value="example" /> <description value="A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1-9" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept" /> </mapping> </element> <element id="MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <sliceName value="asNeededCodeableConcept" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not use a CodeableConcept to specify the condition under which the medication is taken as needed. The inherited Boolean variant remains available." /> <comment value="The coded variant of asNeeded[x] is prohibited." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.asNeeded[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAsNeededReason" /> </extension> <strength value="example" /> <description value="A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1-9" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept" /> </mapping> </element> <element id="MedicationStatement.dosage.asNeeded[x]:asNeededBoolean"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <sliceName value="asNeededBoolean" /> <short value="Whether the medication is reported as taken as needed" /> <definition value="Use the Boolean variant only when the information source reports whether the medication is taken as needed." /> <comment value="true means taken as needed; false means not taken as needed; omit the element when this information is unknown." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.asNeeded[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1-9" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept" /> </mapping> </element> <element id="MedicationStatement.dosage.site"> <path value="MedicationStatement.dosage.site" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported dosage does not include a separate anatomical site." /> <comment value="site is prohibited in this profile." /> <requirements value="A separate anatomical administration site is outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.site" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSite" /> </extension> <strength value="example" /> <description value="A coded concept describing the site location the medicine enters into or onto the body." /> <valueSet value="http://hl7.org/fhir/ValueSet/approach-site-codes" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="RXR-2" /> </mapping> <mapping> <identity value="rim" /> <map value=".approachSiteCode" /> </mapping> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported dosage does not include a separate route of administration." /> <comment value="route is prohibited in this profile." /> <requirements value="A separate route of administration is outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.route" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RouteOfAdministration" /> </extension> <strength value="example" /> <description value="A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject." /> <valueSet value="http://hl7.org/fhir/ValueSet/route-codes" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="RXR-1" /> </mapping> <mapping> <identity value="rim" /> <map value=".routeCode" /> </mapping> </element> <element id="MedicationStatement.dosage.method"> <path value="MedicationStatement.dosage.method" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported dosage does not include a separate administration method." /> <comment value="method is prohibited in this profile." /> <requirements value="A separate administration method is outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.method" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationMethod" /> </extension> <strength value="example" /> <description value="A coded concept describing the technique by which the medicine is administered." /> <valueSet value="http://hl7.org/fhir/ValueSet/administration-method-codes" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="RXR-4" /> </mapping> <mapping> <identity value="rim" /> <map value=".doseQuantity" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate"> <path value="MedicationStatement.dosage.doseAndRate" /> <short value="Reported amount of medication per administration" /> <definition value="Use dose[x] to record the amount reported for one administration, for example two tablets. A quantity or reported dose range may be used. A structured administration rate is outside the scope of this profile." /> <comment value="Only the dose is used; dose type and administration rate are prohibited." /> <requirements value="A structured dose allows the reported amount taken at one time to be represented separately from timing." /> <min value="0" /> <max value="*" /> <base> <path value="Dosage.doseAndRate" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Element" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1-2" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.id"> <path value="MedicationStatement.dosage.doseAndRate.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.extension"> <path value="MedicationStatement.dosage.doseAndRate.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="No extensions on dose and rate" /> <definition value="Extensions on doseAndRate are not used in this profile." /> <comment value="Extensions on doseAndRate are prohibited in this profile." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.type"> <path value="MedicationStatement.dosage.doseAndRate.type" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not classify the reported dose with a separate dose type." /> <comment value="doseAndRate.type is prohibited in this profile." /> <requirements value="The narrow DigiDot model records the reported dose without a separate dose classification." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.doseAndRate.type" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DoseAndRateType" /> </extension> <strength value="example" /> <description value="The kind of dose or rate specified." /> <valueSet value="http://hl7.org/fhir/ValueSet/dose-rate-type" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-21; RXE-23" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Reported amount per administration" /> <definition value="Record the exact quantity or dose range reported as being taken at one time. Use doseQuantity when one amount is reported and doseRange only when the information source reports a range." /> <comment value="Record the amount of the medication identified in medication[x]; do not describe ingredients or a separate Medication resource here." /> <requirements value="The dose represents the amount of the medication identified in medication[x] and reported as taken at one time." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.doseAndRate.dose[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Range" /> </type> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-2, RXE-3" /> </mapping> <mapping> <identity value="rim" /> <map value=".doseQuantity" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <sliceName value="doseQuantity" /> <short value="Reported exact amount per administration" /> <definition value="Record one exact amount reported as being taken at each administration, for example one tablet. The quantity represents the amount of the medication identified in medication[x], not the medicinal-product strength." /> <comment value="Use a unit appropriate to the reported amount. Do not repeat a strength such as 10 mg here when medication[x] already identifies a 10 mg tablet and the reported dose is one tablet." /> <requirements value="An exact quantity supports structured representation when the information source reports one amount per administration." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.doseAndRate.dose[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="qty-3" /> <severity value="error" /> <human value="If a code for the unit is present, the system SHALL also be present" /> <expression value="code.empty() or system.exists()" /> <xpath value="not(exists(f:code)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/Quantity" /> </constraint> <constraint> <key value="sqty-1" /> <severity value="error" /> <human value="The comparator is not used on a SimpleQuantity" /> <expression value="comparator.empty()" /> <xpath value="not(exists(f:comparator))" /> <source value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-2, RXE-3" /> </mapping> <mapping> <identity value="rim" /> <map value=".doseQuantity" /> </mapping> <mapping> <identity value="v2" /> <map value="SN (see also Range) or CQ" /> </mapping> <mapping> <identity value="rim" /> <map value="PQ, IVL<PQ>, MO, CO, depending on the values" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <sliceName value="doseRange" /> <short value="Reported amount range per administration" /> <definition value="Record the lower and upper amount reported as being taken at each administration when the information source provides a dose range rather than one exact amount." /> <comment value="Use doseRange only for a reported range. Use compatible units for the lower and upper limits, and do not infer a range from incomplete information." /> <requirements value="A range preserves uncertainty or permitted variation explicitly reported by the information source." /> <min value="0" /> <max value="1" /> <base> <path value="Dosage.doseAndRate.dose[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Range" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-2, RXE-3" /> </mapping> <mapping> <identity value="rim" /> <map value=".doseQuantity" /> </mapping> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x]"> <path value="MedicationStatement.dosage.doseAndRate.rate[x]" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a structured administration rate." /> <comment value="All rate variants are prohibited in this profile." /> <requirements value="Administration rate is outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.doseAndRate.rate[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Ratio" /> </type> <type> <code value="Range" /> </type> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="RXE22, RXE23, RXE-24" /> </mapping> <mapping> <identity value="rim" /> <map value=".rateQuantity" /> </mapping> </element> <element id="MedicationStatement.dosage.maxDosePerPeriod"> <path value="MedicationStatement.dosage.maxDosePerPeriod" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a maximum dose per time period." /> <comment value="maxDosePerPeriod is prohibited in this profile." /> <requirements value="Maximum dose limits are outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.maxDosePerPeriod" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Ratio" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="rat-1" /> <severity value="error" /> <human value="Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present" /> <expression value="(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())" /> <xpath value="(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))" /> <source value="http://hl7.org/fhir/StructureDefinition/Ratio" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="RTO" /> </mapping> <mapping> <identity value="v2" /> <map value="RXO-23, RXE-19" /> </mapping> <mapping> <identity value="rim" /> <map value=".maxDoseQuantity" /> </mapping> </element> <element id="MedicationStatement.dosage.maxDosePerAdministration"> <path value="MedicationStatement.dosage.maxDosePerAdministration" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a maximum dose per administration." /> <comment value="maxDosePerAdministration is prohibited in this profile." /> <requirements value="Maximum dose limits are outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.maxDosePerAdministration" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="qty-3" /> <severity value="error" /> <human value="If a code for the unit is present, the system SHALL also be present" /> <expression value="code.empty() or system.exists()" /> <xpath value="not(exists(f:code)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/Quantity" /> </constraint> <constraint> <key value="sqty-1" /> <severity value="error" /> <human value="The comparator is not used on a SimpleQuantity" /> <expression value="comparator.empty()" /> <xpath value="not(exists(f:comparator))" /> <source value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="SN (see also Range) or CQ" /> </mapping> <mapping> <identity value="rim" /> <map value="PQ, IVL<PQ>, MO, CO, depending on the values" /> </mapping> <mapping> <identity value="rim" /> <map value="not supported" /> </mapping> </element> <element id="MedicationStatement.dosage.maxDosePerLifetime"> <path value="MedicationStatement.dosage.maxDosePerLifetime" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a maximum cumulative lifetime dose." /> <comment value="maxDosePerLifetime is prohibited in this profile." /> <requirements value="Maximum dose limits are outside the current DigiDot MedicationStatement scope." /> <min value="0" /> <max value="0" /> <base> <path value="Dosage.maxDosePerLifetime" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="qty-3" /> <severity value="error" /> <human value="If a code for the unit is present, the system SHALL also be present" /> <expression value="code.empty() or system.exists()" /> <xpath value="not(exists(f:code)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/Quantity" /> </constraint> <constraint> <key value="sqty-1" /> <severity value="error" /> <human value="The comparator is not used on a SimpleQuantity" /> <expression value="comparator.empty()" /> <xpath value="not(exists(f:comparator))" /> <source value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="SN (see also Range) or CQ" /> </mapping> <mapping> <identity value="rim" /> <map value="PQ, IVL<PQ>, MO, CO, depending on the values" /> </mapping> <mapping> <identity value="rim" /> <map value="not supported" /> </mapping> </element> </snapshot> <differential> <element id="MedicationStatement"> <path value="MedicationStatement" /> <short value="Reported medication use" /> <comment value="Interpret the resource as a report of medication use, not as evidence of a prescription, dispense or administration. Use status together with the reported medication, information source, asserted date and any dosage information." /> </element> <element id="MedicationStatement.implicitRules"> <path value="MedicationStatement.implicitRules" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="A DigiDot MedicationStatement must be interpretable from the published FHIR R4 profile, terminology versions and agreed exchange documentation. Do not use implicitRules to introduce undocumented processing rules." /> <comment value="implicitRules is prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.contained"> <path value="MedicationStatement.contained" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="Resources relevant to the DigiDot information model must be stored as independently identifiable FHIR resources and linked by reference. Contained resources are not used in this profile." /> <comment value="Contained resources are prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.extension"> <path value="MedicationStatement.extension" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="No extension is defined for the current DigiDot MedicationStatement scope. This also prevents SFM-specific extension content from being stored through this profile." /> <comment value="Extensions are prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.modifierExtension"> <path value="MedicationStatement.modifierExtension" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="Modifier extensions can change the meaning of a MedicationStatement and require every consumer to understand them. No modifier extension is defined for the current DigiDot scope." /> <comment value="Modifier extensions are prohibited in this profile." /> <requirements value="The current DigiDot MedicationStatement must be interpretable without modifier extensions." /> <max value="0" /> </element> <element id="MedicationStatement.identifier"> <path value="MedicationStatement.identifier" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not carry a treatment identifier, prescription identifier or other MedicationStatement business identifier." /> <comment value="MedicationStatement business identifiers are prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.basedOn"> <path value="MedicationStatement.basedOn" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported medication use is not represented as fulfillment of a plan, proposal or medication order." /> <comment value="basedOn is prohibited in this profile." /> <requirements value="The reported medication use is intentionally independent of an authorization or medication order." /> <max value="0" /> </element> <element id="MedicationStatement.partOf"> <path value="MedicationStatement.partOf" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported medication use is not represented as a component of another medication event or statement." /> <comment value="partOf is prohibited in this profile." /> <requirements value="The narrow reporting model does not represent this statement as part of another medication event." /> <max value="0" /> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <short value="Lifecycle status of the reported medication use" /> <definition value="Use status to indicate whether the patient is currently using the medication, used it previously, has stopped using it, or whether the reported status is unknown or was entered in error. Use a standard FHIR R4 MedicationStatement status." /> <comment value="Status represents the medication use as known when the statement was asserted. It does not represent the lifecycle of a prescription, dispense or administration event." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.statusReason"> <path value="MedicationStatement.statusReason" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a separate reason for the MedicationStatement status." /> <comment value="statusReason is prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.category"> <path value="MedicationStatement.category" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not classify reported medication use by category." /> <comment value="category is prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <short value="Medication reported as used" /> <definition value="When structured medication information is available, record the medication directly with one versioned SNOMED CT concept from DigidotReportedMedicationNo. Use a Medicinal Product, Medicinal Product Form or Clinical Drug concept according to the level of detail supported by the reported information. An optional second coding may preserve the specific reported product with its FEST identifier. When structured medication information is not available, record the medication name or description in CodeableConcept.text." /> <comment value="When a SNOMED CT coding is present, Coding.version SHALL identify the SNOMED CT edition and release using a version URI of the form http://snomed.info/sct/{edition}/version/{yyyymmdd}. If any structured coding is provided, one SNOMED CT coding is required. A reference to a separate Medication resource SHALL NOT be used in this profile. Do not infer a more specific medication concept than the information source supports." /> <requirements value="DigiDOT uses a structured and versioned SNOMED CT representation when structured medication information is available, while permitting reported text when it is not." /> <type> <code value="CodeableConcept" /> </type> <constraint> <key value="dd-ms-1" /> <severity value="error" /> <human value="Provide either a structured medication coding or a textual medication description." /> <expression value="coding.exists() or text.exists()" /> <source value="https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationStatement-no" /> </constraint> <constraint> <key value="dd-ms-2" /> <severity value="error" /> <human value="When structured medication coding is provided, it SHALL include a SNOMED CT code." /> <expression value="coding.exists() implies coding.where(system = 'http://snomed.info/sct' and code.exists()).exists()" /> <source value="https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationStatement-no" /> </constraint> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x].id"> <path value="MedicationStatement.medication[x].id" /> <short value="Not used on the medicinal product concept" /> <definition value="The medicinal product CodeableConcept does not use an element id in the current DigiDot profile." /> <comment value="An element id on the medicinal product concept is prohibited." /> <max value="0" /> </element> <element id="MedicationStatement.medication[x].extension"> <path value="MedicationStatement.medication[x].extension" /> <short value="No extensions on the medicinal product concept" /> <definition value="The medication identity is represented by standard Coding elements when structured information is available, or by CodeableConcept.text otherwise. Extensions on the CodeableConcept are not used." /> <comment value="Extensions on the medicinal product concept are prohibited." /> <max value="0" /> </element> <element id="MedicationStatement.medication[x].coding"> <path value="MedicationStatement.medication[x].coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="closed" /> </slicing> <short value="Structured SNOMED CT coding and optional FEST coding" /> <definition value="When structured medication information is provided, record one SNOMED CT coding and optionally one additional coding for the specific Norwegian medicinal product or brand identified by the information source. The additional coding SHALL use the FEST code system. Every coding must include its code system and code. Do not provide a FEST coding without the SNOMED CT coding." /> <comment value="If coding is used, the required SNOMED CT coding uses system http://snomed.info/sct. The optional product coding uses system http://ehelse.no/fhir/CodeSystem/FEST and may only accompany the SNOMED CT coding. No other code systems are permitted. Multiple codings do not permit two different medications to be recorded in one MedicationStatement." /> <requirements value="Structured medication information requires one versioned SNOMED CT concept for interoperability and decision support. An additional FEST coding can preserve a more specific reported product identity. When structured medication information is not available, coding is omitted and CodeableConcept.text is required." /> <max value="2" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x].coding.extension"> <path value="MedicationStatement.medication[x].coding.extension" /> <short value="No extensions on the medicinal product coding" /> <definition value="The code system, version, code and display are represented by the standard Coding elements. Extensions on a medication coding are not used." /> <comment value="Extensions on the medicinal product coding are prohibited." /> <max value="0" /> </element> <element id="MedicationStatement.medication[x].coding.system"> <path value="MedicationStatement.medication[x].coding.system" /> <short value="Code system for the medication coding" /> <definition value="Identify the code system used by each medication coding. Only the SNOMED CT and FEST systems represented by the defined slices are permitted." /> <comment value="The closed slicing rules prohibit medication codings from other code systems." /> <min value="1" /> </element> <element id="MedicationStatement.medication[x].coding.code"> <path value="MedicationStatement.medication[x].coding.code" /> <short value="Medication code in the stated code system" /> <definition value="Record the concept identifier from the code system stated in Coding.system." /> <comment value="The code and system together identify the structured medication concept or product." /> <min value="1" /> </element> <element id="MedicationStatement.medication[x].coding:snomed"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="snomed" /> <short value="Versioned SNOMED CT medication concept" /> <definition value="When structured medication information is available, record exactly one precoordinated SNOMED CT Medicinal Product, Medicinal Product Form or Clinical Drug concept from DigidotReportedMedicationNo. The coding conforms to DigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept identifier and versioned edition URI." /> <comment value="Use the most specific SNOMED CT concept supported by the reported information. Coding.display may carry the corresponding SNOMED CT term. Omit the coding only when structured medication information is not available and represent the reported medication in CodeableConcept.text." /> <min value="0" /> <max value="1" /> <type> <code value="Coding" /> <profile value="https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://novari.no/fhir/digidot/ValueSet/digidot-reported-medication-no" /> </binding> </element> <element id="MedicationStatement.medication[x].coding:snomed.system"> <path value="MedicationStatement.medication[x].coding.system" /> <short value="SNOMED CT code system" /> <definition value="The SNOMED CT medication coding uses the canonical SNOMED CT code system URI." /> <comment value="The value is fixed to http://snomed.info/sct." /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="MedicationStatement.medication[x].coding:fest"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="fest" /> <short value="Optional FEST identifier for the reported medicinal product" /> <definition value="Record the FEST identifier when the reported medication was identified as a specific medicinal product or brand in FEST and a corresponding SNOMED CT coding is provided. The FEST and SNOMED CT codings SHALL represent the same medication." /> <comment value="Use system http://ehelse.no/fhir/CodeSystem/FEST and the corresponding FEST identifier. Coding.display may carry the FEST product or brand name. Do not use FEST as the only structured coding." /> <requirements value="The optional FEST coding preserves the Norwegian product identity selected or reported by the information source while the accompanying SNOMED CT coding provides the standardized clinical representation." /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x].coding:fest.system"> <path value="MedicationStatement.medication[x].coding.system" /> <short value="FEST code system" /> <definition value="The optional Norwegian medicinal product coding uses the FEST code system URI." /> <comment value="The value is fixed to http://ehelse.no/fhir/CodeSystem/FEST." /> <fixedUri value="http://ehelse.no/fhir/CodeSystem/FEST" /> </element> <element id="MedicationStatement.medication[x].text"> <path value="MedicationStatement.medication[x].text" /> <short value="Medication name as reported" /> <definition value="When structured medication information is not available, record the medication name or description as stated by the information source. Text may also preserve useful reported wording alongside structured coding, for example "Paralgin forte". Do not use text as the sole representation when a structured SNOMED CT medication concept is available to the recording system." /> <comment value="Text is required when coding is absent. When text and codings are both present, they must describe the same reported medication." /> <requirements value="Reported text provides a fallback when structured medication information is unavailable and can preserve clinically relevant product wording alongside coding." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <short value="Patient whose medication use is reported" /> <definition value="Reference the patient whose medication use is reported through no-basis-Patient." /> <comment value="Use a direct reference to a no-basis-Patient resource." /> <requirements value="The reported medication use must be associated with one identifiable patient." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.context"> <path value="MedicationStatement.context" /> <short value="DigiDot encounter in which the medication use was reported" /> <definition value="Reference the DigiDot Encounter during which the medication use was reported when that clinical context is known." /> <comment value="context is optional but must reference a DigiDot Encounter when present." /> <requirements value="The encounter provides the dental-care context when the medication use was reported during an encounter." /> <type> <code value="Reference" /> <targetProfile value="https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <short value="When the medication is reported as being used" /> <definition value="Record the date, date and time, or period during which the patient is reported as using or having used the medication when this information is known." /> <comment value="Use dateAsserted for when the statement was reported; use effective[x] for when the medication use applies." /> <requirements value="The effective time distinguishes the period of medication use from the date on which the information was reported." /> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <short value="Date when the medication use was reported" /> <definition value="Record when the information source asserted the medication-use information." /> <comment value="dateAsserted is the date the information was reported, not the medication administration time." /> <requirements value="DigiDOT requires the assertion date to distinguish when the medication-use information was reported from when the medication was taken." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <short value="Patient, related person or practitioner who reported the medication use" /> <definition value="The patient, a related person or a healthcare practitioner who reported the patient's medication use. Reference no-basis-Patient, no-basis-Practitioner or no-basis-RelatedPerson according to the type of information source. Omit informationSource when the source is unknown. This element identifies the reporting person, not SFM, PLL or a technical integration system." /> <comment value="Use standard FHIR R4 Reference. Prefer a reference to a reusable resource when available. Identifier-only references may be used when supported by the receiving system; the exchange agreement must specify accepted identifiers and how they are handled. The referenced Patient, Practitioner or RelatedPerson resource must conform to the corresponding no-basis profile. No DigiDOT Reference helper is required." /> <requirements value="The information source supports assessment of the provenance of the reported medication use when the source is known." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Patient" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.derivedFrom"> <path value="MedicationStatement.derivedFrom" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="This profile records information reported by the information source. Do not use it for a statement derived from SFM, PLL, a medication order, dispense record, claim or other source resource." /> <comment value="derivedFrom is prohibited so this profile is not used for medication information derived from SFM, PLL or another source resource." /> <max value="0" /> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record an inline coded reason for the reported medication use." /> <comment value="reasonCode is prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not link the reported medication use to a Condition, Observation or other reason resource." /> <comment value="reasonReference is prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.note"> <path value="MedicationStatement.note" /> <short value="Additional note about the reported medication use" /> <definition value="Record supplementary information about the reported medication use that cannot be represented in another retained element of this profile." /> <comment value="Do not use note as an alternative representation of the medicinal product or dosage." /> <requirements value="A note permits limited supplementary context without replacing the retained medication representation or dosage elements." /> </element> <element id="MedicationStatement.note.extension"> <path value="MedicationStatement.note.extension" /> <short value="No extensions on medication statement notes" /> <definition value="Medication statement notes use the standard Annotation elements retained by this profile. Extensions on Annotation are not used in the current DigiDot scope." /> <comment value="Extensions on MedicationStatement.note are prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.note.author[x]"> <path value="MedicationStatement.note.author[x]" /> <short value="Practitioner who authored the note" /> <definition value="Reference the healthcare practitioner responsible for authoring the annotation. The referenced resource must conform to no-basis-Practitioner." /> <comment value="Only the Reference variant is permitted, and its target is restricted to no-basis-Practitioner. Patient, RelatedPerson, Organization and free-text authors are not permitted in this profile." /> <requirements value="The author identifies the practitioner responsible for supplementary note content when an author is provided." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner" /> </type> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <short value="Dosage reported by the information source" /> <definition value="Record textual or structured dosage information only as reported by the information source. Dosage.text may carry the reported regimen, timing may represent how often it is taken, and doseAndRate.dose[x] may represent the amount taken at one time. Do not infer information that the source did not provide." /> <comment value="Record only information supplied by the information source. This profile is not used for dosage copied or derived from a MedicationRequest, SFM or PLL." /> <requirements value="Dosage preserves the medication-use regimen as reported without turning the statement into a prescription." /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.extension"> <path value="MedicationStatement.dosage.extension" /> <short value="No extensions on the reported dosage" /> <definition value="Extensions on Dosage are not used in this profile." /> <comment value="Extensions on Dosage are prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.modifierExtension"> <path value="MedicationStatement.dosage.modifierExtension" /> <short value="No modifier extensions on the reported dosage" /> <definition value="Modifier extensions on Dosage are not used in this profile." /> <comment value="Modifier extensions on Dosage are prohibited in this profile." /> <requirements value="The reported dosage must be interpretable without modifier extensions." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.sequence"> <path value="MedicationStatement.dosage.sequence" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record an ordering sequence between dosage instructions." /> <comment value="sequence is prohibited in this profile." /> <requirements value="Only one Dosage element is permitted, so an ordering sequence is not required." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <short value="Reported human-readable dosage information" /> <definition value="Record the dosage wording provided by the information source when a human-readable regimen is available." /> <comment value="When text and structured dosage elements are both present, they must describe the same reported regimen." /> <requirements value="Human-readable text preserves reported dosage information that is not fully represented by the retained structured elements." /> </element> <element id="MedicationStatement.dosage.additionalInstruction"> <path value="MedicationStatement.dosage.additionalInstruction" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record additional coded or textual dosage instructions." /> <comment value="additionalInstruction is prohibited in this profile." /> <requirements value="The narrow DigiDot model retains the reported regimen in dosage.text and the selected structured dosage elements." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.patientInstruction"> <path value="MedicationStatement.dosage.patientInstruction" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record separate patient-oriented dosage instructions." /> <comment value="patientInstruction is prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.timing"> <path value="MedicationStatement.dosage.timing" /> <short value="Reported timing of medication use" /> <definition value="Record when or how often the medication is reported as being taken when structured timing information is available." /> <comment value="Use timing for the reported schedule. Do not use it to infer or reconstruct an administration rate." /> <requirements value="Structured timing supports consistent representation of when or how often the medication is reported as taken." /> </element> <element id="MedicationStatement.dosage.asNeeded[x]"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <comment value="Only the Boolean variant is permitted in this profile." /> </element> <element id="MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <sliceName value="asNeededCodeableConcept" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not use a CodeableConcept to specify the condition under which the medication is taken as needed. The inherited Boolean variant remains available." /> <comment value="The coded variant of asNeeded[x] is prohibited." /> <min value="0" /> <max value="0" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="MedicationStatement.dosage.asNeeded[x]:asNeededBoolean"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <sliceName value="asNeededBoolean" /> <short value="Whether the medication is reported as taken as needed" /> <definition value="Use the Boolean variant only when the information source reports whether the medication is taken as needed." /> <comment value="true means taken as needed; false means not taken as needed; omit the element when this information is unknown." /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="MedicationStatement.dosage.site"> <path value="MedicationStatement.dosage.site" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported dosage does not include a separate anatomical site." /> <comment value="site is prohibited in this profile." /> <requirements value="A separate anatomical administration site is outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported dosage does not include a separate route of administration." /> <comment value="route is prohibited in this profile." /> <requirements value="A separate route of administration is outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.method"> <path value="MedicationStatement.dosage.method" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The reported dosage does not include a separate administration method." /> <comment value="method is prohibited in this profile." /> <requirements value="A separate administration method is outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.doseAndRate"> <path value="MedicationStatement.dosage.doseAndRate" /> <short value="Reported amount of medication per administration" /> <definition value="Use dose[x] to record the amount reported for one administration, for example two tablets. A quantity or reported dose range may be used. A structured administration rate is outside the scope of this profile." /> <comment value="Only the dose is used; dose type and administration rate are prohibited." /> <requirements value="A structured dose allows the reported amount taken at one time to be represented separately from timing." /> </element> <element id="MedicationStatement.dosage.doseAndRate.extension"> <path value="MedicationStatement.dosage.doseAndRate.extension" /> <short value="No extensions on dose and rate" /> <definition value="Extensions on doseAndRate are not used in this profile." /> <comment value="Extensions on doseAndRate are prohibited in this profile." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.doseAndRate.type"> <path value="MedicationStatement.dosage.doseAndRate.type" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not classify the reported dose with a separate dose type." /> <comment value="doseAndRate.type is prohibited in this profile." /> <requirements value="The narrow DigiDot model records the reported dose without a separate dose classification." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Reported amount per administration" /> <definition value="Record the exact quantity or dose range reported as being taken at one time. Use doseQuantity when one amount is reported and doseRange only when the information source reports a range." /> <comment value="Record the amount of the medication identified in medication[x]; do not describe ingredients or a separate Medication resource here." /> <requirements value="The dose represents the amount of the medication identified in medication[x] and reported as taken at one time." /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <sliceName value="doseQuantity" /> <short value="Reported exact amount per administration" /> <definition value="Record one exact amount reported as being taken at each administration, for example one tablet. The quantity represents the amount of the medication identified in medication[x], not the medicinal-product strength." /> <comment value="Use a unit appropriate to the reported amount. Do not repeat a strength such as 10 mg here when medication[x] already identifies a 10 mg tablet and the reported dose is one tablet." /> <requirements value="An exact quantity supports structured representation when the information source reports one amount per administration." /> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" /> </type> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <sliceName value="doseRange" /> <short value="Reported amount range per administration" /> <definition value="Record the lower and upper amount reported as being taken at each administration when the information source provides a dose range rather than one exact amount." /> <comment value="Use doseRange only for a reported range. Use compatible units for the lower and upper limits, and do not infer a range from incomplete information." /> <requirements value="A range preserves uncertainty or permitted variation explicitly reported by the information source." /> <min value="0" /> <max value="1" /> <type> <code value="Range" /> </type> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x]"> <path value="MedicationStatement.dosage.doseAndRate.rate[x]" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a structured administration rate." /> <comment value="All rate variants are prohibited in this profile." /> <requirements value="Administration rate is outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.maxDosePerPeriod"> <path value="MedicationStatement.dosage.maxDosePerPeriod" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a maximum dose per time period." /> <comment value="maxDosePerPeriod is prohibited in this profile." /> <requirements value="Maximum dose limits are outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.maxDosePerAdministration"> <path value="MedicationStatement.dosage.maxDosePerAdministration" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a maximum dose per administration." /> <comment value="maxDosePerAdministration is prohibited in this profile." /> <requirements value="Maximum dose limits are outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> <element id="MedicationStatement.dosage.maxDosePerLifetime"> <path value="MedicationStatement.dosage.maxDosePerLifetime" /> <short value="Not used in the current DigiDot MedicationStatement profile" /> <definition value="The current DigiDot profile does not record a maximum cumulative lifetime dose." /> <comment value="maxDosePerLifetime is prohibited in this profile." /> <requirements value="Maximum dose limits are outside the current DigiDot MedicationStatement scope." /> <max value="0" /> </element> </differential> </StructureDefinition>