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{
  "resourceType": "StructureDefinition",
  "id": "digidot-MedicationAdministration-no",
  "url": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationAdministration-no",
  "version": "0.1.0-test",
  "name": "DigidotMedicationAdministrationNo",
  "title": "DigiDot MedicationAdministration (NO)",
  "status": "draft",
  "date": "2026-09-15",
  "publisher": "Novari AS - DigiDOT",
  "description": "Draft DigiDOT profile for recording medication administration events in dental\ncare. The medicinal product is recorded directly with a versioned SNOMED CT\nclinical drug code. The patient and clinical context are linked through the\napplicable no-basis and DigiDOT profiles. The administering healthcare\nprofessional is represented by a literal no-basis-Practitioner reference or,\nwhen no Practitioner resource exists, by a logical reference using HPR.",
  "purpose": "Use this profile to record a completed, in-progress, stopped, on-hold or\nnot-done medication administration event in dental care. The profile represents\nwhat was administered directly with a versioned SNOMED CT clinical drug code.\nMedicationAdministration.status represents the event lifecycle,\neffective[x] represents when the event occurred or did not occur, context links\nthe dental encounter, performer identifies the healthcare professional who\nadministered the medication, and partOf links a clinically relevant dental\nprocedure or larger administration event. The current draft does not establish\na direct link to MedicationRequest.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "w3c.prov",
      "uri": "http://www.w3.org/ns/prov",
      "name": "W3C PROV"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MedicationAdministration",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "MedicationAdministration",
        "path": "MedicationAdministration",
        "short": "Medication administration event in dental care",
        "definition": "Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationAdministration",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "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": "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": "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": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown": "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."
              }
            ],
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dd-ma-2",
            "severity": "error",
            "human": "When the administration is completed, at least one actual performer SHALL be recorded.",
            "expression": "status != 'completed' or performer.exists()",
            "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationAdministration-no"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "rim",
            "map": "SubstanceAdministration"
          }
        ]
      },
      {
        "id": "MedicationAdministration.id",
        "path": "MedicationAdministration.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "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": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "MedicationAdministration.meta",
        "path": "MedicationAdministration.meta",
        "short": "Metadata about the resource",
        "definition": "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": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "MedicationAdministration.implicitRules",
        "path": "MedicationAdministration.implicitRules",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "A DigiDot MedicationAdministration must be interpretable from the published\nFHIR R4 profile, terminology version and agreed exchange documentation. Do not\nuse implicitRules to introduce undocumented processing rules.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "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": true
      },
      {
        "id": "MedicationAdministration.language",
        "path": "MedicationAdministration.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "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": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id": "MedicationAdministration.text",
        "path": "MedicationAdministration.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "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": "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": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "MedicationAdministration.contained",
        "path": "MedicationAdministration.contained",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "Resources relevant to the DigiDot information model must be stored as\nindependently identifiable FHIR resources and linked by reference. Do not use\ncontained resources for the patient, encounter, performer, clinical indication\nor related procedure.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationAdministration.extension",
        "path": "MedicationAdministration.extension",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "No extension is defined for the current DigiDot MedicationAdministration scope.\nA future extension requires a documented use case, a named and governed\ndefinition, and an explicit profile revision.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationAdministration.modifierExtension",
        "path": "MedicationAdministration.modifierExtension",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "Modifier extensions can change the meaning of a MedicationAdministration and\nrequire every consumer to understand them. No modifier extension is defined for\nthe current DigiDot scope.",
        "comment": "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationAdministration.identifier",
        "path": "MedicationAdministration.identifier",
        "short": "Stable identifier for the specific administration event",
        "definition": "Record a stable business identifier assigned to this specific administration\nevent. Use it for traceability and de-duplication across systems. Do not copy an\nidentifier from MedicationRequest and do not repeat the FHIR server resource id.",
        "comment": "This is a business identifier, not a resource identifier.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "MedicationAdministration.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "rim",
            "map": ".id"
          }
        ]
      },
      {
        "id": "MedicationAdministration.instantiates",
        "path": "MedicationAdministration.instantiates",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not record adherence to an external protocol,\nguideline or order set through instantiates. A future agreed protocol model may\nintroduce a revised constraint.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.instantiates",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.instantiates"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.partOf",
        "path": "MedicationAdministration.partOf",
        "short": "Procedure or larger administration event of which this event is a part",
        "definition": "Use partOf when the medication administration is a component of a DigiDot\nProcedure or a larger DigiDot MedicationAdministration event. Do not use partOf\nas a replacement for an order-to-administration relationship.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationAdministration.partOf",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Procedure-no",
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationAdministration-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.partOf"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "short": "Lifecycle status for this administration event",
        "definition": "Use status as the authoritative lifecycle state for this concrete medication\nadministration event. A completed event represents medication that was actually\nadministered. Other status values can represent an event that is in progress,\nstopped, on hold, not done, entered in error or of unknown status.",
        "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": true,
        "isModifierReason": "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationStatus"
            }
          ],
          "strength": "required",
          "description": "A set of codes indicating the current status of a MedicationAdministration.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "v2",
            "map": "RXA-20-Completion Status"
          },
          {
            "identity": "rim",
            "map": ".statusCode"
          }
        ]
      },
      {
        "id": "MedicationAdministration.statusReason",
        "path": "MedicationAdministration.statusReason",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile has no agreed terminology binding for a separate\nadministration status reason. MedicationAdministration.status remains the\nlifecycle state, and a clinically significant indication is linked through\nreasonReference.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.statusReason",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationNegationReason"
            }
          ],
          "strength": "example",
          "description": "A set of codes indicating the reason why the MedicationAdministration is negated.",
          "valueSet": "http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.statusReason"
          },
          {
            "identity": "v2",
            "map": "RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value"
          }
        ]
      },
      {
        "id": "MedicationAdministration.category",
        "path": "MedicationAdministration.category",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not define a separate category classification\nfor medication administrations. The clinical meaning is represented by the\nversioned SNOMED CT medicinal product code and the surrounding encounter and\nprocedure context.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.category",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationCategory"
            }
          ],
          "strength": "preferred",
          "description": "A coded concept describing where the medication administered is expected to occur.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-admin-category"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "short": "SNOMED CT code for the medication administered",
        "definition": "The medication that was administered, represented by a SNOMED CT Clinical Drug\nconcept from the source side of Norwegian mapping reference set\n327471000202109.",
        "comment": "The medication SHALL be recorded directly as a CodeableConcept containing one\nSNOMED CT Clinical Drug code from the source side of Norwegian mapping\nreference set 327471000202109. Coding.version SHALL identify the SNOMED CT\nedition and release using a version URI of the form\nhttp://snomed.info/sct/{edition}/version/{yyyymmdd}. A reference to a separate\nMedication resource SHALL NOT be used in this profile.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.medication[x]",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "FiveWs.what[x]"
          },
          {
            "identity": "v2",
            "map": "RXA-5-Administered Code"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=CSM].role[classCode=ADMM]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].id",
        "path": "MedicationAdministration.medication[x].id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product CodeableConcept does not use an element id in the current\nDigiDot profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].extension",
        "path": "MedicationAdministration.medication[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the medicinal product concept",
        "definition": "All required medicinal product information is represented by the versioned\nSNOMED CT coding. Extensions on the CodeableConcept are not used.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding",
        "path": "MedicationAdministration.medication[x].coding",
        "short": "SNOMED CT clinical drug code with edition version",
        "definition": "Record exactly one precoordinated SNOMED CT Clinical Drug concept represented\non the source side of Norwegian dose-based prescription Clinical Drug to\nMedicinal Product simple map reference set 327471000202109. The coding conforms\nto DigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept\nidentifier and versioned edition URI.",
        "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CodeableConcept.coding",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1-8, C*E.10-22"
          },
          {
            "identity": "rim",
            "map": "union(., ./translation)"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.id",
        "path": "MedicationAdministration.medication[x].coding.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.extension",
        "path": "MedicationAdministration.medication[x].coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the medicinal product coding",
        "definition": "The SNOMED CT system, edition version and concept identifier are represented by\nthe standard Coding elements. Extensions on the coding are not used.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "short": "Identity of the terminology system",
        "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
        "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
        "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.3"
          },
          {
            "identity": "rim",
            "map": "./codeSystem"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.version",
        "path": "MedicationAdministration.medication[x].coding.version",
        "short": "Version of the system - if relevant",
        "definition": "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": "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": 0,
        "max": "1",
        "base": {
          "path": "Coding.version",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.7"
          },
          {
            "identity": "rim",
            "map": "./codeSystemVersion"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.code",
        "path": "MedicationAdministration.medication[x].coding.code",
        "short": "Symbol in syntax defined by the system",
        "definition": "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).",
        "requirements": "Need to refer to a particular code in the system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1"
          },
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationAdministration.medication[x].coding.display",
        "short": "Representation defined by the system",
        "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
        "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.2 - but note this is not well followed"
          },
          {
            "identity": "rim",
            "map": "CV.displayName"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].coding.userSelected",
        "path": "MedicationAdministration.medication[x].coding.userSelected",
        "short": "If this coding was chosen directly by the user",
        "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
        "comment": "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": "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": 0,
        "max": "1",
        "base": {
          "path": "Coding.userSelected",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "Sometimes implied by being first"
          },
          {
            "identity": "rim",
            "map": "CD.codingRationale"
          },
          {
            "identity": "orim",
            "map": "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   ]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationAdministration.medication[x].text",
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product is represented by the structured SNOMED CT coding. A\nhuman-readable SNOMED CT term may be carried in Coding.display; do not use\nCodeableConcept.text as an alternative medication representation.",
        "comment": "Very often the text is the same as a displayName of one of the codings.",
        "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CodeableConcept.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity": "rim",
            "map": "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id": "MedicationAdministration.subject",
        "path": "MedicationAdministration.subject",
        "short": "Patient who received or was intended to receive the medication",
        "definition": "Reference the patient through no-basis-Patient. External patient data is mapped\nto this agreed patient representation before it is used by a canonical DigiDot\nMedicationAdministration.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.subject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.subject"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "v2",
            "map": "PID-3-Patient ID List"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject"
          }
        ]
      },
      {
        "id": "MedicationAdministration.context",
        "path": "MedicationAdministration.context",
        "short": "Dental encounter in which the administration took place",
        "definition": "Reference the DigiDot Encounter in which the medication was administered or the\nnon-administration event was recorded. An Encounter is required to maintain the\nclinical context of every administration event in this profile.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.context",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.context"
          },
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "v2",
            "map": "PV1-19-Visit Number"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.supportingInformation",
        "path": "MedicationAdministration.supportingInformation",
        "short": "Additional information to support administration",
        "definition": "Additional information (for example, patient height and weight) that supports the administration of the medication.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationAdministration.supportingInformation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.effective[x]",
        "path": "MedicationAdministration.effective[x]",
        "short": "Date, time, or period of the actual administration",
        "definition": "Record the date and time or period during which the administration occurred.\nFor a not-done event, record the clinically relevant time or period during\nwhich the administration did not occur.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.effective[x]",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.done[x]"
          },
          {
            "identity": "v2",
            "map": "RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "short": "Healthcare professional who performed the administration",
        "definition": "Use performer to record the healthcare professional who actually administered\nthe medication. At least one performer is required when status is completed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationAdministration.performer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer"
          },
          {
            "identity": "w5",
            "map": "FiveWs.actor"
          },
          {
            "identity": "v2",
            "map": "RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=PRF]"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.id",
        "path": "MedicationAdministration.performer.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.extension",
        "path": "MedicationAdministration.performer.extension",
        "short": "No extensions on the performer context",
        "definition": "The performer is represented by performer.actor. Extensions on the performer\nbackbone element are not used in the current DigiDot profile.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.modifierExtension",
        "path": "MedicationAdministration.performer.modifierExtension",
        "short": "No modifier extensions on the performer context",
        "definition": "Modifier extensions on the performer backbone element are not used in the\ncurrent DigiDot profile.",
        "comment": "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.function",
        "path": "MedicationAdministration.performer.function",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile records the specific administering healthcare\nprofessional through performer.actor and does not define a separate performer\nfunction terminology.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.performer.function",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationPerformerFunction"
            }
          ],
          "strength": "example",
          "description": "A code describing the role an individual played in administering the medication.",
          "valueSet": "http://hl7.org/fhir/ValueSet/med-admin-perform-function"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer.function"
          },
          {
            "identity": "rim",
            "map": "participation[typeCode=PRF].functionCode"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.actor",
        "path": "MedicationAdministration.performer.actor",
        "short": "Healthcare professional who actually administered the medication",
        "definition": "Identify the specific healthcare professional who administered the medication\nthrough a literal reference to no-basis-Practitioner when that resource exists.\nOtherwise use a logical Practitioner reference with the performer's HPR number.\nA Norwegian national identity number is not permitted as a logical identifier\nin this reference. Do not use PractitionerRole or Organization.",
        "comment": "Provide exactly one of Reference.reference or Reference.identifier. A logical\nreference must use type Practitioner and HPR system\nurn:oid:2.16.578.1.12.4.1.4.4. A Norwegian national identity number is\nprohibited as a logical identifier in this reference.\n\nDo not copy MedicationRequest.requester without verification. The requester is\nthe prescriber, whereas performer.actor is the specific healthcare professional\nwho actually administered the medication.",
        "requirements": "The administration must identify an actual performer through an existing\nPractitioner resource or an HPR number when performer is required.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.performer.actor",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Reference-Practitioner-HPR-no"
            ],
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer.actor"
          },
          {
            "identity": "rim",
            "map": ".role"
          }
        ]
      },
      {
        "id": "MedicationAdministration.reasonCode",
        "path": "MedicationAdministration.reasonCode",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not define a separate coded administration\nreason. Link a clinically significant indication through reasonReference to a\nDigiDot Condition or Observation.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.reasonCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationReason"
            }
          ],
          "strength": "example",
          "description": "A set of codes indicating the reason why the MedicationAdministration was made.",
          "valueSet": "http://hl7.org/fhir/ValueSet/reason-medication-given-codes"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.reasonCode"
          },
          {
            "identity": "v2",
            "map": "RXE-27 Give Indication"
          },
          {
            "identity": "rim",
            "map": ".reasonCode"
          }
        ]
      },
      {
        "id": "MedicationAdministration.reasonReference",
        "path": "MedicationAdministration.reasonReference",
        "short": "Condition or observation that clinically justified the administration",
        "definition": "Use reasonReference to link the administration to a DigiDot Condition or\nObservation that represents the clinical indication. A separate coded reason\nis not used in this profile.",
        "comment": "This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationAdministration.reasonReference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no",
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.reasonReference"
          },
          {
            "identity": "w5",
            "map": "FiveWs.why[x]"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value"
          },
          {
            "identity": "w3c.prov",
            "map": "no mapping"
          }
        ]
      },
      {
        "id": "MedicationAdministration.request",
        "path": "MedicationAdministration.request",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile records what occurred but does not provide a direct\norder-to-administration link to MedicationRequest. This means a formal\nmedication order cannot be traced directly from this resource. A future\nworkflow-aligned revision may permit a reference to a DigiDot\nMedicationRequest.",
        "comment": "This is a reference to the MedicationRequest  where the intent is either order or instance-order.  It should not reference MedicationRequests where the intent is any other value.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.request",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.basedOn"
          },
          {
            "identity": "v2",
            "map": "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity": "rim",
            "map": "InFullfillmentOf->SubstanceAdministration"
          }
        ]
      },
      {
        "id": "MedicationAdministration.device",
        "path": "MedicationAdministration.device",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not define a model for identifying a device\nused to administer the medication. A future device traceability requirement\nrequires an explicit profile revision.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.device",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "PRT-10 Participation Device / RXR-3 Administrative Device"
          },
          {
            "identity": "rim",
            "map": "device->Access  OR device->AssignedDevice"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note",
        "path": "MedicationAdministration.note",
        "short": "Information about the administration",
        "definition": "Extra information about the medication administration that is not conveyed by the other attributes.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationAdministration.note",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.note"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note.id",
        "path": "MedicationAdministration.note.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note.extension",
        "path": "MedicationAdministration.note.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on medication administration notes",
        "definition": "Medication administration notes use the standard Annotation elements retained\nby this profile. Extensions on Annotation are not used in the current DigiDot\nscope.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note.author[x]",
        "path": "MedicationAdministration.note.author[x]",
        "short": "Individual responsible for the annotation",
        "definition": "The individual responsible for making the annotation.",
        "comment": "Organization is used when there's no need for specific attribution as to who made the comment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.author[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          },
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.participant[typeCode=AUT].role"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note.time",
        "path": "MedicationAdministration.note.time",
        "short": "When the annotation was made",
        "definition": "Indicates when this particular annotation was made.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.time",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note.text",
        "path": "MedicationAdministration.note.text",
        "short": "The annotation  - text content (as markdown)",
        "definition": "The text of the annotation in markdown format.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Annotation.text",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage",
        "path": "MedicationAdministration.dosage",
        "short": "Dosage that was actually administered",
        "definition": "Use dosage for structured or textual information about what was actually\nadministered. Dosage is optional in the current profile. When present, dose and\nrate describe the administration event and not merely an ordered dosage.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.dosage",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "mad-1",
            "severity": "error",
            "human": "SHALL have at least one of dosage.dose or dosage.rate[x]",
            "expression": "dose.exists() or rate.exists()",
            "xpath": "exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "component->SubstanceAdministrationEvent"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.id",
        "path": "MedicationAdministration.dosage.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.extension",
        "path": "MedicationAdministration.dosage.extension",
        "short": "No extensions on the administered dosage",
        "definition": "The current DigiDot dosage model uses only the standard elements retained by\nthis profile. Extensions on the dosage backbone element are not used.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.modifierExtension",
        "path": "MedicationAdministration.dosage.modifierExtension",
        "short": "No modifier extensions on the administered dosage",
        "definition": "Modifier extensions on the dosage backbone element are not used in the current\nDigiDot profile.",
        "comment": "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.text",
        "path": "MedicationAdministration.dosage.text",
        "short": "Human-readable description of the administered dosage",
        "definition": "Use dosage.text for clinically relevant dosage information that cannot be\nrepresented adequately by dose or rate. Do not use it to replace the structured\nmedicinal product coding.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.dosage.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.site",
        "path": "MedicationAdministration.dosage.site",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot MedicationAdministration profile does not record a separate\nanatomical administration site. A future agreed use case requires an explicit\nprofile revision.",
        "comment": "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.dosage.site",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationSite"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the site location the medicine enters into or onto the body.",
          "valueSet": "http://hl7.org/fhir/ValueSet/approach-site-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXR-2 Administration Site / RXR-6 Administration Site Modifier"
          },
          {
            "identity": "rim",
            "map": ".approachSiteCode"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.route",
        "path": "MedicationAdministration.dosage.route",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not record a separate route of administration.\nA future agreed route terminology and clinical use case requires an explicit\nprofile revision.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.dosage.route",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "RouteOfAdministration"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
          "valueSet": "http://hl7.org/fhir/ValueSet/route-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXR-1-Route"
          },
          {
            "identity": "rim",
            "map": ".routeCode"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.method",
        "path": "MedicationAdministration.dosage.method",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not record a separate administration method.\nA future agreed method terminology and clinical use case requires an explicit\nprofile revision.",
        "comment": "One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.dosage.method",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationMethod"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the technique by which the medicine is administered.",
          "valueSet": "http://hl7.org/fhir/ValueSet/administration-method-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXR-4-Administration Method"
          },
          {
            "identity": "rim",
            "map": ".methodCode"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.dose",
        "path": "MedicationAdministration.dosage.dose",
        "short": "Amount that was actually administered",
        "definition": "Record the quantity of medication that was actually administered when known.\nDo not copy an ordered dose without confirming that it was given.",
        "comment": "If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.dosage.dose",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXA-6 Administered Amount / RXA-7 Administered Units"
          },
          {
            "identity": "rim",
            "map": ".doseQuantity"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.rate[x]",
        "path": "MedicationAdministration.dosage.rate[x]",
        "short": "Rate at which the medication was administered",
        "definition": "Record the actual administration rate as a Ratio or Quantity when clinically\nrelevant and known. Do not copy an ordered rate without confirming that it was\nused.",
        "comment": "If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationAdministration.dosage.rate[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          },
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXA-12-Administered Per (Time Unit)"
          },
          {
            "identity": "rim",
            "map": ".rateQuantity"
          }
        ]
      },
      {
        "id": "MedicationAdministration.eventHistory",
        "path": "MedicationAdministration.eventHistory",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not use eventHistory to reference selected\nProvenance resources. Technical changes to the resource are managed through\nthe server's resource version history.",
        "comment": "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationAdministration.eventHistory",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Provenance"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration",
        "path": "MedicationAdministration",
        "short": "Medication administration event in dental care",
        "constraint": [
          {
            "key": "dd-ma-2",
            "severity": "error",
            "human": "When the administration is completed, at least one actual performer SHALL be recorded.",
            "expression": "status != 'completed' or performer.exists()",
            "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationAdministration-no"
          }
        ]
      },
      {
        "id": "MedicationAdministration.implicitRules",
        "path": "MedicationAdministration.implicitRules",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "A DigiDot MedicationAdministration must be interpretable from the published\nFHIR R4 profile, terminology version and agreed exchange documentation. Do not\nuse implicitRules to introduce undocumented processing rules.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.contained",
        "path": "MedicationAdministration.contained",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "Resources relevant to the DigiDot information model must be stored as\nindependently identifiable FHIR resources and linked by reference. Do not use\ncontained resources for the patient, encounter, performer, clinical indication\nor related procedure.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.extension",
        "path": "MedicationAdministration.extension",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "No extension is defined for the current DigiDot MedicationAdministration scope.\nA future extension requires a documented use case, a named and governed\ndefinition, and an explicit profile revision.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.modifierExtension",
        "path": "MedicationAdministration.modifierExtension",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "Modifier extensions can change the meaning of a MedicationAdministration and\nrequire every consumer to understand them. No modifier extension is defined for\nthe current DigiDot scope.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.identifier",
        "path": "MedicationAdministration.identifier",
        "short": "Stable identifier for the specific administration event",
        "definition": "Record a stable business identifier assigned to this specific administration\nevent. Use it for traceability and de-duplication across systems. Do not copy an\nidentifier from MedicationRequest and do not repeat the FHIR server resource id.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.instantiates",
        "path": "MedicationAdministration.instantiates",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not record adherence to an external protocol,\nguideline or order set through instantiates. A future agreed protocol model may\nintroduce a revised constraint.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.partOf",
        "path": "MedicationAdministration.partOf",
        "short": "Procedure or larger administration event of which this event is a part",
        "definition": "Use partOf when the medication administration is a component of a DigiDot\nProcedure or a larger DigiDot MedicationAdministration event. Do not use partOf\nas a replacement for an order-to-administration relationship.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Procedure-no",
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationAdministration-no"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "short": "Lifecycle status for this administration event",
        "definition": "Use status as the authoritative lifecycle state for this concrete medication\nadministration event. A completed event represents medication that was actually\nadministered. Other status values can represent an event that is in progress,\nstopped, on hold, not done, entered in error or of unknown status.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.statusReason",
        "path": "MedicationAdministration.statusReason",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile has no agreed terminology binding for a separate\nadministration status reason. MedicationAdministration.status remains the\nlifecycle state, and a clinically significant indication is linked through\nreasonReference.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.category",
        "path": "MedicationAdministration.category",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not define a separate category classification\nfor medication administrations. The clinical meaning is represented by the\nversioned SNOMED CT medicinal product code and the surrounding encounter and\nprocedure context.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "short": "SNOMED CT code for the medication administered",
        "definition": "The medication that was administered, represented by a SNOMED CT Clinical Drug\nconcept from the source side of Norwegian mapping reference set\n327471000202109.",
        "comment": "The medication SHALL be recorded directly as a CodeableConcept containing one\nSNOMED CT Clinical Drug code from the source side of Norwegian mapping\nreference set 327471000202109. Coding.version SHALL identify the SNOMED CT\nedition and release using a version URI of the form\nhttp://snomed.info/sct/{edition}/version/{yyyymmdd}. A reference to a separate\nMedication resource SHALL NOT be used in this profile.",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        }
      },
      {
        "id": "MedicationAdministration.medication[x].id",
        "path": "MedicationAdministration.medication[x].id",
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product CodeableConcept does not use an element id in the current\nDigiDot profile.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x].extension",
        "path": "MedicationAdministration.medication[x].extension",
        "short": "No extensions on the medicinal product concept",
        "definition": "All required medicinal product information is represented by the versioned\nSNOMED CT coding. Extensions on the CodeableConcept are not used.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x].coding",
        "path": "MedicationAdministration.medication[x].coding",
        "short": "SNOMED CT clinical drug code with edition version",
        "definition": "Record exactly one precoordinated SNOMED CT Clinical Drug concept represented\non the source side of Norwegian dose-based prescription Clinical Drug to\nMedicinal Product simple map reference set 327471000202109. The coding conforms\nto DigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept\nidentifier and versioned edition URI.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        }
      },
      {
        "id": "MedicationAdministration.medication[x].coding.extension",
        "path": "MedicationAdministration.medication[x].coding.extension",
        "short": "No extensions on the medicinal product coding",
        "definition": "The SNOMED CT system, edition version and concept identifier are represented by\nthe standard Coding elements. Extensions on the coding are not used.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x].text",
        "path": "MedicationAdministration.medication[x].text",
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product is represented by the structured SNOMED CT coding. A\nhuman-readable SNOMED CT term may be carried in Coding.display; do not use\nCodeableConcept.text as an alternative medication representation.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.subject",
        "path": "MedicationAdministration.subject",
        "short": "Patient who received or was intended to receive the medication",
        "definition": "Reference the patient through no-basis-Patient. External patient data is mapped\nto this agreed patient representation before it is used by a canonical DigiDot\nMedicationAdministration.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.context",
        "path": "MedicationAdministration.context",
        "short": "Dental encounter in which the administration took place",
        "definition": "Reference the DigiDot Encounter in which the medication was administered or the\nnon-administration event was recorded. An Encounter is required to maintain the\nclinical context of every administration event in this profile.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.effective[x]",
        "path": "MedicationAdministration.effective[x]",
        "short": "Date, time, or period of the actual administration",
        "definition": "Record the date and time or period during which the administration occurred.\nFor a not-done event, record the clinically relevant time or period during\nwhich the administration did not occur.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "short": "Healthcare professional who performed the administration",
        "definition": "Use performer to record the healthcare professional who actually administered\nthe medication. At least one performer is required when status is completed.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.performer.extension",
        "path": "MedicationAdministration.performer.extension",
        "short": "No extensions on the performer context",
        "definition": "The performer is represented by performer.actor. Extensions on the performer\nbackbone element are not used in the current DigiDot profile.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.modifierExtension",
        "path": "MedicationAdministration.performer.modifierExtension",
        "short": "No modifier extensions on the performer context",
        "definition": "Modifier extensions on the performer backbone element are not used in the\ncurrent DigiDot profile.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.function",
        "path": "MedicationAdministration.performer.function",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile records the specific administering healthcare\nprofessional through performer.actor and does not define a separate performer\nfunction terminology.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.actor",
        "path": "MedicationAdministration.performer.actor",
        "short": "Healthcare professional who actually administered the medication",
        "definition": "Identify the specific healthcare professional who administered the medication\nthrough a literal reference to no-basis-Practitioner when that resource exists.\nOtherwise use a logical Practitioner reference with the performer's HPR number.\nA Norwegian national identity number is not permitted as a logical identifier\nin this reference. Do not use PractitionerRole or Organization.",
        "comment": "Provide exactly one of Reference.reference or Reference.identifier. A logical\nreference must use type Practitioner and HPR system\nurn:oid:2.16.578.1.12.4.1.4.4. A Norwegian national identity number is\nprohibited as a logical identifier in this reference.\n\nDo not copy MedicationRequest.requester without verification. The requester is\nthe prescriber, whereas performer.actor is the specific healthcare professional\nwho actually administered the medication.",
        "requirements": "The administration must identify an actual performer through an existing\nPractitioner resource or an HPR number when performer is required.",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Reference-Practitioner-HPR-no"
            ],
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.reasonCode",
        "path": "MedicationAdministration.reasonCode",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not define a separate coded administration\nreason. Link a clinically significant indication through reasonReference to a\nDigiDot Condition or Observation.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.reasonReference",
        "path": "MedicationAdministration.reasonReference",
        "short": "Condition or observation that clinically justified the administration",
        "definition": "Use reasonReference to link the administration to a DigiDot Condition or\nObservation that represents the clinical indication. A separate coded reason\nis not used in this profile.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no",
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.request",
        "path": "MedicationAdministration.request",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile records what occurred but does not provide a direct\norder-to-administration link to MedicationRequest. This means a formal\nmedication order cannot be traced directly from this resource. A future\nworkflow-aligned revision may permit a reference to a DigiDot\nMedicationRequest.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.device",
        "path": "MedicationAdministration.device",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not define a model for identifying a device\nused to administer the medication. A future device traceability requirement\nrequires an explicit profile revision.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.note.extension",
        "path": "MedicationAdministration.note.extension",
        "short": "No extensions on medication administration notes",
        "definition": "Medication administration notes use the standard Annotation elements retained\nby this profile. Extensions on Annotation are not used in the current DigiDot\nscope.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage",
        "path": "MedicationAdministration.dosage",
        "short": "Dosage that was actually administered",
        "definition": "Use dosage for structured or textual information about what was actually\nadministered. Dosage is optional in the current profile. When present, dose and\nrate describe the administration event and not merely an ordered dosage.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.extension",
        "path": "MedicationAdministration.dosage.extension",
        "short": "No extensions on the administered dosage",
        "definition": "The current DigiDot dosage model uses only the standard elements retained by\nthis profile. Extensions on the dosage backbone element are not used.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.modifierExtension",
        "path": "MedicationAdministration.dosage.modifierExtension",
        "short": "No modifier extensions on the administered dosage",
        "definition": "Modifier extensions on the dosage backbone element are not used in the current\nDigiDot profile.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.text",
        "path": "MedicationAdministration.dosage.text",
        "short": "Human-readable description of the administered dosage",
        "definition": "Use dosage.text for clinically relevant dosage information that cannot be\nrepresented adequately by dose or rate. Do not use it to replace the structured\nmedicinal product coding.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site",
        "path": "MedicationAdministration.dosage.site",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot MedicationAdministration profile does not record a separate\nanatomical administration site. A future agreed use case requires an explicit\nprofile revision.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route",
        "path": "MedicationAdministration.dosage.route",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not record a separate route of administration.\nA future agreed route terminology and clinical use case requires an explicit\nprofile revision.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.method",
        "path": "MedicationAdministration.dosage.method",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not record a separate administration method.\nA future agreed method terminology and clinical use case requires an explicit\nprofile revision.",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.dose",
        "path": "MedicationAdministration.dosage.dose",
        "short": "Amount that was actually administered",
        "definition": "Record the quantity of medication that was actually administered when known.\nDo not copy an ordered dose without confirming that it was given.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.rate[x]",
        "path": "MedicationAdministration.dosage.rate[x]",
        "short": "Rate at which the medication was administered",
        "definition": "Record the actual administration rate as a Ratio or Quantity when clinically\nrelevant and known. Do not copy an ordered rate without confirming that it was\nused.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.eventHistory",
        "path": "MedicationAdministration.eventHistory",
        "short": "Not used in the current DigiDot MedicationAdministration profile",
        "definition": "The current DigiDot profile does not use eventHistory to reference selected\nProvenance resources. Technical changes to the resource are managed through\nthe server's resource version history.",
        "max": "0"
      }
    ]
  }
}

name : DigidotMedicationAdministrationNo

{

}