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{
  "resourceType": "StructureDefinition",
  "id": "digidot-MedicationStatement-no",
  "url": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationStatement-no",
  "version": "0.1.0-test",
  "name": "DigidotMedicationStatementNo",
  "title": "DigiDot MedicationStatement (NO)",
  "status": "draft",
  "date": "2026-08-28",
  "publisher": "Novari AS - DigiDOT",
  "description": "Draft DigiDOT profile for recording medication use reported by a person or health professional with knowledge of the patient's medication use. The medicinal product is recorded directly with a versioned SNOMED CT clinical drug code. This narrow profile is not used to store medication information retrieved or imported from SFM or PLL.",
  "purpose": "Use this profile to record, in DigiDOT, medication use reported by the patient\nor a healthcare practitioner with knowledge of the patient's medication use\nduring dental care. It represents a report of current or historical medication\nuse and is not a medication order or an administration event. Medication\ninformation retrieved or imported from SFM or PLL is outside the scope of this\nprofile.",
  "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"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MedicationStatement",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "MedicationStatement",
        "path": "MedicationStatement",
        "short": "Reported medication use",
        "definition": "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medication statement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information.",
        "comment": "Interpret the resource as a report of medication use, not as evidence of a\nprescription, dispense or administration. Use status together with the reported\nmedication, information source, asserted date and any dosage information.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationStatement",
          "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "rim",
            "map": "SubstanceAdministration"
          }
        ]
      },
      {
        "id": "MedicationStatement.id",
        "path": "MedicationStatement.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": "MedicationStatement.meta",
        "path": "MedicationStatement.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": "MedicationStatement.implicitRules",
        "path": "MedicationStatement.implicitRules",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "A DigiDot MedicationStatement must be interpretable from the published FHIR R4\nprofile, terminology versions and agreed exchange documentation. Do not use\nimplicitRules to introduce undocumented processing rules.",
        "comment": "implicitRules is prohibited in this profile.",
        "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": "MedicationStatement.language",
        "path": "MedicationStatement.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": "MedicationStatement.text",
        "path": "MedicationStatement.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": "MedicationStatement.contained",
        "path": "MedicationStatement.contained",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "Resources relevant to the DigiDot information model must be stored as\nindependently identifiable FHIR resources and linked by reference. Contained\nresources are not used in this profile.",
        "comment": "Contained resources are prohibited in this profile.",
        "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": "MedicationStatement.extension",
        "path": "MedicationStatement.extension",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "No extension is defined for the current DigiDot MedicationStatement scope. This\nalso prevents SFM-specific extension content from being stored through this\nprofile.",
        "comment": "Extensions are prohibited in this profile.",
        "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": "MedicationStatement.modifierExtension",
        "path": "MedicationStatement.modifierExtension",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "Modifier extensions can change the meaning of a MedicationStatement and require\nevery consumer to understand them. No modifier extension is defined for the\ncurrent DigiDot scope.",
        "comment": "Modifier extensions are prohibited in this profile.",
        "requirements": "The current DigiDot MedicationStatement must be interpretable without modifier extensions.",
        "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": "MedicationStatement.identifier",
        "path": "MedicationStatement.identifier",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not carry a treatment identifier, prescription\nidentifier or other MedicationStatement business identifier.",
        "comment": "MedicationStatement business identifiers are prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "rim",
            "map": ".id"
          }
        ]
      },
      {
        "id": "MedicationStatement.basedOn",
        "path": "MedicationStatement.basedOn",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported medication use is not represented as fulfillment of a plan,\nproposal or medication order.",
        "comment": "basedOn is prohibited in this profile.",
        "requirements": "The reported medication use is intentionally independent of an authorization or medication order.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.basedOn",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://hl7.org/fhir/StructureDefinition/CarePlan",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "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.basedOn"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
          }
        ]
      },
      {
        "id": "MedicationStatement.partOf",
        "path": "MedicationStatement.partOf",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported medication use is not represented as a component of another\nmedication event or statement.",
        "comment": "partOf is prohibited in this profile.",
        "requirements": "The narrow reporting model does not represent this statement as part of another medication event.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.partOf",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
              "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
              "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
              "http://hl7.org/fhir/StructureDefinition/Procedure",
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "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=SPLY or SBADM or PROC or OBS,moodCode=EVN]"
          }
        ]
      },
      {
        "id": "MedicationStatement.status",
        "path": "MedicationStatement.status",
        "short": "Lifecycle status of the reported medication use",
        "definition": "Use status to indicate whether the patient is currently using the medication,\nused it previously, has stopped using it, or whether the reported status is\nunknown or was entered in error. Use a standard FHIR R4 MedicationStatement\nstatus.",
        "comment": "Status represents the medication use as known when the statement was asserted.\nIt does not represent the lifecycle of a prescription, dispense or\nadministration event.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationStatement.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": "MedicationStatementStatus"
            }
          ],
          "strength": "required",
          "description": "A coded concept indicating the current status of a MedicationStatement.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "rim",
            "map": ".statusCode"
          }
        ]
      },
      {
        "id": "MedicationStatement.statusReason",
        "path": "MedicationStatement.statusReason",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a separate reason for the MedicationStatement status.",
        "comment": "statusReason is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.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": "MedicationStatementStatusReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept indicating the reason for the status of the statement.",
          "valueSet": "http://hl7.org/fhir/ValueSet/reason-medication-status-codes"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.statusReason"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }
        ]
      },
      {
        "id": "MedicationStatement.category",
        "path": "MedicationStatement.category",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not classify reported medication use by category.",
        "comment": "category is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationStatementCategory"
            }
          ],
          "strength": "preferred",
          "description": "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-statement-category"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }
        ]
      },
      {
        "id": "MedicationStatement.medication[x]",
        "path": "MedicationStatement.medication[x]",
        "short": "SNOMED CT code for the medication reported as used",
        "definition": "Record the medication directly as one precoordinated SNOMED CT clinical drug\nconcept from the Norwegian Directorate of Health Concept List for Medicinal\nProducts simple type reference set 107291000202108.",
        "comment": "Coding.version SHALL identify the SNOMED CT edition and release using a version\nURI of the form http://snomed.info/sct/{edition}/version/{yyyymmdd}. A reference\nto a separate Medication resource SHALL NOT be used in this profile.",
        "requirements": "DigiDOT requires a consistent coded representation of the medicinal product across the medication profiles.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationStatement.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-medicinal-product-no"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "FiveWs.what[x]"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
          }
        ]
      },
      {
        "id": "MedicationStatement.medication[x].id",
        "path": "MedicationStatement.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.",
        "comment": "An element id on the medicinal product concept is prohibited.",
        "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": "MedicationStatement.medication[x].extension",
        "path": "MedicationStatement.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": "Extensions on the medicinal product concept are prohibited.",
        "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": "MedicationStatement.medication[x].coding",
        "path": "MedicationStatement.medication[x].coding",
        "short": "SNOMED CT clinical drug code with edition version",
        "definition": "Record exactly one precoordinated SNOMED CT clinical drug concept. The coding\ncomes from the Norwegian Directorate of Health Concept List for Medicinal\nProducts simple type reference set 107291000202108 and conforms to\nDigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept\nidentifier and versioned edition URI.",
        "comment": "Use system http://snomed.info/sct and identify the SNOMED CT edition and release\nin Coding.version. The code must be a member of the Norwegian Directorate of\nHealth Concept List for Medicinal Products simple type reference set\n107291000202108. Coding.display may carry the corresponding SNOMED CT term. Do\nnot add alternative codings or translations.",
        "requirements": "DigiDOT requires one versioned SNOMED CT clinical drug code so that the\nmedicinal product is represented consistently across the DigiDOT medication\nprofiles.",
        "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-medicinal-product-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": "MedicationStatement.medication[x].coding.id",
        "path": "MedicationStatement.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": "MedicationStatement.medication[x].coding.extension",
        "path": "MedicationStatement.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": "Extensions on the medicinal product coding are prohibited.",
        "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": "MedicationStatement.medication[x].coding.system",
        "path": "MedicationStatement.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": "MedicationStatement.medication[x].coding.version",
        "path": "MedicationStatement.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": "MedicationStatement.medication[x].coding.code",
        "path": "MedicationStatement.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": "MedicationStatement.medication[x].coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.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": "MedicationStatement.medication[x].coding.userSelected",
        "path": "MedicationStatement.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": "MedicationStatement.medication[x].text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.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": "CodeableConcept.text is prohibited for the reported medication.",
        "requirements": "The structured SNOMED CT coding provides the medication identity and Coding.display may provide its display term.",
        "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": "MedicationStatement.subject",
        "path": "MedicationStatement.subject",
        "short": "Patient whose medication use is reported",
        "definition": "Reference the patient whose medication use is reported through no-basis-Patient.",
        "comment": "Use a literal reference to a no-basis-Patient resource.",
        "requirements": "The reported medication use must be associated with one identifiable patient.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationStatement.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": "MedicationStatement.context",
        "path": "MedicationStatement.context",
        "short": "DigiDot encounter in which the medication use was reported",
        "definition": "Reference the DigiDot Encounter during which the medication use was reported\nwhen that clinical context is known.",
        "comment": "context is optional but must reference a DigiDot Encounter when present.",
        "requirements": "The encounter provides the dental-care context when the medication use was reported during an encounter.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationStatement.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": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.context"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }
        ]
      },
      {
        "id": "MedicationStatement.effective[x]",
        "path": "MedicationStatement.effective[x]",
        "short": "When the medication is reported as being used",
        "definition": "Record the date, date and time, or period during which the patient is reported\nas using or having used the medication when this information is known.",
        "comment": "Use dateAsserted for when the statement was reported; use effective[x] for when the medication use applies.",
        "requirements": "The effective time distinguishes the period of medication use from the date on which the information was reported.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationStatement.effective[x]",
          "min": 0,
          "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.done[x]"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationStatement.dateAsserted",
        "path": "MedicationStatement.dateAsserted",
        "short": "Date when the medication use was reported",
        "definition": "Record when the information source asserted the medication-use information.",
        "comment": "dateAsserted is the date the information was reported, not the medication administration time.",
        "requirements": "DigiDOT requires the assertion date to distinguish when the medication-use information was reported from when the medication was taken.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationStatement.dateAsserted",
          "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.recorded"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].time"
          }
        ]
      },
      {
        "id": "MedicationStatement.informationSource",
        "path": "MedicationStatement.informationSource",
        "short": "Patient or practitioner who reported the medication use",
        "definition": "Reference the patient or practitioner who reported the patient's medication\nuse. Use a literal reference to the corresponding Norwegian no-basis profile\nwhen the resource exists. A practitioner may instead be represented by a\nlogical Practitioner reference using HPR, or a Norwegian national identity\nnumber only when HPR does not exist, as defined by DigiDOT PractitionerRefNo.\nA Patient information source requires a literal resource reference. Omit\ninformationSource when the source is unknown. Do not use this element for SFM,\nPLL or a technical integration system.",
        "comment": "Use a literal no-basis-Patient reference for a patient source. For a\npractitioner, use a literal no-basis-Practitioner reference or a logical\nPractitioner reference permitted by DigiDOT PractitionerRefNo.",
        "requirements": "The information source supports assessment of the provenance of the reported medication use when the source is known.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationStatement.informationSource",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Reference-Practitioner-no"
            ],
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient",
              "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": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.source"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)"
          }
        ]
      },
      {
        "id": "MedicationStatement.derivedFrom",
        "path": "MedicationStatement.derivedFrom",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "This profile records information reported by the information source. Do not use\nit for a statement derived from SFM, PLL, a medication order, dispense record,\nclaim or other source resource.",
        "comment": "derivedFrom is prohibited so this profile is not used for medication information derived from SFM, PLL or another source resource.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.derivedFrom",
          "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": "rim",
            "map": ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"
          }
        ]
      },
      {
        "id": "MedicationStatement.reasonCode",
        "path": "MedicationStatement.reasonCode",
        "short": "SNOMED CT reason for the reported medication use",
        "definition": "When a reason is recorded, use one versioned precoordinated SNOMED CT concept.\nNo local code, free-text-only reason or additional coding is permitted.",
        "comment": "Use reasonCode for the coded reason. reasonReference is not used in this profile.",
        "requirements": "A structured reason supports consistent clinical interpretation when the reason for medication use is reported.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationStatement.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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-medication-statement-reason-no"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.reasonCode"
          },
          {
            "identity": "w5",
            "map": "FiveWs.why[x]"
          },
          {
            "identity": "rim",
            "map": ".reasonCode"
          }
        ]
      },
      {
        "id": "MedicationStatement.reasonCode.id",
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.extension",
        "path": "MedicationStatement.reasonCode.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the medication-use reason",
        "definition": "Extensions on the reason CodeableConcept are not used in this profile.",
        "comment": "Extensions on the medication-use reason are prohibited.",
        "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": "MedicationStatement.reasonCode.coding",
        "path": "MedicationStatement.reasonCode.coding",
        "short": "Versioned SNOMED CT reason code",
        "definition": "Record exactly one SNOMED CT concept using DigiDotCodingSctPreNo. The concept\nmust be a member of the ICPC-2 complex map reference set 68101000202102 defined\nby the required DigidotMedicationStatementReasonNo ValueSet.",
        "comment": "Use system http://snomed.info/sct and identify the SNOMED CT edition and release\nin Coding.version. Do not add alternative codings or translations.",
        "requirements": "DigiDOT requires one versioned SNOMED CT reason from the specified ICPC-2 complex map reference set.",
        "min": 0,
        "max": "0",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-medication-statement-reason-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": "MedicationStatement.reasonCode.coding.id",
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.coding.extension",
        "path": "MedicationStatement.reasonCode.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the reason coding",
        "definition": "Extensions on the SNOMED CT reason coding are not used in this profile.",
        "comment": "Extensions on the reason coding are prohibited.",
        "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": "MedicationStatement.reasonCode.coding.system",
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.coding.version",
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.coding.code",
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.coding.userSelected",
        "path": "MedicationStatement.reasonCode.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": "MedicationStatement.reasonCode.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationStatement.reasonCode.text",
        "short": "Not used for the medication-use reason",
        "definition": "The clinical reason is represented by the structured SNOMED CT coding, not CodeableConcept.text.",
        "comment": "CodeableConcept.text is prohibited for the medication-use reason.",
        "requirements": "The required structured SNOMED CT coding provides the reason representation.",
        "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": "MedicationStatement.reasonReference",
        "path": "MedicationStatement.reasonReference",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not link the reported medication use to a\nCondition, Observation or other reason resource. Use reasonCode when a reason\nis recorded.",
        "comment": "reasonReference is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationStatement.reasonReference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Condition",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
            ]
          }
        ],
        "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.reasonReference"
          },
          {
            "identity": "w5",
            "map": "FiveWs.why[x]"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use\"].value"
          }
        ]
      },
      {
        "id": "MedicationStatement.note",
        "path": "MedicationStatement.note",
        "short": "Additional note about the reported medication use",
        "definition": "Record supplementary information about the reported medication use that cannot\nbe represented in another retained element of this profile.",
        "comment": "Do not use note as an alternative representation of the medicinal product, structured reason or dosage.",
        "requirements": "A note permits limited supplementary context without replacing the structured medication, reason or dosage elements.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationStatement.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": "MedicationStatement.note.id",
        "path": "MedicationStatement.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": "MedicationStatement.note.extension",
        "path": "MedicationStatement.note.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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": "MedicationStatement.note.author[x]",
        "path": "MedicationStatement.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": "MedicationStatement.note.time",
        "path": "MedicationStatement.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": "MedicationStatement.note.text",
        "path": "MedicationStatement.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": "MedicationStatement.dosage",
        "path": "MedicationStatement.dosage",
        "short": "Dosage reported by the information source",
        "definition": "Record textual or structured dosage information only as reported by the\ninformation source. Dosage.text may carry the reported regimen, timing may\nrepresent how often it is taken, and doseAndRate.dose[x] may represent the\namount taken at one time. Do not infer information that the source did not\nprovide.",
        "comment": "Record only information supplied by the information source. This profile is not\nused for dosage copied or derived from a MedicationRequest, SFM or PLL.",
        "requirements": "Dosage preserves the medication-use regimen as reported without turning the statement into a prescription.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationStatement.dosage",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Dosage"
          }
        ],
        "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": "refer dosageInstruction mapping"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.id",
        "path": "MedicationStatement.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": "MedicationStatement.dosage.extension",
        "path": "MedicationStatement.dosage.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the reported dosage",
        "definition": "Extensions on Dosage are not used in this profile.",
        "comment": "Extensions on Dosage are prohibited in this profile.",
        "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": "MedicationStatement.dosage.modifierExtension",
        "path": "MedicationStatement.dosage.modifierExtension",
        "short": "No modifier extensions on the reported dosage",
        "definition": "Modifier extensions on Dosage are not used in this profile.",
        "comment": "Modifier extensions on Dosage are prohibited in this profile.",
        "requirements": "The reported dosage must be interpretable without modifier extensions.",
        "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": "MedicationStatement.dosage.sequence",
        "path": "MedicationStatement.dosage.sequence",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record an ordering sequence between dosage instructions.",
        "comment": "sequence is prohibited in this profile.",
        "requirements": "Only one Dosage element is permitted, so an ordering sequence is not required.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.sequence",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ],
        "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": "TQ1-1"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.text",
        "path": "MedicationStatement.dosage.text",
        "short": "Reported human-readable dosage information",
        "definition": "Record the dosage wording provided by the information source when a human-readable regimen is available.",
        "comment": "When text and structured dosage elements are both present, they must describe the same reported regimen.",
        "requirements": "Human-readable text preserves reported dosage information that is not fully represented by the retained structured elements.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-6; RXE-21"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.additionalInstruction",
        "path": "MedicationStatement.dosage.additionalInstruction",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record additional coded or textual dosage instructions.",
        "comment": "additionalInstruction is prohibited in this profile.",
        "requirements": "The narrow DigiDot model retains the reported regimen in dosage.text and the selected structured dosage elements.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.additionalInstruction",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "AdditionalInstruction"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".",
          "valueSet": "http://hl7.org/fhir/ValueSet/additional-instruction-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-7"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.patientInstruction",
        "path": "MedicationStatement.dosage.patientInstruction",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record separate patient-oriented dosage instructions.",
        "comment": "patientInstruction is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.patientInstruction",
          "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": "RXO-7"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.timing",
        "path": "MedicationStatement.dosage.timing",
        "short": "Reported timing of medication use",
        "definition": "Record when or how often the medication is reported as being taken when structured timing information is available.",
        "comment": "Use timing for the reported schedule. Do not use it to infer or reconstruct an administration rate.",
        "requirements": "Structured timing supports consistent representation of when or how often the medication is reported as taken.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.timing",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Timing"
          }
        ],
        "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": "rim",
            "map": ".effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Take \"as needed\" (for x)",
        "definition": "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).",
        "comment": "Only the Boolean variant is permitted in this profile.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.asNeeded[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAsNeededReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-9"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededCodeableConcept",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not use a CodeableConcept to specify the\ncondition under which the medication is taken as needed. The inherited Boolean\nvariant remains available.",
        "comment": "The coded variant of asNeeded[x] is prohibited.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.asNeeded[x]",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAsNeededReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-9"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededBoolean",
        "short": "Whether the medication is reported as taken as needed",
        "definition": "Use the Boolean variant only when the information source reports whether the medication is taken as needed.",
        "comment": "true means taken as needed; false means not taken as needed; omit the element when this information is unknown.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.asNeeded[x]",
          "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,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAsNeededReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-9"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.site",
        "path": "MedicationStatement.dosage.site",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported dosage does not include a separate anatomical site.",
        "comment": "site is prohibited in this profile.",
        "requirements": "A separate anatomical administration site is outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "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": true,
        "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"
          },
          {
            "identity": "rim",
            "map": ".approachSiteCode"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.route",
        "path": "MedicationStatement.dosage.route",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported dosage does not include a separate route of administration.",
        "comment": "route is prohibited in this profile.",
        "requirements": "A separate route of administration is outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "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": true,
        "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"
          },
          {
            "identity": "rim",
            "map": ".routeCode"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.method",
        "path": "MedicationStatement.dosage.method",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported dosage does not include a separate administration method.",
        "comment": "method is prohibited in this profile.",
        "requirements": "A separate administration method is outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "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": true,
        "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"
          },
          {
            "identity": "rim",
            "map": ".doseQuantity"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate",
        "path": "MedicationStatement.dosage.doseAndRate",
        "short": "Reported amount of medication per administration",
        "definition": "Use dose[x] to record the amount reported for one administration, for example\ntwo tablets. A quantity or reported dose range may be used. A structured\nadministration rate is outside the scope of this profile.",
        "comment": "Only the dose is used; dose type and administration rate are prohibited.",
        "requirements": "A structured dose allows the reported amount taken at one time to be represented separately from timing.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Dosage.doseAndRate",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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": "TQ1-2"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.id",
        "path": "MedicationStatement.dosage.doseAndRate.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": "MedicationStatement.dosage.doseAndRate.extension",
        "path": "MedicationStatement.dosage.doseAndRate.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on dose and rate",
        "definition": "Extensions on doseAndRate are not used in this profile.",
        "comment": "Extensions on doseAndRate are prohibited in this profile.",
        "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": "MedicationStatement.dosage.doseAndRate.type",
        "path": "MedicationStatement.dosage.doseAndRate.type",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not classify the reported dose with a separate dose type.",
        "comment": "doseAndRate.type is prohibited in this profile.",
        "requirements": "The narrow DigiDot model records the reported dose without a separate dose classification.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.doseAndRate.type",
          "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": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DoseAndRateType"
            }
          ],
          "strength": "example",
          "description": "The kind of dose or rate specified.",
          "valueSet": "http://hl7.org/fhir/ValueSet/dose-rate-type"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-21; RXE-23"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "short": "Reported amount per administration",
        "definition": "Record the quantity or range reported as being taken at one time.",
        "comment": "Record the amount of the medication identified in medication[x]; do not describe ingredients or a separate Medication resource here.",
        "requirements": "The dose represents the amount of the coded medicinal product reported as taken at one time.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.doseAndRate.dose[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Range"
          },
          {
            "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-2, RXE-3"
          },
          {
            "identity": "rim",
            "map": ".doseQuantity"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.rate[x]",
        "path": "MedicationStatement.dosage.doseAndRate.rate[x]",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a structured administration rate.",
        "comment": "All rate variants are prohibited in this profile.",
        "requirements": "Administration rate is outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.doseAndRate.rate[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          },
          {
            "code": "Range"
          },
          {
            "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXE22, RXE23, RXE-24"
          },
          {
            "identity": "rim",
            "map": ".rateQuantity"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.maxDosePerPeriod",
        "path": "MedicationStatement.dosage.maxDosePerPeriod",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a maximum dose per time period.",
        "comment": "maxDosePerPeriod is prohibited in this profile.",
        "requirements": "Maximum dose limits are outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.maxDosePerPeriod",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "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": "RXO-23, RXE-19"
          },
          {
            "identity": "rim",
            "map": ".maxDoseQuantity"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.maxDosePerAdministration",
        "path": "MedicationStatement.dosage.maxDosePerAdministration",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a maximum dose per administration.",
        "comment": "maxDosePerAdministration is prohibited in this profile.",
        "requirements": "Maximum dose limits are outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.maxDosePerAdministration",
          "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "not supported"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.maxDosePerLifetime",
        "path": "MedicationStatement.dosage.maxDosePerLifetime",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a maximum cumulative lifetime dose.",
        "comment": "maxDosePerLifetime is prohibited in this profile.",
        "requirements": "Maximum dose limits are outside the current DigiDot MedicationStatement scope.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.maxDosePerLifetime",
          "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "not supported"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "MedicationStatement",
        "path": "MedicationStatement",
        "short": "Reported medication use",
        "comment": "Interpret the resource as a report of medication use, not as evidence of a\nprescription, dispense or administration. Use status together with the reported\nmedication, information source, asserted date and any dosage information."
      },
      {
        "id": "MedicationStatement.implicitRules",
        "path": "MedicationStatement.implicitRules",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "A DigiDot MedicationStatement must be interpretable from the published FHIR R4\nprofile, terminology versions and agreed exchange documentation. Do not use\nimplicitRules to introduce undocumented processing rules.",
        "comment": "implicitRules is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.contained",
        "path": "MedicationStatement.contained",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "Resources relevant to the DigiDot information model must be stored as\nindependently identifiable FHIR resources and linked by reference. Contained\nresources are not used in this profile.",
        "comment": "Contained resources are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.extension",
        "path": "MedicationStatement.extension",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "No extension is defined for the current DigiDot MedicationStatement scope. This\nalso prevents SFM-specific extension content from being stored through this\nprofile.",
        "comment": "Extensions are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.modifierExtension",
        "path": "MedicationStatement.modifierExtension",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "Modifier extensions can change the meaning of a MedicationStatement and require\nevery consumer to understand them. No modifier extension is defined for the\ncurrent DigiDot scope.",
        "comment": "Modifier extensions are prohibited in this profile.",
        "requirements": "The current DigiDot MedicationStatement must be interpretable without modifier extensions.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.identifier",
        "path": "MedicationStatement.identifier",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not carry a treatment identifier, prescription\nidentifier or other MedicationStatement business identifier.",
        "comment": "MedicationStatement business identifiers are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.basedOn",
        "path": "MedicationStatement.basedOn",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported medication use is not represented as fulfillment of a plan,\nproposal or medication order.",
        "comment": "basedOn is prohibited in this profile.",
        "requirements": "The reported medication use is intentionally independent of an authorization or medication order.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.partOf",
        "path": "MedicationStatement.partOf",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported medication use is not represented as a component of another\nmedication event or statement.",
        "comment": "partOf is prohibited in this profile.",
        "requirements": "The narrow reporting model does not represent this statement as part of another medication event.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.status",
        "path": "MedicationStatement.status",
        "short": "Lifecycle status of the reported medication use",
        "definition": "Use status to indicate whether the patient is currently using the medication,\nused it previously, has stopped using it, or whether the reported status is\nunknown or was entered in error. Use a standard FHIR R4 MedicationStatement\nstatus.",
        "comment": "Status represents the medication use as known when the statement was asserted.\nIt does not represent the lifecycle of a prescription, dispense or\nadministration event.",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.statusReason",
        "path": "MedicationStatement.statusReason",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a separate reason for the MedicationStatement status.",
        "comment": "statusReason is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.category",
        "path": "MedicationStatement.category",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not classify reported medication use by category.",
        "comment": "category is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x]",
        "path": "MedicationStatement.medication[x]",
        "short": "SNOMED CT code for the medication reported as used",
        "definition": "Record the medication directly as one precoordinated SNOMED CT clinical drug\nconcept from the Norwegian Directorate of Health Concept List for Medicinal\nProducts simple type reference set 107291000202108.",
        "comment": "Coding.version SHALL identify the SNOMED CT edition and release using a version\nURI of the form http://snomed.info/sct/{edition}/version/{yyyymmdd}. A reference\nto a separate Medication resource SHALL NOT be used in this profile.",
        "requirements": "DigiDOT requires a consistent coded representation of the medicinal product across the medication profiles.",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-medicinal-product-no"
        }
      },
      {
        "id": "MedicationStatement.medication[x].id",
        "path": "MedicationStatement.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.",
        "comment": "An element id on the medicinal product concept is prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x].extension",
        "path": "MedicationStatement.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.",
        "comment": "Extensions on the medicinal product concept are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x].coding",
        "path": "MedicationStatement.medication[x].coding",
        "short": "SNOMED CT clinical drug code with edition version",
        "definition": "Record exactly one precoordinated SNOMED CT clinical drug concept. The coding\ncomes from the Norwegian Directorate of Health Concept List for Medicinal\nProducts simple type reference set 107291000202108 and conforms to\nDigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept\nidentifier and versioned edition URI.",
        "comment": "Use system http://snomed.info/sct and identify the SNOMED CT edition and release\nin Coding.version. The code must be a member of the Norwegian Directorate of\nHealth Concept List for Medicinal Products simple type reference set\n107291000202108. Coding.display may carry the corresponding SNOMED CT term. Do\nnot add alternative codings or translations.",
        "requirements": "DigiDOT requires one versioned SNOMED CT clinical drug code so that the\nmedicinal product is represented consistently across the DigiDOT medication\nprofiles.",
        "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-medicinal-product-no"
        }
      },
      {
        "id": "MedicationStatement.medication[x].coding.extension",
        "path": "MedicationStatement.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.",
        "comment": "Extensions on the medicinal product coding are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x].text",
        "path": "MedicationStatement.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": "CodeableConcept.text is prohibited for the reported medication.",
        "requirements": "The structured SNOMED CT coding provides the medication identity and Coding.display may provide its display term.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject",
        "path": "MedicationStatement.subject",
        "short": "Patient whose medication use is reported",
        "definition": "Reference the patient whose medication use is reported through no-basis-Patient.",
        "comment": "Use a literal reference to a no-basis-Patient resource.",
        "requirements": "The reported medication use must be associated with one identifiable patient.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.context",
        "path": "MedicationStatement.context",
        "short": "DigiDot encounter in which the medication use was reported",
        "definition": "Reference the DigiDot Encounter during which the medication use was reported\nwhen that clinical context is known.",
        "comment": "context is optional but must reference a DigiDot Encounter when present.",
        "requirements": "The encounter provides the dental-care context when the medication use was reported during an encounter.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.effective[x]",
        "path": "MedicationStatement.effective[x]",
        "short": "When the medication is reported as being used",
        "definition": "Record the date, date and time, or period during which the patient is reported\nas using or having used the medication when this information is known.",
        "comment": "Use dateAsserted for when the statement was reported; use effective[x] for when the medication use applies.",
        "requirements": "The effective time distinguishes the period of medication use from the date on which the information was reported."
      },
      {
        "id": "MedicationStatement.dateAsserted",
        "path": "MedicationStatement.dateAsserted",
        "short": "Date when the medication use was reported",
        "definition": "Record when the information source asserted the medication-use information.",
        "comment": "dateAsserted is the date the information was reported, not the medication administration time.",
        "requirements": "DigiDOT requires the assertion date to distinguish when the medication-use information was reported from when the medication was taken.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.informationSource",
        "path": "MedicationStatement.informationSource",
        "short": "Patient or practitioner who reported the medication use",
        "definition": "Reference the patient or practitioner who reported the patient's medication\nuse. Use a literal reference to the corresponding Norwegian no-basis profile\nwhen the resource exists. A practitioner may instead be represented by a\nlogical Practitioner reference using HPR, or a Norwegian national identity\nnumber only when HPR does not exist, as defined by DigiDOT PractitionerRefNo.\nA Patient information source requires a literal resource reference. Omit\ninformationSource when the source is unknown. Do not use this element for SFM,\nPLL or a technical integration system.",
        "comment": "Use a literal no-basis-Patient reference for a patient source. For a\npractitioner, use a literal no-basis-Practitioner reference or a logical\nPractitioner reference permitted by DigiDOT PractitionerRefNo.",
        "requirements": "The information source supports assessment of the provenance of the reported medication use when the source is known.",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Reference-Practitioner-no"
            ],
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient",
              "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.derivedFrom",
        "path": "MedicationStatement.derivedFrom",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "This profile records information reported by the information source. Do not use\nit for a statement derived from SFM, PLL, a medication order, dispense record,\nclaim or other source resource.",
        "comment": "derivedFrom is prohibited so this profile is not used for medication information derived from SFM, PLL or another source resource.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonCode",
        "path": "MedicationStatement.reasonCode",
        "short": "SNOMED CT reason for the reported medication use",
        "definition": "When a reason is recorded, use one versioned precoordinated SNOMED CT concept.\nNo local code, free-text-only reason or additional coding is permitted.",
        "comment": "Use reasonCode for the coded reason. reasonReference is not used in this profile.",
        "requirements": "A structured reason supports consistent clinical interpretation when the reason for medication use is reported.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-medication-statement-reason-no"
        }
      },
      {
        "id": "MedicationStatement.reasonCode.extension",
        "path": "MedicationStatement.reasonCode.extension",
        "short": "No extensions on the medication-use reason",
        "definition": "Extensions on the reason CodeableConcept are not used in this profile.",
        "comment": "Extensions on the medication-use reason are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonCode.coding",
        "path": "MedicationStatement.reasonCode.coding",
        "short": "Versioned SNOMED CT reason code",
        "definition": "Record exactly one SNOMED CT concept using DigiDotCodingSctPreNo. The concept\nmust be a member of the ICPC-2 complex map reference set 68101000202102 defined\nby the required DigidotMedicationStatementReasonNo ValueSet.",
        "comment": "Use system http://snomed.info/sct and identify the SNOMED CT edition and release\nin Coding.version. Do not add alternative codings or translations.",
        "requirements": "DigiDOT requires one versioned SNOMED CT reason from the specified ICPC-2 complex map reference set.",
        "max": "0",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-medication-statement-reason-no"
        }
      },
      {
        "id": "MedicationStatement.reasonCode.coding.extension",
        "path": "MedicationStatement.reasonCode.coding.extension",
        "short": "No extensions on the reason coding",
        "definition": "Extensions on the SNOMED CT reason coding are not used in this profile.",
        "comment": "Extensions on the reason coding are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonCode.text",
        "path": "MedicationStatement.reasonCode.text",
        "short": "Not used for the medication-use reason",
        "definition": "The clinical reason is represented by the structured SNOMED CT coding, not CodeableConcept.text.",
        "comment": "CodeableConcept.text is prohibited for the medication-use reason.",
        "requirements": "The required structured SNOMED CT coding provides the reason representation.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonReference",
        "path": "MedicationStatement.reasonReference",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not link the reported medication use to a\nCondition, Observation or other reason resource. Use reasonCode when a reason\nis recorded.",
        "comment": "reasonReference is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note",
        "path": "MedicationStatement.note",
        "short": "Additional note about the reported medication use",
        "definition": "Record supplementary information about the reported medication use that cannot\nbe represented in another retained element of this profile.",
        "comment": "Do not use note as an alternative representation of the medicinal product, structured reason or dosage.",
        "requirements": "A note permits limited supplementary context without replacing the structured medication, reason or dosage elements."
      },
      {
        "id": "MedicationStatement.note.extension",
        "path": "MedicationStatement.note.extension",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage",
        "path": "MedicationStatement.dosage",
        "short": "Dosage reported by the information source",
        "definition": "Record textual or structured dosage information only as reported by the\ninformation source. Dosage.text may carry the reported regimen, timing may\nrepresent how often it is taken, and doseAndRate.dose[x] may represent the\namount taken at one time. Do not infer information that the source did not\nprovide.",
        "comment": "Record only information supplied by the information source. This profile is not\nused for dosage copied or derived from a MedicationRequest, SFM or PLL.",
        "requirements": "Dosage preserves the medication-use regimen as reported without turning the statement into a prescription.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.extension",
        "path": "MedicationStatement.dosage.extension",
        "short": "No extensions on the reported dosage",
        "definition": "Extensions on Dosage are not used in this profile.",
        "comment": "Extensions on Dosage are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.modifierExtension",
        "path": "MedicationStatement.dosage.modifierExtension",
        "short": "No modifier extensions on the reported dosage",
        "definition": "Modifier extensions on Dosage are not used in this profile.",
        "comment": "Modifier extensions on Dosage are prohibited in this profile.",
        "requirements": "The reported dosage must be interpretable without modifier extensions.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.sequence",
        "path": "MedicationStatement.dosage.sequence",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record an ordering sequence between dosage instructions.",
        "comment": "sequence is prohibited in this profile.",
        "requirements": "Only one Dosage element is permitted, so an ordering sequence is not required.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.text",
        "path": "MedicationStatement.dosage.text",
        "short": "Reported human-readable dosage information",
        "definition": "Record the dosage wording provided by the information source when a human-readable regimen is available.",
        "comment": "When text and structured dosage elements are both present, they must describe the same reported regimen.",
        "requirements": "Human-readable text preserves reported dosage information that is not fully represented by the retained structured elements."
      },
      {
        "id": "MedicationStatement.dosage.additionalInstruction",
        "path": "MedicationStatement.dosage.additionalInstruction",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record additional coded or textual dosage instructions.",
        "comment": "additionalInstruction is prohibited in this profile.",
        "requirements": "The narrow DigiDot model retains the reported regimen in dosage.text and the selected structured dosage elements.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.patientInstruction",
        "path": "MedicationStatement.dosage.patientInstruction",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record separate patient-oriented dosage instructions.",
        "comment": "patientInstruction is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing",
        "path": "MedicationStatement.dosage.timing",
        "short": "Reported timing of medication use",
        "definition": "Record when or how often the medication is reported as being taken when structured timing information is available.",
        "comment": "Use timing for the reported schedule. Do not use it to infer or reconstruct an administration rate.",
        "requirements": "Structured timing supports consistent representation of when or how often the medication is reported as taken."
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "comment": "Only the Boolean variant is permitted in this profile."
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededCodeableConcept",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not use a CodeableConcept to specify the\ncondition under which the medication is taken as needed. The inherited Boolean\nvariant remains available.",
        "comment": "The coded variant of asNeeded[x] is prohibited.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededBoolean",
        "short": "Whether the medication is reported as taken as needed",
        "definition": "Use the Boolean variant only when the information source reports whether the medication is taken as needed.",
        "comment": "true means taken as needed; false means not taken as needed; omit the element when this information is unknown.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.site",
        "path": "MedicationStatement.dosage.site",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported dosage does not include a separate anatomical site.",
        "comment": "site is prohibited in this profile.",
        "requirements": "A separate anatomical administration site is outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.route",
        "path": "MedicationStatement.dosage.route",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported dosage does not include a separate route of administration.",
        "comment": "route is prohibited in this profile.",
        "requirements": "A separate route of administration is outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.method",
        "path": "MedicationStatement.dosage.method",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The reported dosage does not include a separate administration method.",
        "comment": "method is prohibited in this profile.",
        "requirements": "A separate administration method is outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate",
        "path": "MedicationStatement.dosage.doseAndRate",
        "short": "Reported amount of medication per administration",
        "definition": "Use dose[x] to record the amount reported for one administration, for example\ntwo tablets. A quantity or reported dose range may be used. A structured\nadministration rate is outside the scope of this profile.",
        "comment": "Only the dose is used; dose type and administration rate are prohibited.",
        "requirements": "A structured dose allows the reported amount taken at one time to be represented separately from timing."
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.extension",
        "path": "MedicationStatement.dosage.doseAndRate.extension",
        "short": "No extensions on dose and rate",
        "definition": "Extensions on doseAndRate are not used in this profile.",
        "comment": "Extensions on doseAndRate are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.type",
        "path": "MedicationStatement.dosage.doseAndRate.type",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not classify the reported dose with a separate dose type.",
        "comment": "doseAndRate.type is prohibited in this profile.",
        "requirements": "The narrow DigiDot model records the reported dose without a separate dose classification.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "short": "Reported amount per administration",
        "definition": "Record the quantity or range reported as being taken at one time.",
        "comment": "Record the amount of the medication identified in medication[x]; do not describe ingredients or a separate Medication resource here.",
        "requirements": "The dose represents the amount of the coded medicinal product reported as taken at one time."
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.rate[x]",
        "path": "MedicationStatement.dosage.doseAndRate.rate[x]",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a structured administration rate.",
        "comment": "All rate variants are prohibited in this profile.",
        "requirements": "Administration rate is outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.maxDosePerPeriod",
        "path": "MedicationStatement.dosage.maxDosePerPeriod",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a maximum dose per time period.",
        "comment": "maxDosePerPeriod is prohibited in this profile.",
        "requirements": "Maximum dose limits are outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.maxDosePerAdministration",
        "path": "MedicationStatement.dosage.maxDosePerAdministration",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a maximum dose per administration.",
        "comment": "maxDosePerAdministration is prohibited in this profile.",
        "requirements": "Maximum dose limits are outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.maxDosePerLifetime",
        "path": "MedicationStatement.dosage.maxDosePerLifetime",
        "short": "Not used in the current DigiDot MedicationStatement profile",
        "definition": "The current DigiDot profile does not record a maximum cumulative lifetime dose.",
        "comment": "maxDosePerLifetime is prohibited in this profile.",
        "requirements": "Maximum dose limits are outside the current DigiDot MedicationStatement scope.",
        "max": "0"
      }
    ]
  }
}

name : DigidotMedicationStatementNo

{

}