<status value="draft" /> <publisher value="VISION ZERO E.V." /> <contact> <telecom> <system value="url" /> <value value="https://www.vision-zero-oncology.de/" /> </telecom> </contact> <description value="Profile to capture 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." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement.id"> <path value="MedicationStatement.id" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.meta"> <path value="MedicationStatement.meta" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.meta.source"> <path value="MedicationStatement.meta.source" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.meta.profile"> <path value="MedicationStatement.meta.profile" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier"> <path value="MedicationStatement.identifier" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.basedOn"> <path value="MedicationStatement.basedOn" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.partOf"> <path value="MedicationStatement.partOf" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.category"> <path value="MedicationStatement.category" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.category.coding"> <path value="MedicationStatement.category.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.category.coding:usageCategory"> <path value="MedicationStatement.category.coding" /> <sliceName value="usageCategory" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" /> </patternCoding> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-statement-category" /> </binding> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationReference"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationReference" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationCodeableConcept" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding"> <path value="MedicationStatement.medication[x].coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="Pharmazentralnummer" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="http://fhir.de/CodeSystem/ifa/pzn" /> </patternCoding> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system"> <path value="MedicationStatement.medication[x].coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code"> <path value="MedicationStatement.medication[x].coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="atcClassDe" /> <short value="ATC Klassifikation deutsche Version" /> <definition value="ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="http://fhir.de/CodeSystem/bfarm/atc" /> </patternCoding> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://fhir.de/ValueSet/bfarm/atc" /> </binding> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system"> <path value="MedicationStatement.medication[x].coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code"> <path value="MedicationStatement.medication[x].coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="atcClassEn" /> <short value="Anatomical Therapeutic Chemical Classification System" /> <definition value="ATC Classification International WHO Version" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="http://www.whocc.no/atc" /> </patternCoding> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system"> <path value="MedicationStatement.medication[x].coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code"> <path value="MedicationStatement.medication[x].coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.text"> <path value="MedicationStatement.medication[x].text" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.context"> <path value="MedicationStatement.context" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]:effectiveDateTime"> <path value="MedicationStatement.effective[x]" /> <sliceName value="effectiveDateTime" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]:effectivePeriod"> <path value="MedicationStatement.effective[x]" /> <sliceName value="effectivePeriod" /> <min value="0" /> <max value="1" /> <type> <code value="Period" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.derivedFrom"> <path value="MedicationStatement.derivedFrom" /> <type> <code value="Reference" /> <targetProfile value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <type> <code value="Reference" /> <targetProfile value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor-disorder" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.note"> <path value="MedicationStatement.note" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <constraint> <key value="dsg-1" /> <severity value="error" /> <human value="If present, dosage must include free text or structured data" /> <expression value="text.exists() or doseAndRate.exists()" /> <source value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/medication-statement" /> </constraint> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.sequence"> <path value="MedicationStatement.dosage.sequence" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing"> <path value="MedicationStatement.dosage.timing" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.event"> <path value="MedicationStatement.dosage.timing.event" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat"> <path value="MedicationStatement.dosage.timing.repeat" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" /> <sliceName value="boundsDuration" /> <min value="0" /> <max value="1" /> <type> <code value="Duration" /> </type> <patternDuration> <system value="http://unitsofmeasure.org" /> </patternDuration> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].unit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" /> <sliceName value="boundsRange" /> <min value="0" /> <max value="1" /> <type> <code value="Range" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low" /> <patternQuantity> <system value="http://unitsofmeasure.org" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.unit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high" /> <patternQuantity> <system value="http://unitsofmeasure.org" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.unit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" /> <sliceName value="boundsPeriod" /> <min value="0" /> <max value="1" /> <type> <code value="Period" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].start" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].end" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.count"> <path value="MedicationStatement.dosage.timing.repeat.count" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.countMax"> <path value="MedicationStatement.dosage.timing.repeat.countMax" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.duration"> <path value="MedicationStatement.dosage.timing.repeat.duration" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.durationMax"> <path value="MedicationStatement.dosage.timing.repeat.durationMax" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.durationUnit"> <path value="MedicationStatement.dosage.timing.repeat.durationUnit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.frequency"> <path value="MedicationStatement.dosage.timing.repeat.frequency" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.frequencyMax"> <path value="MedicationStatement.dosage.timing.repeat.frequencyMax" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.period"> <path value="MedicationStatement.dosage.timing.repeat.period" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.periodMax"> <path value="MedicationStatement.dosage.timing.repeat.periodMax" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.periodUnit"> <path value="MedicationStatement.dosage.timing.repeat.periodUnit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.dayOfWeek"> <path value="MedicationStatement.dosage.timing.repeat.dayOfWeek" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.timeOfDay"> <path value="MedicationStatement.dosage.timing.repeat.timeOfDay" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.when"> <path value="MedicationStatement.dosage.timing.repeat.when" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.offset"> <path value="MedicationStatement.dosage.timing.repeat.offset" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.asNeeded[x]"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.asNeeded[x]:asNeededBoolean"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <sliceName value="asNeededBoolean" /> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <sliceName value="asNeededCodeableConcept" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.site"> <path value="MedicationStatement.dosage.site" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.site.coding"> <path value="MedicationStatement.dosage.site.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.site.coding:SNOMED"> <path value="MedicationStatement.dosage.site.coding" /> <sliceName value="SNOMED" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="http://snomed.info/sct" /> </patternCoding> <mustSupport value="true" /> <binding> <strength value="example" /> <description value="target site IPS" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips" /> </binding> </element> <element id="MedicationStatement.dosage.site.coding:SNOMED.system"> <path value="MedicationStatement.dosage.site.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.site.coding:SNOMED.code"> <path value="MedicationStatement.dosage.site.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding"> <path value="MedicationStatement.dosage.route.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding:EDQM"> <path value="MedicationStatement.dosage.route.coding" /> <sliceName value="EDQM" /> <min value="0" /> <max value="1" /> <patternCoding> <system value="http://standardterms.edqm.eu" /> </patternCoding> <mustSupport value="true" /> <binding> <strength value="preferred" /> <description value="EDQM Standard Terms" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration" /> </binding> </element> <element id="MedicationStatement.dosage.route.coding:EDQM.system"> <path value="MedicationStatement.dosage.route.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding:EDQM.code"> <path value="MedicationStatement.dosage.route.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding:SNOMED"> <path value="MedicationStatement.dosage.route.coding" /> <sliceName value="SNOMED" /> <min value="0" /> <max value="1" /> <patternCoding> <system value="http://snomed.info/sct" /> </patternCoding> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding:SNOMED.system"> <path value="MedicationStatement.dosage.route.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding:SNOMED.code"> <path value="MedicationStatement.dosage.route.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate"> <path value="MedicationStatement.dosage.doseAndRate" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <sliceName value="doseRange" /> <min value="0" /> <max value="1" /> <type> <code value="Range" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].low" /> <patternQuantity> <system value="http://unitsofmeasure.org" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.value"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].low.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.unit"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].low.unit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.system"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].low.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.code"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].low.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].high" /> <patternQuantity> <system value="http://unitsofmeasure.org" /> </patternQuantity> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.value"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].high.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.unit"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].high.unit" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.system"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].high.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.code"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].high.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element 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