<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="An extension to provide the manner in which medication is discontinued (temporary or definitive)." /> <purpose value="This extension represents the MedicationAgreementStopType and AdministrationAgreementStopType concepts, and the MedicationUseStopType and VariableDosingRegimenStopType concepts which have a binding on a more restricted ValueSet, of the MedicationProcess9 information standard." /> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="MedicationRequest" /> </context> <context> <type value="element" /> <expression value="MedicationDispense" /> </context> <context> <type value="element" /> <expression value="MedicationStatement" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <definition value="This StopType modifier extension works differently than the `.status` element of resources because it has a different meaning. The `.status` element usually represents the status of the resource at the moment of exchanging the resource. This means that over the lifetime of a resource, the status may change (and is very much related to use period). That – in itself – makes solely mapping StopType (which may never change in an instance) to `.status` not suitable. For example: suppose you want the patient to stop taking medication definitively three days from today. This is a stop medication agreement with a StopType of _definitive_. However today, tomorrow and the day after tomorrow the `.status` of this medication agreement is _active_ and only after the end date of the usage period the `.status` should be _stopped_. Status and StopType are simply not the same thing." /> <max value="1" /> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because StopType contains codes that mark the resource as no longer active." /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/ext-StopType" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="StopType" /> <definition value="Stop type, the manner in which this medication is discontinued or canceled (temporary, definitive or canceled)." /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.50--20221216102010" /> </binding> </element> </differential> </StructureDefinition>