medication-statement-rigoletto
type: StructureDefinition
node role: treeRoot
id:
  v: medication-statement-rigoletto
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition medication-statement-rigoletto Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MedicationStatement 0..* MedicationStatement Elenco dei Farmaci o Integratori assunti dal paziente status S 1..1 code Stato dell'assunzione del Farmaco (es. attivo, completato, interrotto) statusReason 0..* CodeableConcept Motivo dell'interruzione o modifica della terapia medication[x] 1..1 Reference(Medication_Rigoletto) Farmaco o Integratore assunto subject 1..1 Reference(Patient_Rigoletto) Paziente che assume il farmaco Slices for effective[x] S 1..1 dateTime, Period Intervallo temporale in cui il Farmaco è stato assunto Slice: Unordered, Open by type:$this effective[x]:effectivePeriod 0..1 Period Periodo di assunzione del farmaco start S 1..1 dateTime Data di inizio dell'assunzione del Farmaco dosage S 0..* Dosage Dettagli sul dosaggio del Farmaco assunto timing S 1..1 Timing When medication should be administered repeat when 0..* code Code for time period of occurrence Binding: EventTiming (required) route S 1..1 CodeableConcept How drug should enter body Binding: Dosage direction VS (required) <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://rigoletto.na.icar.cnr.it/StructureDefinition/medication-statement-rigoletto
version:
  v: 0.2.0
name:
  v: Medication_Statement_Rigoletto
title:
  v: Medication_Statement_Rigoletto
status:
  v: active
date:
  v: 2025-07-16T13:36:58+02:00
description:
  v: Rappresentazione di un elenco di Medicine/Integratori per uno specifico paziente tramite profilo MedicationStatement
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: MedicationStatement
base definition:
  v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
  link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: MedicationStatement
    path:
      v: MedicationStatement
    short:
      v: Elenco dei Farmaci o Integratori assunti dal paziente
    definition:
      v: A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.
    comment:
      v: When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: MedicationStatement
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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:
        v: 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:
        v: 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:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      extension:
        value: boolean
      extension:
        value: markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act
    mapping:
      identity:
        v: workflow
      map:
        v: Event
    mapping:
      identity:
        v: rim
      map:
        v: SubstanceAdministration
  element:
    id:
      v: MedicationStatement.id
    path:
      v: MedicationStatement.id
    short:
      v: Logical id of this artifact
    definition:
      v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
    comment:
      v: 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:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Resource.id
      min:
        v: 0

boolean
v: true

markdown
v: 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.

v: 1

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
  value: url
    v: id
code:
  v: http://hl7.org/fhirpath/System.String

v: false

v: true

id:
  v: MedicationStatement.meta
path:
  v: MedicationStatement.meta
short:
  v: Metadata about the resource
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: MedicationStatement.implicitRules
path:
  v: MedicationStatement.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true

id:
  v: MedicationStatement.language
path:
  v: MedicationStatement.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    value: canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages
    link: http://hl7.org/fhir/ValueSet/languages

id:
  v: MedicationStatement.text
path:
  v: MedicationStatement.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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:
  v: 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:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: MedicationStatement.contained
path:
  v: MedicationStatement.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.extension
path:
  v: MedicationStatement.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.modifierExtension
path:
  v: MedicationStatement.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.identifier
path:
  v: MedicationStatement.identifier
short:
  v: External identifier
definition:
  v: Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
comment:
  v: This is a business identifier, not a resource identifier.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id

id:
  v: MedicationStatement.basedOn
path:
  v: MedicationStatement.basedOn
short:
  v: Fulfils plan, proposal or order
definition:
  v: A plan, proposal or order that is fulfilled in whole or in part by this event.
requirements:
  v: Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    link: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    link: http://hl7.org/fhir/StructureDefinition/CarePlan
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest
    link: http://hl7.org/fhir/StructureDefinition/ServiceRequest
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]

id:
  v: MedicationStatement.partOf
path:
  v: MedicationStatement.partOf
short:
  v: Part of referenced event
definition:
  v: A larger event of which this particular event is a component or step.
requirements:
  v: This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.partOf
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
    link: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
    link: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    link: http://hl7.org/fhir/StructureDefinition/Procedure
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    link: http://hl7.org/fhir/StructureDefinition/Observation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.partOf
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]

id:
  v: MedicationStatement.status
path:
  v: MedicationStatement.status
short:
  v: Stato dell'assunzione del Farmaco (es. attivo, completato, interrotto)
definition:
  v: A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.
comment:
  v: MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationStatementStatus
  strength:
    v: required
  description:
    v: A coded concept indicating the current status of a MedicationStatement.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode

id:
  v: MedicationStatement.statusReason
path:
  v: MedicationStatement.statusReason
short:
  v: Motivo dell'interruzione o modifica della terapia
definition:
  v: Captures the reason for the current state of the MedicationStatement.
comment:
  v: This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.statusReason
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationStatementStatusReason
  strength:
    v: example
  description:
    v: A coded concept indicating the reason for the status of the statement.
  value set:
    v: http://hl7.org/fhir/ValueSet/reason-medication-status-codes
    link: http://hl7.org/fhir/ValueSet/reason-medication-status-codes
mapping:
  identity:
    v: workflow
  map:
    v: Event.statusReason
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde

id:
  v: MedicationStatement.category
path:
  v: MedicationStatement.category
short:
  v: Type of medication usage
definition:
  v: Indicates where the medication is expected to be consumed or administered.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationStatementCategory
  strength:
    v: preferred
  description:
    v: A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-statement-category
    link: http://hl7.org/fhir/ValueSet/medication-statement-category
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value

id:
  v: MedicationStatement.medication[x]
path:
  v: MedicationStatement.medication[x]
short:
  v: Farmaco o Integratore assunto
definition:
  v: Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
comment:
  v: If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: https://rigoletto.na.icar.cnr.it/StructureDefinition/medication-rigoletto
    link: https://rigoletto.na.icar.cnr.it/StructureDefinition/medication-rigoletto
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=CSM].role[classCode=ADMM or MANU]

id:
  v: MedicationStatement.subject
path:
  v: MedicationStatement.subject
short:
  v: Paziente che assume il farmaco
definition:
  v: The person, animal or group who is/was taking the medication.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: https://rigoletto.na.icar.cnr.it/StructureDefinition/patient-rigoletto
    link: https://rigoletto.na.icar.cnr.it/StructureDefinition/patient-rigoletto
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: MedicationStatement.context
path:
  v: MedicationStatement.context
short:
  v: Encounter / Episode associated with MedicationStatement
definition:
  v: The encounter or episode of care that establishes the context for this MedicationStatement.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    link: http://hl7.org/fhir/StructureDefinition/Encounter
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    link: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]

id:
  v: MedicationStatement.effective[x]
path:
  v: MedicationStatement.effective[x]
slicing:
  discriminator:
    type:
      v: type
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: open
short:
  v: Intervallo temporale in cui il Farmaco è stato assunto
definition:
  v: The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).
comment:
  v: This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
type:
  code:
    v: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: MedicationStatement.effective[x]:effectivePeriod
path:
  v: MedicationStatement.effective[x]
slice name:
  v: effectivePeriod
short:
  v: Periodo di assunzione del farmaco
definition:
  v: The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).
comment:
  v: This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: MedicationStatement.effective[x]:effectivePeriod.id
path:
  v: MedicationStatement.effective[x].id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.effective[x]:effectivePeriod.extension
path:
  v: MedicationStatement.effective[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.effective[x]:effectivePeriod.start
path:
  v: MedicationStatement.effective[x].start
short:
  v: Data di inizio dell'assunzione del Farmaco
definition:
  v: The start of the period. The boundary is inclusive.
comment:
  v: If the low element is missing, the meaning is that the low boundary is not known.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Period.start
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
condition:
  v: per-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: DR.1
mapping:
  identity:
    v: rim
  map:
    v: ./low

id:
  v: MedicationStatement.effective[x]:effectivePeriod.end
path:
  v: MedicationStatement.effective[x].end
short:
  v: End time with inclusive boundary, if not ongoing
definition:
  v: The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
comment:
  v: The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Period.end
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
meaning when missing:
  v: If the end of the period is missing, it means that the period is ongoing
condition:
  v: per-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: DR.2
mapping:
  identity:
    v: rim
  map:
    v: ./high

id:
  v: MedicationStatement.dateAsserted
path:
  v: MedicationStatement.dateAsserted
short:
  v: When the statement was asserted?
definition:
  v: The date when the medication statement was asserted by the information source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.dateAsserted
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].time

id:
  v: MedicationStatement.informationSource
path:
  v: MedicationStatement.informationSource
short:
  v: Person or organization that provided the information about the taking of this medication
definition:
  v: The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.informationSource
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    link: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    link: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.source
mapping:
  identity:
    v: rim
  map:
    v: .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:
  v: MedicationStatement.derivedFrom
path:
  v: MedicationStatement.derivedFrom
short:
  v: Additional supporting information
definition:
  v: Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.
comment:
  v: Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.derivedFrom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    link: http://hl7.org/fhir/StructureDefinition/Resource
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]

id:
  v: MedicationStatement.reasonCode
path:
  v: MedicationStatement.reasonCode
short:
  v: Reason for why the medication is being/was taken
definition:
  v: A reason for why the medication is being/was taken.
comment:
  v: This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationReason
  strength:
    v: example
  description:
    v: A coded concept identifying why the medication is being taken.
  value set:
    v: http://hl7.org/fhir/ValueSet/condition-code
    link: http://hl7.org/fhir/ValueSet/condition-code
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonCode
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode

id:
  v: MedicationStatement.reasonReference
path:
  v: MedicationStatement.reasonReference
short:
  v: Condition or observation that supports why the medication is being/was taken
definition:
  v: Condition or observation that supports why the medication is being/was taken.
comment:
  v: This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    link: http://hl7.org/fhir/StructureDefinition/Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    link: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    link: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonReference
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value

id:
  v: MedicationStatement.note
path:
  v: MedicationStatement.note
short:
  v: Further information about the statement
definition:
  v: Provides extra information about the medication statement that is not conveyed by the other attributes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value

id:
  v: MedicationStatement.dosage
path:
  v: MedicationStatement.dosage
short:
  v: Dettagli sul dosaggio del Farmaco assunto
definition:
  v: Indicates how the medication is/was or should be taken by the patient.
comment:
  v: The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.dosage
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: refer dosageInstruction mapping

id:
  v: MedicationStatement.dosage.id
path:
  v: MedicationStatement.dosage.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.extension
path:
  v: MedicationStatement.dosage.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.modifierExtension
path:
  v: MedicationStatement.dosage.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.dosage.sequence
path:
  v: MedicationStatement.dosage.sequence
short:
  v: The order of the dosage instructions
definition:
  v: Indicates the order in which the dosage instructions should be applied or interpreted.
requirements:
  v: If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.sequence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: integer
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: TQ1-1
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.text
path:
  v: MedicationStatement.dosage.text
short:
  v: Free text dosage instructions e.g. SIG
definition:
  v: Free text dosage instructions e.g. SIG.
requirements:
  v: Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: RXO-6; RXE-21
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.additionalInstruction
path:
  v: MedicationStatement.dosage.additionalInstruction
short:
  v: Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
definition:
  v: Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
comment:
  v: Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.
requirements:
  v: Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Dosage.additionalInstruction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: AdditionalInstruction
  strength:
    v: example
  description:
    v: A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
  value set:
    v: http://hl7.org/fhir/ValueSet/additional-instruction-codes
    link: http://hl7.org/fhir/ValueSet/additional-instruction-codes
mapping:
  identity:
    v: v2
  map:
    v: RXO-7
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.patientInstruction
path:
  v: MedicationStatement.dosage.patientInstruction
short:
  v: Patient or consumer oriented instructions
definition:
  v: Instructions in terms that are understood by the patient or consumer.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.patientInstruction
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: RXO-7
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.timing
path:
  v: MedicationStatement.dosage.timing
short:
  v: When medication should be administered
definition:
  v: When medication should be administered.
comment:
  v: This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
requirements:
  v: The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Dosage.timing
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Timing
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: MedicationStatement.dosage.timing.id
path:
  v: MedicationStatement.dosage.timing.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.extension
path:
  v: MedicationStatement.dosage.timing.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.modifierExtension
path:
  v: MedicationStatement.dosage.timing.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.dosage.timing.event
path:
  v: MedicationStatement.dosage.timing.event
short:
  v: When the event occurs
definition:
  v: Identifies specific times when the event occurs.
requirements:
  v: In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Timing.event
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: QLIST<TS>

id:
  v: MedicationStatement.dosage.timing.repeat
path:
  v: MedicationStatement.dosage.timing.repeat
short:
  v: When the event is to occur
definition:
  v: A set of rules that describe when the event is scheduled.
requirements:
  v: Many timing schedules are determined by regular repetitions.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Element
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: tim-1
  severity:
    v: error
  human:
    v: if there's a duration, there needs to be duration units
  expression:
    v: duration.empty() or durationUnit.exists()
  xpath:
    v: not(exists(f:duration)) or exists(f:durationUnit)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-2
  severity:
    v: error
  human:
    v: if there's a period, there needs to be period units
  expression:
    v: period.empty() or periodUnit.exists()
  xpath:
    v: not(exists(f:period)) or exists(f:periodUnit)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-4
  severity:
    v: error
  human:
    v: duration SHALL be a non-negative value
  expression:
    v: duration.exists() implies duration >= 0
  xpath:
    v: f:duration/@value >= 0 or not(f:duration/@value)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-5
  severity:
    v: error
  human:
    v: period SHALL be a non-negative value
  expression:
    v: period.exists() implies period >= 0
  xpath:
    v: f:period/@value >= 0 or not(f:period/@value)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-6
  severity:
    v: error
  human:
    v: If there's a periodMax, there must be a period
  expression:
    v: periodMax.empty() or period.exists()
  xpath:
    v: not(exists(f:periodMax)) or exists(f:period)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-7
  severity:
    v: error
  human:
    v: If there's a durationMax, there must be a duration
  expression:
    v: durationMax.empty() or duration.exists()
  xpath:
    v: not(exists(f:durationMax)) or exists(f:duration)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-8
  severity:
    v: error
  human:
    v: If there's a countMax, there must be a count
  expression:
    v: countMax.empty() or count.exists()
  xpath:
    v: not(exists(f:countMax)) or exists(f:count)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-9
  severity:
    v: error
  human:
    v: If there's an offset, there must be a when (and not C, CM, CD, CV)
  expression:
    v: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
  xpath:
    v: not(exists(f:offset)) or exists(f:when)
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
constraint:
  key:
    v: tim-10
  severity:
    v: error
  human:
    v: If there's a timeOfDay, there cannot be a when, or vice versa
  expression:
    v: timeOfDay.empty() or when.empty()
  xpath:
    v: not(exists(f:timeOfDay)) or not(exists(f:when))
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    link: http://hl7.org/fhir/StructureDefinition/MedicationStatement
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Implies PIVL or EIVL

id:
  v: MedicationStatement.dosage.timing.repeat.id
path:
  v: MedicationStatement.dosage.timing.repeat.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.repeat.extension
path:
  v: MedicationStatement.dosage.timing.repeat.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.repeat.bounds[x]
path:
  v: MedicationStatement.dosage.timing.repeat.bounds[x]
short:
  v: Length/Range of lengths, or (Start and/or end) limits
definition:
  v: Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.bounds[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Duration
type:
  code:
    v: Range
type:
  code:
    v: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: IVL(TS) used in a QSI

id:
  v: MedicationStatement.dosage.timing.repeat.count
path:
  v: MedicationStatement.dosage.timing.repeat.count
short:
  v: Number of times to repeat
definition:
  v: A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.
comment:
  v: If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
requirements:
  v: Repetitions may be limited by end time or total occurrences.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.count
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.count

id:
  v: MedicationStatement.dosage.timing.repeat.countMax
path:
  v: MedicationStatement.dosage.timing.repeat.countMax
short:
  v: Maximum number of times to repeat
definition:
  v: If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.countMax
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.count

id:
  v: MedicationStatement.dosage.timing.repeat.duration
path:
  v: MedicationStatement.dosage.timing.repeat.duration
short:
  v: How long when it happens
definition:
  v: How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.
comment:
  v: For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
requirements:
  v: Some activities are not instantaneous and need to be maintained for a period of time.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.duration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase

id:
  v: MedicationStatement.dosage.timing.repeat.durationMax
path:
  v: MedicationStatement.dosage.timing.repeat.durationMax
short:
  v: How long when it happens (Max)
definition:
  v: If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.
comment:
  v: For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
requirements:
  v: Some activities are not instantaneous and need to be maintained for a period of time.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.durationMax
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase

id:
  v: MedicationStatement.dosage.timing.repeat.durationUnit
path:
  v: MedicationStatement.dosage.timing.repeat.durationUnit
short:
  v: s | min | h | d | wk | mo | a - unit of time (UCUM)
definition:
  v: The units of time for the duration, in UCUM units.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.durationUnit
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: UnitsOfTime
  strength:
    v: required
  description:
    v: A unit of time (units from UCUM).
  value set:
    v: http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase.unit

id:
  v: MedicationStatement.dosage.timing.repeat.frequency
path:
  v: MedicationStatement.dosage.timing.repeat.frequency
short:
  v: Event occurs frequency times per period
definition:
  v: The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.frequency
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
meaning when missing:
  v: If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase

id:
  v: MedicationStatement.dosage.timing.repeat.frequencyMax
path:
  v: MedicationStatement.dosage.timing.repeat.frequencyMax
short:
  v: Event occurs up to frequencyMax times per period
definition:
  v: If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.frequencyMax
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase

id:
  v: MedicationStatement.dosage.timing.repeat.period
path:
  v: MedicationStatement.dosage.timing.repeat.period
short:
  v: Event occurs frequency times per period
definition:
  v: Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase

id:
  v: MedicationStatement.dosage.timing.repeat.periodMax
path:
  v: MedicationStatement.dosage.timing.repeat.periodMax
short:
  v: Upper limit of period (3-4 hours)
definition:
  v: If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.periodMax
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase

id:
  v: MedicationStatement.dosage.timing.repeat.periodUnit
path:
  v: MedicationStatement.dosage.timing.repeat.periodUnit
short:
  v: s | min | h | d | wk | mo | a - unit of time (UCUM)
definition:
  v: The units of time for the period in UCUM units.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.periodUnit
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: UnitsOfTime
  strength:
    v: required
  description:
    v: A unit of time (units from UCUM).
  value set:
    v: http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: PIVL.phase.unit

id:
  v: MedicationStatement.dosage.timing.repeat.dayOfWeek
path:
  v: MedicationStatement.dosage.timing.repeat.dayOfWeek
short:
  v: mon | tue | wed | thu | fri | sat | sun
definition:
  v: If one or more days of week is provided, then the action happens only on the specified day(s).
comment:
  v: If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Timing.repeat.dayOfWeek
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DayOfWeek
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.repeat.timeOfDay
path:
  v: MedicationStatement.dosage.timing.repeat.timeOfDay
short:
  v: Time of day for action
definition:
  v: Specified time of day for action to take place.
comment:
  v: When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Timing.repeat.timeOfDay
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: time
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.repeat.when
path:
  v: MedicationStatement.dosage.timing.repeat.when
short:
  v: Code for time period of occurrence
definition:
  v: An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.
comment:
  v: When more than one event is listed, the event is tied to the union of the specified events.
requirements:
  v: Timings are frequently determined by occurrences such as waking, eating and sleep.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Timing.repeat.when
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/event-timing
    link: http://hl7.org/fhir/ValueSet/event-timing
mapping:
  identity:
    v: rim
  map:
    v: EIVL.event

id:
  v: MedicationStatement.dosage.timing.repeat.offset
path:
  v: MedicationStatement.dosage.timing.repeat.offset
short:
  v: Minutes from event (before or after)
definition:
  v: The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.repeat.offset
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: EIVL.offset

id:
  v: MedicationStatement.dosage.timing.code
path:
  v: MedicationStatement.dosage.timing.code
short:
  v: BID | TID | QID | AM | PM | QD | QOD | +
definition:
  v: A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
comment:
  v: BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Timing.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: TimingAbbreviation
  strength:
    v: preferred
  description:
    v: Code for a known / defined timing pattern.
  value set:
    v: http://hl7.org/fhir/ValueSet/timing-abbreviation
    link: http://hl7.org/fhir/ValueSet/timing-abbreviation
mapping:
  identity:
    v: rim
  map:
    v: QSC.code

id:
  v: MedicationStatement.dosage.asNeeded[x]
path:
  v: MedicationStatement.dosage.asNeeded[x]
short:
  v: Take "as needed" (for x)
definition:
  v: 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:
  v: Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.asNeeded[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationAsNeededReason
  strength:
    v: example
  description:
    v: 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.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-as-needed-reason
    link: http://hl7.org/fhir/ValueSet/medication-as-needed-reason
mapping:
  identity:
    v: v2
  map:
    v: TQ1-9
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept

id:
  v: MedicationStatement.dosage.site
path:
  v: MedicationStatement.dosage.site
short:
  v: Body site to administer to
definition:
  v: Body site to administer to.
comment:
  v: If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.
requirements:
  v: A coded specification of the anatomic site where the medication first enters the body.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.site
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationAdministrationSite
  strength:
    v: example
  description:
    v: A coded concept describing the site location the medicine enters into or onto the body.
  value set:
    v: http://hl7.org/fhir/ValueSet/approach-site-codes
    link: http://hl7.org/fhir/ValueSet/approach-site-codes
mapping:
  identity:
    v: v2
  map:
    v: RXR-2
mapping:
  identity:
    v: rim
  map:
    v: .approachSiteCode

id:
  v: MedicationStatement.dosage.route
path:
  v: MedicationStatement.dosage.route
short:
  v: How drug should enter body
definition:
  v: How drug should enter body.
requirements:
  v: A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Dosage.route
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: https://rigoletto.na.icar.cnr.it/ValueSet/DOSDIR
    link: https://rigoletto.na.icar.cnr.it/ValueSet/DOSDIR
mapping:
  identity:
    v: v2
  map:
    v: RXR-1
mapping:
  identity:
    v: rim
  map:
    v: .routeCode

id:
  v: MedicationStatement.dosage.method
path:
  v: MedicationStatement.dosage.method
short:
  v: Technique for administering medication
definition:
  v: Technique for administering medication.
comment:
  v: Terminologies used often pre-coordinate this term with the route and or form of administration.
requirements:
  v: A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.method
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: MedicationAdministrationMethod
  strength:
    v: example
  description:
    v: A coded concept describing the technique by which the medicine is administered.
  value set:
    v: http://hl7.org/fhir/ValueSet/administration-method-codes
    link: http://hl7.org/fhir/ValueSet/administration-method-codes
mapping:
  identity:
    v: v2
  map:
    v: RXR-4
mapping:
  identity:
    v: rim
  map:
    v: .doseQuantity

id:
  v: MedicationStatement.dosage.doseAndRate
path:
  v: MedicationStatement.dosage.doseAndRate
short:
  v: Amount of medication administered
definition:
  v: The amount of medication administered.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Dosage.doseAndRate
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Element
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: TQ1-2

id:
  v: MedicationStatement.dosage.doseAndRate.id
path:
  v: MedicationStatement.dosage.doseAndRate.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.doseAndRate.extension
path:
  v: MedicationStatement.dosage.doseAndRate.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.doseAndRate.type
path:
  v: MedicationStatement.dosage.doseAndRate.type
short:
  v: The kind of dose or rate specified
definition:
  v: The kind of dose or rate specified, for example, ordered or calculated.
requirements:
  v: If the type is not populated, assume to be "ordered".
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.doseAndRate.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DoseAndRateType
  strength:
    v: example
  description:
    v: The kind of dose or rate specified.
  value set:
    v: http://hl7.org/fhir/ValueSet/dose-rate-type
    link: http://hl7.org/fhir/ValueSet/dose-rate-type
mapping:
  identity:
    v: v2
  map:
    v: RXO-21; RXE-23

id:
  v: MedicationStatement.dosage.doseAndRate.dose[x]
path:
  v: MedicationStatement.dosage.doseAndRate.dose[x]
short:
  v: Amount of medication per dose
definition:
  v: Amount of medication per dose.
comment:
  v: Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
requirements:
  v: The amount of therapeutic or other substance given at one administration event.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.doseAndRate.dose[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Range
type:
  code:
    v: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: RXO-2, RXE-3
mapping:
  identity:
    v: rim
  map:
    v: .doseQuantity

id:
  v: MedicationStatement.dosage.doseAndRate.rate[x]
path:
  v: MedicationStatement.dosage.doseAndRate.rate[x]
short:
  v: Amount of medication per unit of time
definition:
  v: Amount of medication per unit of time.
comment:
  v: It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
requirements:
  v: Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.doseAndRate.rate[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Ratio
type:
  code:
    v: Range
type:
  code:
    v: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: RXE22, RXE23, RXE-24
mapping:
  identity:
    v: rim
  map:
    v: .rateQuantity

id:
  v: MedicationStatement.dosage.maxDosePerPeriod
path:
  v: MedicationStatement.dosage.maxDosePerPeriod
short:
  v: Upper limit on medication per unit of time
definition:
  v: Upper limit on medication per unit of time.
comment:
  v: This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
requirements:
  v: The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.maxDosePerPeriod
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Ratio
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: RXO-23, RXE-19
mapping:
  identity:
    v: rim
  map:
    v: .maxDoseQuantity

id:
  v: MedicationStatement.dosage.maxDosePerAdministration
path:
  v: MedicationStatement.dosage.maxDosePerAdministration
short:
  v: Upper limit on medication per administration
definition:
  v: Upper limit on medication per administration.
comment:
  v: This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
requirements:
  v: The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.maxDosePerAdministration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: not supported

id:
  v: MedicationStatement.dosage.maxDosePerLifetime
path:
  v: MedicationStatement.dosage.maxDosePerLifetime
short:
  v: Upper limit on medication per lifetime of the patient
definition:
  v: Upper limit on medication per lifetime of the patient.
requirements:
  v: The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.maxDosePerLifetime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: not supported

element:
  id:
    v: MedicationStatement
  path:
    v: MedicationStatement
  short:
    v: Elenco dei Farmaci o Integratori assunti dal paziente
element:
  id:
    v: MedicationStatement.status
  path:
    v: MedicationStatement.status
  short:
    v: Stato dell'assunzione del Farmaco (es. attivo, completato, interrotto)
  must support:
    v: true
element:
  id:
    v: MedicationStatement.statusReason
  path:
    v: MedicationStatement.statusReason
  short:
    v: Motivo dell'interruzione o modifica della terapia
element:
  id:
    v: MedicationStatement.medication[x]
  path:
    v: MedicationStatement.medication[x]
  short:
    v: Farmaco o Integratore assunto
  type:
    code:
      v: Reference
    target profile:
      v: https://rigoletto.na.icar.cnr.it/StructureDefinition/medication-rigoletto
      link: https://rigoletto.na.icar.cnr.it/StructureDefinition/medication-rigoletto
element:
  id:
    v: MedicationStatement.subject
  path:
    v: MedicationStatement.subject
  short:
    v: Paziente che assume il farmaco
  type:
    code:
      v: Reference
    target profile:
      v: https://rigoletto.na.icar.cnr.it/StructureDefinition/patient-rigoletto
      link: https://rigoletto.na.icar.cnr.it/StructureDefinition/patient-rigoletto
element:
  id:
    v: MedicationStatement.effective[x]
  path:
    v: MedicationStatement.effective[x]
  slicing:
    discriminator:
      type:
        v: type
      path:
        v: $this
    ordered:
      v: false
    rules:
      v: open
  short:
    v: Intervallo temporale in cui il Farmaco è stato assunto
  min:
    v: 1
  must support:
    v: true
element:
  id:
    v: MedicationStatement.effective[x]:effectivePeriod
  path:
    v: MedicationStatement.effective[x]
  slice name:
    v: effectivePeriod
  short:
    v: Periodo di assunzione del farmaco
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Period
element:
  id:
    v: MedicationStatement.effective[x]:effectivePeriod.start
  path:
    v: MedicationStatement.effective[x].start
  short:
    v: Data di inizio dell'assunzione del Farmaco
  min:
    v: 1
  must support:
    v: true
element:
  id:
    v: MedicationStatement.dosage
  path:
    v: MedicationStatement.dosage
  short:
    v: Dettagli sul dosaggio del Farmaco assunto
  must support:
    v: true
element:
  id:
    v: MedicationStatement.dosage.timing
  path:
    v: MedicationStatement.dosage.timing
  min:
    v: 1
  must support:
    v: true
element:
  id:
    v: MedicationStatement.dosage.timing.repeat.when
  path:
    v: MedicationStatement.dosage.timing.repeat.when
  binding:
    strength:
      v: required
    value set:
      v: http://hl7.org/fhir/ValueSet/event-timing
      link: http://hl7.org/fhir/ValueSet/event-timing
element:
  id:
    v: MedicationStatement.dosage.route
  path:
    v: MedicationStatement.dosage.route
  min:
    v: 1
  must support:
    v: true
  binding:
    strength:
      v: required
    value set:
      v: https://rigoletto.na.icar.cnr.it/ValueSet/DOSDIR
      link: https://rigoletto.na.icar.cnr.it/ValueSet/DOSDIR