description: This cross-version extension represents MedicinalProductInteraction from http://hl7.org/fhir/StructureDefinition/MedicinalProductInteraction|4.0.1 for use in FHIR R4B.
package_name: hl7.fhir.uv.xver-r4.r4b
derivation: constraint
name: ext_R4_MedicinalProductInteraction
type: Extension
elements:
  extension:
    array: true
    index: 0
    slicing:
      rules: closed
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 0
      slices:
        description:
          match: {url: null}
          schema:
            short: The interaction described
            isModifier: false
            index: 1
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: The interaction described
                choices: [valueString]
                index: 3
              valueString:
                base: {path: 'Extension.value[x]'}
                type: string
                short: The interaction described
                choiceOf: value
                index: 4
        interactant:
          match: {url: null}
          schema:
            short: The specific medication, food or laboratory test that interacts
            isModifier: false
            array: true
            index: 5
            extensions:
              item[x]:
                url: null
                short: The specific medication, food or laboratory test that interacts
                isModifier: false
                _required: true
                index: 7
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The specific medication, food or laboratory test that interacts
                    choices: [valueReference, valueCodeableConcept]
                    index: 9
                  valueReference:
                    base: {path: 'Extension.value[x]'}
                    type: Reference
                    short: The specific medication, food or laboratory test that interacts
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/ObservationDefinition', 'http://hl7.org/fhir/StructureDefinition/Substance']
                    index: 10
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The specific medication, food or laboratory test that interacts
                    choiceOf: value
                    index: 11
            elements:
              extension:
                array: true
                min: 1
                index: 6
                slicing:
                  rules: closed
                  ordered: false
                  discriminator:
                  - {path: url, type: value}
                  min: 1
                  slices:
                    item[x]:
                      match: {url: null}
                      schema:
                        short: The specific medication, food or laboratory test that interacts
                        isModifier: false
                        _required: true
                        index: 7
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: The specific medication, food or laboratory test that interacts
                            choices: [valueReference, valueCodeableConcept]
                            index: 9
                          valueReference:
                            base: {path: 'Extension.value[x]'}
                            type: Reference
                            short: The specific medication, food or laboratory test that interacts
                            choiceOf: value
                            refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/ObservationDefinition', 'http://hl7.org/fhir/StructureDefinition/Substance']
                            index: 10
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: The specific medication, food or laboratory test that interacts
                            choiceOf: value
                            index: 11
            required: [extension]
        type:
          match: {url: null}
          schema:
            short: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
            isModifier: false
            index: 12
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
                choices: [valueCodeableConcept]
                index: 14
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
                choiceOf: value
                index: 15
        effect:
          match: {url: null}
          schema:
            short: The effect of the interaction, for example "reduced gastric absorption of primary medication"
            isModifier: false
            index: 16
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: The effect of the interaction, for example "reduced gastric absorption of primary medication"
                choices: [valueCodeableConcept]
                index: 18
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: The effect of the interaction, for example "reduced gastric absorption of primary medication"
                choiceOf: value
                index: 19
        incidence:
          match: {url: null}
          schema:
            short: The incidence of the interaction, e.g. theoretical, observed
            isModifier: false
            index: 20
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: The incidence of the interaction, e.g. theoretical, observed
                choices: [valueCodeableConcept]
                index: 22
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: The incidence of the interaction, e.g. theoretical, observed
                choiceOf: value
                index: 23
        management:
          match: {url: null}
          schema:
            short: Actions for managing the interaction
            isModifier: false
            index: 24
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: Actions for managing the interaction
                choices: [valueCodeableConcept]
                index: 26
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: Actions for managing the interaction
                choiceOf: value
                index: 27
  url:
    pattern: {type: uri, value: 'http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductInteraction'}
    type: uri
    index: 28
package_version: 0.0.1-snapshot-1
extensions:
  description:
    url: null
    short: The interaction described
    isModifier: false
    index: 1
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: The interaction described
        choices: [valueString]
        index: 3
      valueString:
        base: {path: 'Extension.value[x]'}
        type: string
        short: The interaction described
        choiceOf: value
        index: 4
  interactant:
    url: null
    short: The specific medication, food or laboratory test that interacts
    isModifier: false
    array: true
    index: 5
    extensions:
      item[x]:
        url: null
        short: The specific medication, food or laboratory test that interacts
        isModifier: false
        _required: true
        index: 7
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: The specific medication, food or laboratory test that interacts
            choices: [valueReference, valueCodeableConcept]
            index: 9
          valueReference:
            base: {path: 'Extension.value[x]'}
            type: Reference
            short: The specific medication, food or laboratory test that interacts
            choiceOf: value
            refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/ObservationDefinition', 'http://hl7.org/fhir/StructureDefinition/Substance']
            index: 10
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: The specific medication, food or laboratory test that interacts
            choiceOf: value
            index: 11
    elements:
      extension:
        array: true
        min: 1
        index: 6
        slicing:
          rules: closed
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            item[x]:
              match: {url: null}
              schema:
                short: The specific medication, food or laboratory test that interacts
                isModifier: false
                _required: true
                index: 7
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The specific medication, food or laboratory test that interacts
                    choices: [valueReference, valueCodeableConcept]
                    index: 9
                  valueReference:
                    base: {path: 'Extension.value[x]'}
                    type: Reference
                    short: The specific medication, food or laboratory test that interacts
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/ObservationDefinition', 'http://hl7.org/fhir/StructureDefinition/Substance']
                    index: 10
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The specific medication, food or laboratory test that interacts
                    choiceOf: value
                    index: 11
    required: [extension]
  type:
    url: null
    short: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
    isModifier: false
    index: 12
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
        choices: [valueCodeableConcept]
        index: 14
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
        choiceOf: value
        index: 15
  effect:
    url: null
    short: The effect of the interaction, for example "reduced gastric absorption of primary medication"
    isModifier: false
    index: 16
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: The effect of the interaction, for example "reduced gastric absorption of primary medication"
        choices: [valueCodeableConcept]
        index: 18
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: The effect of the interaction, for example "reduced gastric absorption of primary medication"
        choiceOf: value
        index: 19
  incidence:
    url: null
    short: The incidence of the interaction, e.g. theoretical, observed
    isModifier: false
    index: 20
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: The incidence of the interaction, e.g. theoretical, observed
        choices: [valueCodeableConcept]
        index: 22
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: The incidence of the interaction, e.g. theoretical, observed
        choiceOf: value
        index: 23
  management:
    url: null
    short: Actions for managing the interaction
    isModifier: false
    index: 24
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: Actions for managing the interaction
        choices: [valueCodeableConcept]
        index: 26
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: Actions for managing the interaction
        choiceOf: value
        index: 27
class: extension
kind: complex-type
url: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductInteraction
base: http://hl7.org/fhir/StructureDefinition/Extension
version: 0.0.1-snapshot-1
required: [url]