{ "description": "MedicationUse2 is a statement on the historic, current or intended use of a certain medicine.", "_filename": "mp-MedicationUse2.json", "package_name": "nictiz.fhir.nl.r4.medicationprocess9", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "4.0.1", "purpose": "This MedicationStatement resource represents the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationUse2, in a development version that will be released in pre-publication 2022-1. This profile also contains augmentations to the zib with elements found in the transactions of MP9, to provide a profile better suited for implementation purposes.", "name": "MpMedicationUse2", "mapping": [ { "uri": "https://zibs.nl/wiki/MedicationUse2-v1.1.1(2020EN)", "name": "zib MedicationUse2-v1.1.1(2020EN)", "identity": "zib-medicationuse2-v1.1.1-2020EN" }, { "uri": "https://zibs.nl/wiki/InstructionsForUse-v1.2.1(2020EN)", "name": "zib InstructionsForUse-v1.2.1(2020EN)", "identity": "zib-instructionsforuse-v1.2.1-2020EN" }, { "uri": "https://decor.nictiz.nl/pub/medicatieproces/mp-html-20220402T205710/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.4-2022-01-05T132845.html", "name": "MP9 v2.0.0", "identity": "Medication-Process-v9-2-0-0" } ], "abstract": true, "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.", "type": "MedicationStatement", "experimental": null, "resourceType": "StructureDefinition", "title": "mp MedicationUse2", "package_version": "1.0.0", "status": "active", "id": "08c7cb12-eb4f-4a9c-b3b1-10c9d202af36", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationUse2", "version": "1.0.0", "differential": { "element": [ { "id": "MedicationStatement", "path": "MedicationStatement", "alias": [ "Medicatiegebruik" ], "short": "MedicationUse", "comment": "The original comment on MedicationStatement present in FHIR R4 is incorrect and should not be taken into account while interpreting this profile (that comment has been removed in later FHIR releases).", "mapping": [ { "map": "NL-CM:9.11.21338", "comment": "MedicationUse", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ] }, { "id": "MedicationStatement.extension", "min": 0, "path": "MedicationStatement.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "MedicationStatement.extension:renderedDosageInstruction", "min": 0, "path": "MedicationStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-RenderedDosageInstruction" ] } ], "sliceName": "renderedDosageInstruction" }, { "id": "MedicationStatement.extension:prescriber", "min": 0, "path": "MedicationStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationUse2.Prescriber" ] } ], "sliceName": "prescriber" }, { "id": "MedicationStatement.extension:prescriber.value[x]", "path": "MedicationStatement.extension.value[x]", "mapping": [ { "map": "NL-CM:9.11.23290", "comment": "Prescriber", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ] }, { "id": "MedicationStatement.extension:asAgreedIndicator", "min": 0, "path": "MedicationStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator" ] } ], "sliceName": "asAgreedIndicator" }, { "id": "MedicationStatement.extension:asAgreedIndicator.value[x]", "path": "MedicationStatement.extension.value[x]", "mapping": [ { "map": "NL-CM:9.11.22492", "comment": "AsAgreedIndicator", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ] }, { "id": "MedicationStatement.extension:pharmaceuticalTreatmentIdentifier", "min": 0, "path": "MedicationStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier" ] } ], "sliceName": "pharmaceuticalTreatmentIdentifier" }, { "id": "MedicationStatement.extension:pharmaceuticalTreatmentIdentifier.value[x]", "path": "MedicationStatement.extension.value[x]", "mapping": [ { "map": "mp-dataelement920-42", "comment": "Identification", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.extension:copyIndicator", "min": 0, "path": "MedicationStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CopyIndicator" ] } ], "sliceName": "copyIndicator" }, { "id": "MedicationStatement.extension:copyIndicator.value[x]", "path": "MedicationStatement.extension.value[x]", "mapping": [ { "map": "mp-dataelement920-418", "comment": "CopyIndicator", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.extension:author", "min": 0, "path": "MedicationStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationUse2.Author" ] } ], "sliceName": "author" }, { "id": "MedicationStatement.extension:author.value[x]", "path": "MedicationStatement.extension.value[x]", "mapping": [ { "map": "mp-dataelement920-623", "comment": "Author", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-624", "comment": "AuthorIsHealthcareProvider", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-626", "comment": "AuthorIsPatient (implicit; AuthorIsPatient = true when this element refers to the same Patient as subject)", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-627", "comment": "AuthorIsHealthProfessional", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.modifierExtension", "min": 0, "path": "MedicationStatement.modifierExtension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "MedicationStatement.modifierExtension:stopType", "min": 0, "path": "MedicationStatement.modifierExtension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-StopType" ] } ], "sliceName": "stopType" }, { "id": "MedicationStatement.modifierExtension:stopType.value[x]", "path": "MedicationStatement.modifierExtension.value[x]", "alias": [ "MedicatiegebruikStopType" ], "short": "MedicationUseStopType", "mapping": [ { "map": "NL-CM:9.11.23132", "comment": "MedicationUseStopType", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ] }, { "id": "MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule", "min": 0, "path": "MedicationStatement.modifierExtension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-InstructionsForUse.RepeatPeriodCyclicalSchedule" ] } ], "sliceName": "repeatPeriodCyclicalSchedule" }, { "id": "MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule.value[x]", "path": "MedicationStatement.modifierExtension.value[x]", "mapping": [ { "map": "NL-CM:9.12.22505", "comment": "RepeatPeriodCyclicalSchedule", "identity": "zib-instructionsforuse-v1.2.1-2020EN" } ] }, { "id": "MedicationStatement.identifier", "path": "MedicationStatement.identifier", "alias": [ "Identificatie" ], "short": "Identification", "mapping": [ { "map": "mp-dataelement920-411", "comment": "Identification", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.status", "path": "MedicationStatement.status", "alias": [ "GebruikIndicator" ], "short": "UseIndicator", "comment": "This element is mapped to the zib concept NL-CM:9.11.22399 (UseIndicator), and is moreover implicitly mapped to NL-CM:9.11.22663 (PeriodOfUse) and NL-CM:9.11.23132 (MedicationUseStopType).\r\nUnless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When UseIndicator is _false_, `.status` will be set to _not-taken_.\r\n* When PeriodOfUse start date is in the past and PeriodOfUse end date is present and in the future, `.status` will usually be set to _active_.\r\n* When PeriodOfUse end date is present and in the past and MedicationUseStopType has no value, `.status` will usually be set to _completed_.\r\n* When PeriodOfUse end date is present and in the past and MedicationUseStopType is _113381000146106_, `.status` will usually be set to _on-hold_.\r\n* When PeriodOfUse end date is present and in the past and MedicationUseStopType is _113371000146109_, `.status` will usually be set to _stopped_.\r\n* When PeriodOfUse duration and start date are known, the end date can be deduced and the previous rules apply. \r\n* When a system is unable to infer the status, `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the MedicationUse2.", "mapping": [ { "map": "NL-CM:9.11.22399", "comment": "UseIndicator", "identity": "zib-medicationuse2-v1.1.1-2020EN" }, { "map": "NL-CM:9.11.22663", "comment": "PeriodOfUse (implicit, main mapping is on `.effective[x]:effectivePeriod` and extension ext-TimeInterval.Duration)", "identity": "zib-medicationuse2-v1.1.1-2020EN" }, { "map": "NL-CM:9.11.23132", "comment": "MedicationUseStopType (implicit, main mapping is on the modifier extension ext-StopType)", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "definition": "Status may contain information on the stop type, the manner in which this medication is discontinued (temporary or definitive) and if the medicine is used or not." }, { "id": "MedicationStatement.statusReason", "path": "MedicationStatement.statusReason", "alias": [ "RedenWijzigenOfStoppenGebruik" ], "short": "ReasonModificationOrDiscontinuationOfUse", "binding": { "strength": "required", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.43--20220223092427" }, "mapping": [ { "map": "mp-dataelement920-409", "comment": "ReasonModificationOrDiscontinuationOfUse", "identity": "Medication-Process-v9-2-0-0" } ], "definition": "Reason for changing or discontinuing use of medication." }, { "id": "MedicationStatement.category", "min": 1, "path": "MedicationStatement.category", "patternCodeableConcept": { "coding": [ { "code": "422979000", "system": "http://snomed.info/sct" } ] } }, { "id": "MedicationStatement.medication[x]", "path": "MedicationStatement.medication[x]", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "MedicationStatement.medication[x]:medicationReference", "path": "MedicationStatement.medication[x]", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication", "http://nictiz.nl/fhir/StructureDefinition/nl-core-PharmaceuticalProduct" ] } ], "alias": [ "Gebruiksproduct" ], "short": "ProductUsed", "mapping": [ { "map": "NL-CM:9.11.21339", "comment": "ProductUsed", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "sliceName": "medicationReference", "definition": "The product used. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be recorded as well.\r\nIn principle, this will be the prescribed product, but the product used may differ from the prescribed product." }, { "id": "MedicationStatement.subject", "path": "MedicationStatement.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ] } ] }, { "id": "MedicationStatement.context", "path": "MedicationStatement.context", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter", "http://nictiz.nl/fhir/StructureDefinition/nl-core-EpisodeOfCare" ] } ], "short": "RelationContact / RelationEpisodeOfCare", "comment": "The 'ExtContextEpisodeOfCare' extension is used to capture a reference to a related EpisodeOfCare if both a reference to an Encounter and an EpisodeOfCare need to be exchanged. This `.context` element will then contain the reference to the Encounter resource.", "mapping": [ { "map": "mp-dataelement920-1349", "comment": "RelationContact", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-1351", "comment": "RelationEpisodeOfCare", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.context.extension", "min": 0, "path": "MedicationStatement.context.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "MedicationStatement.context.extension:relationEpisodeOfCare", "max": "1", "min": 0, "path": "MedicationStatement.context.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare" ] } ], "sliceName": "relationEpisodeOfCare" }, { "id": "MedicationStatement.context.extension:relationEpisodeOfCare.value[x]", "path": "MedicationStatement.context.extension.value[x]", "alias": [ "RelatieZorgepisode" ], "short": "RelationEpisodeOfCare", "mapping": [ { "map": "mp-dataelement920-1351", "comment": "RelationEpisodeOfCare", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.effective[x]", "path": "MedicationStatement.effective[x]", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "MedicationStatement.effective[x]:effectivePeriod", "path": "MedicationStatement.effective[x]", "type": [ { "code": "Period", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-TimeInterval" ] } ], "alias": [ "Gebruiksperiode" ], "short": "PeriodOfUse", "mapping": [ { "map": "NL-CM:9.11.22663", "comment": "PeriodOfUse", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "sliceName": "effectivePeriod", "definition": "Medication use can be recorded for a certain moment or over a certain period. Thus, medication use can be recorded multiple times during the use of medication. The usage period is the period or moment over which the data is recorded.\n**Start date:** This is the time at which the agreement was to take effect (or took effect or will take effect). \n**End date:** The time at which the period of use ends (or ended or will end). To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date." }, { "id": "MedicationStatement.dateAsserted", "path": "MedicationStatement.dateAsserted", "alias": [ "MedicatiegebruikDatumTijd" ], "short": "MedicationUseDateTime", "mapping": [ { "map": "NL-CM:9.11.22398", "comment": "MedicationUseDateTime", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "definition": "Date on which this use is entered." }, { "id": "MedicationStatement.informationSource", "path": "MedicationStatement.informationSource", "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson" ] } ], "mapping": [ { "map": "mp-dataelement920-593", "comment": "Informant", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-594", "comment": "Person", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-620", "comment": "InformantIsPatient (InformatantIsPatient = true when informationSource refers to the same Patient as subject)", "identity": "Medication-Process-v9-2-0-0" }, { "map": "mp-dataelement920-621", "comment": "InformantIsHealthProfessional", "identity": "Medication-Process-v9-2-0-0" } ] }, { "id": "MedicationStatement.derivedFrom", "path": "MedicationStatement.derivedFrom", "slicing": { "rules": "open", "discriminator": [ { "path": "extension.value", "type": "pattern" } ] } }, { "path": "MedicationStatement.derivedFrom", "definition": "Medication agreement to which the entered medication use refers. In case medication use is recorded as 'as agreed', the agreement to which is referred, is stated here.", "short": "RelationMedicationAgreement", "mapping": [ { "map": "mp-dataelement920-413", "comment": "RelationMedicationAgreement", "identity": "Medication-Process-v9-2-0-0" } ], "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationAgreement" ] } ], "sliceName": "relationMedicationAgreement", "alias": [ "RelatieMedicatieafspraak" ], "max": "1", "id": "MedicationStatement.derivedFrom:relationMedicationAgreement" }, { "id": "MedicationStatement.derivedFrom:relationMedicationAgreement.extension", "min": 0, "path": "MedicationStatement.derivedFrom.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "MedicationStatement.derivedFrom:relationMedicationAgreement.extension:resourceCategory", "min": 0, "path": "MedicationStatement.derivedFrom.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory" ] } ], "sliceName": "resourceCategory" }, { "id": "MedicationStatement.derivedFrom:relationMedicationAgreement.extension:resourceCategory.value[x]", "path": "MedicationStatement.derivedFrom.extension.value[x]", "patternCodeableConcept": { "coding": [ { "code": "33633005", "system": "http://snomed.info/sct" } ] } }, { "path": "MedicationStatement.derivedFrom", "definition": "Administration agreement to which the entered medication use refers. In case medication use is recorded as 'as agreed', the agreement to which is referred, is stated here.", "short": "RelationAdministrationAgreement", "mapping": [ { "map": "mp-dataelement920-1329", "comment": "RelationAdministrationAgreement", "identity": "Medication-Process-v9-2-0-0" } ], "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/mp-AdministrationAgreement" ] } ], "sliceName": "relationAdministrationAgreement", "alias": [ "RelatieToedieningsafspraak" ], "max": "1", "id": "MedicationStatement.derivedFrom:relationAdministrationAgreement" }, { "id": "MedicationStatement.derivedFrom:relationAdministrationAgreement.extension", "min": 0, "path": "MedicationStatement.derivedFrom.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "MedicationStatement.derivedFrom:relationAdministrationAgreement.extension:resourceCategory", "min": 0, "path": "MedicationStatement.derivedFrom.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory" ] } ], "sliceName": "resourceCategory" }, { "id": "MedicationStatement.derivedFrom:relationAdministrationAgreement.extension:resourceCategory.value[x]", "path": "MedicationStatement.derivedFrom.extension.value[x]", "patternCodeableConcept": { "coding": [ { "code": "422037009", "system": "http://snomed.info/sct" } ] } }, { "path": "MedicationStatement.derivedFrom", "definition": "Medication dispense which is the basis for entering the medication use.", "short": "RelationMedicationDispense", "mapping": [ { "map": "mp-dataelement920-416", "comment": "RelationMedicationDispense", "identity": "Medication-Process-v9-2-0-0" } ], "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/mp-MedicationDispense" ] } ], "sliceName": "relationMedicationDispense", "alias": [ "RelatieMedicatieverstrekking" ], "max": "1", "id": "MedicationStatement.derivedFrom:relationMedicationDispense" }, { "id": "MedicationStatement.derivedFrom:relationMedicationDispense.extension", "min": 0, "path": "MedicationStatement.derivedFrom.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "MedicationStatement.derivedFrom:relationMedicationDispense.extension:resourceCategory", "min": 0, "path": "MedicationStatement.derivedFrom.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory" ] } ], "sliceName": "resourceCategory" }, { "id": "MedicationStatement.derivedFrom:relationMedicationDispense.extension:resourceCategory.value[x]", "path": "MedicationStatement.derivedFrom.extension.value[x]", "patternCodeableConcept": { "coding": [ { "code": "373784005", "system": "http://snomed.info/sct" } ] } }, { "id": "MedicationStatement.reasonCode", "path": "MedicationStatement.reasonCode", "slicing": { "rules": "open", "discriminator": [ { "path": "text", "type": "exists" } ] } }, { "id": "MedicationStatement.reasonCode:reasonForUse", "max": "1", "path": "MedicationStatement.reasonCode", "sliceName": "reasonForUse" }, { "id": "MedicationStatement.reasonCode:reasonForUse.text", "min": 1, "path": "MedicationStatement.reasonCode.text", "alias": [ "RedenGebruik" ], "short": "ReasonForUse", "mapping": [ { "map": "NL-CM:9.11.22491", "comment": "ReasonForUse", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "definition": "The reason for using the medication, particularly in self-care medicine purchased by the patient themselves." }, { "id": "MedicationStatement.note", "max": "1", "path": "MedicationStatement.note" }, { "id": "MedicationStatement.note.text", "path": "MedicationStatement.note.text", "alias": [ "Toelichting" ], "short": "Comment", "mapping": [ { "map": "NL-CM:9.11.21624", "comment": "Comment", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "definition": "Comments on the medication use." }, { "id": "MedicationStatement.dosage", "path": "MedicationStatement.dosage", "type": [ { "code": "Dosage", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/mp-InstructionsForUse.DosageInstructions" ] } ], "alias": [ "Gebruiksinstructie" ], "short": "DosingInstructions / InstructionsForUse", "mapping": [ { "map": "NL-CM:9.11.22504", "comment": "InstructionsForUse", "identity": "zib-medicationuse2-v1.1.1-2020EN" } ], "definition": "Instructions for the use of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or which the patient followed." }, { "id": "MedicationStatement.dosage.additionalInstruction", "path": "MedicationStatement.dosage.additionalInstruction", "mapping": [ { "map": "mp-dataelement920-368", "comment": "AdditionalInstructions", "identity": "Medication-Process-v9-2-0-0" } ] } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "https://www.nictiz.nl", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement" }