{
  "description": "An extension to provide the manner in which medication is discontinued (temporary or definitive).",
  "_filename": "ext-StopType.json",
  "package_name": "nictiz.fhir.nl.r4.medicationprocess9",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "4.0.1",
  "purpose": "This extension represents the MedicationAgreementStopType, AdministrationAgreementStopType and MedicationUseStopType concepts of the Dutch zibs ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) [MedicationAgreement v1.2 (2020EN)](https://zibs.nl/wiki/MedicationAgreement-v1.2(2020EN)), [AdministrationAgreement v1.0.3 (2020EN)](https://zibs.nl/wiki/AdministrationAgreement-v1.0.3(2020EN)) and [MedicationUse2 v1.1.1 (2020EN)](https://zibs.nl/wiki/MedicationUse2-v1.1.1(2020EN)) respectively.",
  "name": "ExtStopType",
  "abstract": false,
  "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": "Extension",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "ext StopType",
  "package_version": "1.0.0",
  "status": "active",
  "id": "402d96f0-70a9-4bd3-85e8-10905073fc72",
  "kind": "complex-type",
  "url": "http://nictiz.nl/fhir/StructureDefinition/ext-StopType",
  "context": [ {
    "type": "fhirpath",
    "expression": "MedicationRequest"
  }, {
    "type": "fhirpath",
    "expression": "MedicationDispense"
  }, {
    "type": "fhirpath",
    "expression": "MedicationStatement"
  } ],
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "Extension",
      "max": "1",
      "path": "Extension",
      "definition": "This StopType modifier extension works differently than the `.status` element of resources because it has a different meaning. The `.status` element represents the status of the resource at the moment of exchanging the resource. This means that over the lifetime of a resource, the status may change (and is very much related to use period). That – in itself – makes solely mapping StopType (which may never change in an instance) to `.status` not suitable.\r\n\r\nFor example: suppose you want the patient to stop taking medication definitively three days from today. This is a stop medication agreement with a StopType of _definitive_. However today, tomorrow and the day after tomorrow the `.status` of this medication agreement is _active_ and only after the end date of the usage period the `.status` should be _stopped_. Status and StopType are simply not the same thing.",
      "isModifier": true,
      "isModifierReason": "This element is labeled as a modifier because StopType contains codes that mark the resource as no longer active."
    }, {
      "id": "Extension.url",
      "path": "Extension.url",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/ext-StopType"
    }, {
      "id": "Extension.value[x]",
      "path": "Extension.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "StopType",
      "binding": {
        "strength": "required",
        "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.1--20200901000000",
        "description": "StopType values, based on the ValueSet named MedicatieafspraakStopTypeCodelijst, which are applicable for StopType in MedicationAgreement, AdministrationAgreement and MedicationUse2."
      },
      "comment": "MedicationAgreementStopType, AdministrationAgreementStopType and MedicationUseStopType have bound ValueSets that contain the exact same StopType values. These are represented in the zib with three ValueSets. Due to an error in zibs 2020 release, where one of the ValueSets was not updated, it is chosen to bind the (correct) MedicationAgreementStopType ValueSet to this extension and reuse this extension for all three concepts.",
      "definition": "Stop type, the manner in which this medication is discontinued (temporary or definitive)."
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "https://www.nictiz.nl",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}