{
"description": "R4B: `MedicationKnowledge.administrationGuidelines` (new:BackboneElement)",
"_filename": "StructureDefinition-ext-R4B-MedicationKnowledge.administrationGuidelines.json",
"package_name": "hl7.fhir.uv.xver-r4b.r3",
"date": "2026-03-17T21:02:03.8104715+00:00",
"derivation": "constraint",
"publisher": "FHIR Infrastructure",
"fhirVersion": "3.0.2",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `MedicationKnowledge.administrationGuidelines` as defined in FHIR R4B\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`MedicationKnowledge.administrationGuidelines` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R4B: `MedicationKnowledge.administrationGuidelines` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `MedicationKnowledge.administrationGuidelines` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"name": "ExtensionMedicationKnowledge_AdministrationGuidelines",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "R4B: Guidelines for administration of the medication (new)",
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/package-source",
"extension": [ {
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4b.r3"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines` (new:BackboneElement)",
"isModifier": false,
"short": "R4B: Guidelines for administration of the medication (new)",
"max": "*",
"id": "Extension",
"condition": [ "ele-1" ],
"comment": "Element `MedicationKnowledge.administrationGuidelines` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"path": "Extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension",
"min": 0,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Extension.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.dosage` (new:BackboneElement)",
"short": "R4B: Dosage for the medication for the specific guidelines (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "dosage",
"max": "*",
"id": "Extension.extension:dosage",
"comment": "Element `MedicationKnowledge.administrationGuidelines.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension",
"min": 2,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Extension.extension:dosage.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.dosage.type` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.dosage.type` (new:CodeableConcept)",
"short": "R4B: Type of dosage (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "type",
"max": "1",
"id": "Extension.extension:dosage.extension:type",
"comment": "Element `MedicationKnowledge.administrationGuidelines.dosage.type` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:type.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:type.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "type",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:type.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.value[x]",
"min": 1,
"definition": "The type of dosage (for example, prophylaxis, maintenance, therapeutic, etc.).",
"short": "Type of dosage",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:type.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.dosage.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.dosage.dosage` (new:Dosage)",
"short": "R4B: Dosage for the medication for the specific guidelines (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "dosage",
"max": "*",
"id": "Extension.extension:dosage.extension:dosage",
"comment": "Element `MedicationKnowledge.administrationGuidelines.dosage.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension",
"min": 1,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension",
"min": 1,
"definition": "Slice to indicate the presence of a R4B `Dosage` in FHIR STU3",
"short": "DataType slice for a FHIR R4B `Dosage` value",
"type": [ {
"code": "Extension"
} ],
"sliceName": "_datatype",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/_datatype",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"fixedString": "Dosage",
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype.value[x]",
"comment": "Must be: Dosage",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.sequence` is mapped to FHIR STU3 element `Dosage.sequence` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.sequence`",
"short": "R4B: sequence",
"type": [ {
"code": "Extension"
} ],
"sliceName": "sequence",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:sequence",
"comment": "Element `Dosage.sequence` is mapped to FHIR STU3 element `Dosage.sequence` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:sequence.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:sequence.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "sequence",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:sequence.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Indicates the order in which the dosage instructions should be applied or interpreted.",
"short": "The order of the dosage instructions",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "integer"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:sequence.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.text` is mapped to FHIR STU3 element `Dosage.text` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.text`",
"short": "R4B: text",
"type": [ {
"code": "Extension"
} ],
"sliceName": "text",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:text",
"comment": "Element `Dosage.text` is mapped to FHIR STU3 element `Dosage.text` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:text.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:text.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "text",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:text.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Free text dosage instructions e.g. SIG.",
"short": "Free text dosage instructions e.g. SIG",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:text.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.additionalInstruction` is mapped to FHIR STU3 element `Dosage.additionalInstruction` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.additionalInstruction`",
"short": "R4B: Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"",
"type": [ {
"code": "Extension"
} ],
"sliceName": "additionalInstruction",
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction",
"comment": "Element `Dosage.additionalInstruction` is mapped to FHIR STU3 element `Dosage.additionalInstruction` as `Equivalent`.\nInformation 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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "additionalInstruction",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "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\").",
"short": "Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "Element `Dosage.patientInstruction` is mapped to FHIR STU3 element `Dosage.patientInstruction` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.patientInstruction`",
"short": "R4B: patientInstruction",
"type": [ {
"code": "Extension"
} ],
"sliceName": "patientInstruction",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction",
"comment": "Element `Dosage.patientInstruction` is mapped to FHIR STU3 element `Dosage.patientInstruction` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "patientInstruction",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Instructions in terms that are understood by the patient or consumer.",
"short": "Patient or consumer oriented instructions",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.timing` is mapped to FHIR STU3 element `Dosage.timing` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.timing` do not cover the following types: Timing.\nThe mappings for `Dosage.timing` do not cover the following types based on type expansion: bounds[x], code, count, countMax, dayOfWeek, duration, durationMax, durationUnit, event, frequency, frequencyMax, offset, period, periodMax, periodUnit, repeat, timeOfDay, when.",
"min": 0,
"definition": "R4B: `Dosage.timing` additional types (Timing) additional types from child elements (code, event, repeat, bounds[x], count, countMax, dayOfWeek, duration, durationMax, durationUnit, frequency, frequencyMax, offset, period, periodMax, periodUnit, timeOfDay, when)",
"short": "R4B: timing additional types",
"type": [ {
"code": "Extension"
} ],
"sliceName": "timing",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:timing",
"comment": "Element `Dosage.timing` is mapped to FHIR STU3 element `Dosage.timing` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.timing` do not cover the following types: Timing.\nThe mappings for `Dosage.timing` do not cover the following types based on type expansion: bounds[x], code, count, countMax, dayOfWeek, duration, durationMax, durationUnit, event, frequency, frequencyMax, offset, period, periodMax, periodUnit, repeat, timeOfDay, when.\nThis 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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:timing.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:timing.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "timing",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:timing.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "When medication should be administered.",
"short": "When medication should be administered",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Timing"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:timing.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "Element `Dosage.asNeeded[x]` is mapped to FHIR STU3 element `Dosage.asNeeded[x]` as `Equivalent`.\nThe target context `Dosage.asNeeded[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.",
"min": 0,
"definition": "R4B: `Dosage.asNeeded[x]`",
"short": "R4B: asNeeded",
"type": [ {
"code": "Extension"
} ],
"sliceName": "asNeeded",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded",
"comment": "Element `Dosage.asNeeded[x]` is mapped to FHIR STU3 element `Dosage.asNeeded[x]` as `Equivalent`.\nThe target context `Dosage.asNeeded[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.\nCan 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\".",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "asNeeded",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "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).",
"short": "Take \"as needed\" (for x)",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "boolean"
}, {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded.value[x]",
"comment": "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\".",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "A coded specification of the anatomic site where the medication first enters the body. Element `Dosage.site` is mapped to FHIR STU3 element `Dosage.site` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.site`",
"short": "R4B: site",
"type": [ {
"code": "Extension"
} ],
"sliceName": "site",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:site",
"comment": "Element `Dosage.site` is mapped to FHIR STU3 element `Dosage.site` as `Equivalent`.\nIf the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:site.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:site.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "site",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:site.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Body site to administer to.",
"short": "Body site to administer to",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:site.value[x]",
"comment": "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Element `Dosage.route` is mapped to FHIR STU3 element `Dosage.route` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.route`",
"short": "R4B: route",
"type": [ {
"code": "Extension"
} ],
"sliceName": "route",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:route",
"comment": "Element `Dosage.route` is mapped to FHIR STU3 element `Dosage.route` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:route.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:route.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "route",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:route.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "How drug should enter body.",
"short": "How drug should enter body",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:route.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.method` is mapped to FHIR STU3 element `Dosage.method` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.method`",
"short": "R4B: method",
"type": [ {
"code": "Extension"
} ],
"sliceName": "method",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:method",
"comment": "Element `Dosage.method` is mapped to FHIR STU3 element `Dosage.method` as `Equivalent`.\nTerminologies used often pre-coordinate this term with the route and or form of administration.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:method.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:method.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "method",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:method.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Technique for administering medication.",
"short": "Technique for administering medication",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:method.value[x]",
"comment": "Terminologies used often pre-coordinate this term with the route and or form of administration.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "Element `Dosage.doseAndRate` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate` (new:Element)",
"short": "R4B: Amount of medication administered (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "doseAndRate",
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate",
"comment": "Element `Dosage.doseAndRate` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"requirements": "If the type is not populated, assume to be \"ordered\". Element `Dosage.doseAndRate.type` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.type` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate.type` (new:CodeableConcept)",
"short": "R4B: The kind of dose or rate specified (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "type",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type",
"comment": "Element `Dosage.doseAndRate.type` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.type` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "type",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "The kind of dose or rate specified, for example, ordered or calculated.",
"short": "The kind of dose or rate specified",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R4B-dose-rate-type-for-R3|0.1.0"
},
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"requirements": "The amount of therapeutic or other substance given at one administration event. Element `Dosage.doseAndRate.dose[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.dose[x]` is mapped to FHIR STU3 element `Dosage.dose[x]` as `SourceIsBroaderThanTarget`.\nThe target context `Dosage.dose[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate.dose[x]`",
"short": "R4B: dose",
"type": [ {
"code": "Extension"
} ],
"sliceName": "dose",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose",
"comment": "Element `Dosage.doseAndRate.dose[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.dose[x]` is mapped to FHIR STU3 element `Dosage.dose[x]` as `SourceIsBroaderThanTarget`.\nThe target context `Dosage.dose[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.\nNote 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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "dose",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Amount of medication per dose.",
"short": "Amount of medication per dose",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Range"
}, {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"requirements": "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. Element `Dosage.doseAndRate.rate[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.rate[x]` is mapped to FHIR STU3 element `Dosage.rate[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.doseAndRate.rate[x]` do not cover the following types: Range, Ratio.\nThe target context `Dosage.rate[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate.rate[x]` additional types (Ratio, Range)",
"short": "R4B: rate additional types",
"type": [ {
"code": "Extension"
} ],
"sliceName": "rate",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate",
"comment": "Element `Dosage.doseAndRate.rate[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.rate[x]` is mapped to FHIR STU3 element `Dosage.rate[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.doseAndRate.rate[x]` do not cover the following types: Range, Ratio.\nThe target context `Dosage.rate[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.\nIt 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.\r\rIt 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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "rate",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Amount of medication per unit of time.",
"short": "Amount of medication per unit of time",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Ratio"
}, {
"code": "Range"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate.value[x]",
"comment": "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.\r\rIt 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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "doseAndRate",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
}, {
"code": "boolean"
}, {
"code": "code"
}, {
"code": "date"
}, {
"code": "dateTime"
}, {
"code": "decimal"
}, {
"code": "id"
}, {
"code": "instant"
}, {
"code": "integer"
}, {
"code": "markdown"
}, {
"code": "oid"
}, {
"code": "positiveInt"
}, {
"code": "string"
}, {
"code": "time"
}, {
"code": "unsignedInt"
}, {
"code": "uri"
}, {
"code": "Address"
}, {
"code": "Age"
}, {
"code": "Annotation"
}, {
"code": "Attachment"
}, {
"code": "CodeableConcept"
}, {
"code": "Coding"
}, {
"code": "ContactPoint"
}, {
"code": "Count"
}, {
"code": "Distance"
}, {
"code": "Duration"
}, {
"code": "HumanName"
}, {
"code": "Identifier"
}, {
"code": "Money"
}, {
"code": "Period"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "Reference"
}, {
"code": "SampledData"
}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "Meta"
} ],
"max": "0",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.maxDosePerPeriod` is mapped to FHIR STU3 element `Dosage.maxDosePerPeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types: Ratio.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types based on type expansion: denominator, numerator.",
"min": 0,
"definition": "R4B: `Dosage.maxDosePerPeriod` additional types (Ratio) additional types from child elements (denominator, numerator)",
"short": "R4B: maxDosePerPeriod additional types",
"type": [ {
"code": "Extension"
} ],
"sliceName": "maxDosePerPeriod",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod",
"comment": "Element `Dosage.maxDosePerPeriod` is mapped to FHIR STU3 element `Dosage.maxDosePerPeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types: Ratio.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types based on type expansion: denominator, numerator.\nThis 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\".",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "maxDosePerPeriod",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Upper limit on medication per unit of time.",
"short": "Upper limit on medication per unit of time",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Ratio"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod.value[x]",
"comment": "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\".",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. Element `Dosage.maxDosePerAdministration` is mapped to FHIR STU3 element `Dosage.maxDosePerAdministration` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.maxDosePerAdministration`",
"short": "R4B: maxDosePerAdministration",
"type": [ {
"code": "Extension"
} ],
"sliceName": "maxDosePerAdministration",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration",
"comment": "Element `Dosage.maxDosePerAdministration` is mapped to FHIR STU3 element `Dosage.maxDosePerAdministration` as `Equivalent`.\nThis 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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "maxDosePerAdministration",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Upper limit on medication per administration.",
"short": "Upper limit on medication per administration",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. Element `Dosage.maxDosePerLifetime` is mapped to FHIR STU3 element `Dosage.maxDosePerLifetime` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.maxDosePerLifetime`",
"short": "R4B: maxDosePerLifetime",
"type": [ {
"code": "Extension"
} ],
"sliceName": "maxDosePerLifetime",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime",
"comment": "Element `Dosage.maxDosePerLifetime` is mapped to FHIR STU3 element `Dosage.maxDosePerLifetime` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "maxDosePerLifetime",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Upper limit on medication per lifetime of the patient.",
"short": "Upper limit on medication per lifetime of the patient",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "dosage",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.value[x]",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
}, {
"code": "boolean"
}, {
"code": "code"
}, {
"code": "date"
}, {
"code": "dateTime"
}, {
"code": "decimal"
}, {
"code": "id"
}, {
"code": "instant"
}, {
"code": "integer"
}, {
"code": "markdown"
}, {
"code": "oid"
}, {
"code": "positiveInt"
}, {
"code": "string"
}, {
"code": "time"
}, {
"code": "unsignedInt"
}, {
"code": "uri"
}, {
"code": "Address"
}, {
"code": "Age"
}, {
"code": "Annotation"
}, {
"code": "Attachment"
}, {
"code": "CodeableConcept"
}, {
"code": "Coding"
}, {
"code": "ContactPoint"
}, {
"code": "Count"
}, {
"code": "Distance"
}, {
"code": "Duration"
}, {
"code": "HumanName"
}, {
"code": "Identifier"
}, {
"code": "Money"
}, {
"code": "Period"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "Reference"
}, {
"code": "SampledData"
}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "Meta"
} ],
"max": "0",
"id": "Extension.extension:dosage.extension:dosage.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "dosage",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:dosage.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.value[x]",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
}, {
"code": "boolean"
}, {
"code": "code"
}, {
"code": "date"
}, {
"code": "dateTime"
}, {
"code": "decimal"
}, {
"code": "id"
}, {
"code": "instant"
}, {
"code": "integer"
}, {
"code": "markdown"
}, {
"code": "oid"
}, {
"code": "positiveInt"
}, {
"code": "string"
}, {
"code": "time"
}, {
"code": "unsignedInt"
}, {
"code": "uri"
}, {
"code": "Address"
}, {
"code": "Age"
}, {
"code": "Annotation"
}, {
"code": "Attachment"
}, {
"code": "CodeableConcept"
}, {
"code": "Coding"
}, {
"code": "ContactPoint"
}, {
"code": "Count"
}, {
"code": "Distance"
}, {
"code": "Duration"
}, {
"code": "HumanName"
}, {
"code": "Identifier"
}, {
"code": "Money"
}, {
"code": "Period"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "Reference"
}, {
"code": "SampledData"
}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "Meta"
} ],
"max": "0",
"id": "Extension.extension:dosage.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.indication[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.indication[x]` (new:CodeableConcept, Reference(ObservationDefinition))",
"short": "R4B: Indication for use that apply to the specific administration guidelines (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "indication",
"max": "1",
"id": "Extension.extension:indication",
"comment": "Element `MedicationKnowledge.administrationGuidelines.indication[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:indication.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:indication.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "indication",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:indication.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.value[x]",
"min": 0,
"definition": "Indication for use that apply to the specific administration guidelines.",
"short": "Indication for use that apply to the specific administration guidelines",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/4.3/StructureDefinition/profile-ObservationDefinition|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
} ],
"max": "1",
"id": "Extension.extension:indication.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.patientCharacteristics` (new:BackboneElement)",
"short": "R4B: Characteristics of the patient that are relevant to the administration guidelines (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "patientCharacteristics",
"max": "*",
"id": "Extension.extension:patientCharacteristics",
"comment": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension",
"min": 1,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Extension.extension:patientCharacteristics.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` (new:CodeableConcept, Quantity[SimpleQuantity])",
"short": "R4B: Specific characteristic that is relevant to the administration guideline (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "characteristic",
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:characteristic",
"comment": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:characteristic.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:patientCharacteristics.extension:characteristic.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "characteristic",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:characteristic.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.value[x]",
"min": 1,
"definition": "Specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).",
"short": "Specific characteristic that is relevant to the administration guideline",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
}, {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:characteristic.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` (new:string)",
"short": "R4B: The specific characteristic (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "value",
"max": "*",
"id": "Extension.extension:patientCharacteristics.extension:value",
"comment": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:value.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:patientCharacteristics.extension:value.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "value",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:value.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.extension.value[x]",
"min": 0,
"definition": "The specific characteristic (e.g. height, weight, gender, etc.).",
"short": "The specific characteristic",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:value.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "patientCharacteristics",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:patientCharacteristics.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.extension.value[x]",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
}, {
"code": "boolean"
}, {
"code": "code"
}, {
"code": "date"
}, {
"code": "dateTime"
}, {
"code": "decimal"
}, {
"code": "id"
}, {
"code": "instant"
}, {
"code": "integer"
}, {
"code": "markdown"
}, {
"code": "oid"
}, {
"code": "positiveInt"
}, {
"code": "string"
}, {
"code": "time"
}, {
"code": "unsignedInt"
}, {
"code": "uri"
}, {
"code": "Address"
}, {
"code": "Age"
}, {
"code": "Annotation"
}, {
"code": "Attachment"
}, {
"code": "CodeableConcept"
}, {
"code": "Coding"
}, {
"code": "ContactPoint"
}, {
"code": "Count"
}, {
"code": "Distance"
}, {
"code": "Duration"
}, {
"code": "HumanName"
}, {
"code": "Identifier"
}, {
"code": "Money"
}, {
"code": "Period"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "Reference"
}, {
"code": "SampledData"
}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "Meta"
} ],
"max": "0",
"id": "Extension.extension:patientCharacteristics.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.administrationGuidelines",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "Extension.value[x]",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
}, {
"code": "boolean"
}, {
"code": "code"
}, {
"code": "date"
}, {
"code": "dateTime"
}, {
"code": "decimal"
}, {
"code": "id"
}, {
"code": "instant"
}, {
"code": "integer"
}, {
"code": "markdown"
}, {
"code": "oid"
}, {
"code": "positiveInt"
}, {
"code": "string"
}, {
"code": "time"
}, {
"code": "unsignedInt"
}, {
"code": "uri"
}, {
"code": "Address"
}, {
"code": "Age"
}, {
"code": "Annotation"
}, {
"code": "Attachment"
}, {
"code": "CodeableConcept"
}, {
"code": "Coding"
}, {
"code": "ContactPoint"
}, {
"code": "Count"
}, {
"code": "Distance"
}, {
"code": "Duration"
}, {
"code": "HumanName"
}, {
"code": "Identifier"
}, {
"code": "Money"
}, {
"code": "Period"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "Ratio"
}, {
"code": "Reference"
}, {
"code": "SampledData"
}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "Meta"
} ],
"max": "0",
"id": "Extension.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
} ]
},
"status": "active",
"id": "a68dfe1d-7d73-40b8-8f37-9b2ed6ce2aad",
"kind": "complex-type",
"url": "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.administrationGuidelines",
"context": [ "Basic" ],
"version": "0.1.0",
"differential": {
"element": [ {
"path": "Extension",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines` (new:BackboneElement)",
"isModifier": false,
"short": "R4B: Guidelines for administration of the medication (new)",
"max": "*",
"id": "Extension",
"comment": "Element `MedicationKnowledge.administrationGuidelines` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"id": "Extension.extension",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
},
"path": "Extension.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.dosage` (new:BackboneElement)",
"short": "R4B: Dosage for the medication for the specific guidelines (new)",
"sliceName": "dosage",
"max": "*",
"id": "Extension.extension:dosage",
"comment": "Element `MedicationKnowledge.administrationGuidelines.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension",
"max": "*",
"min": 2,
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
},
"path": "Extension.extension.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.dosage.type` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.dosage.type` (new:CodeableConcept)",
"short": "R4B: Type of dosage (new)",
"sliceName": "type",
"max": "1",
"id": "Extension.extension:dosage.extension:type",
"comment": "Element `MedicationKnowledge.administrationGuidelines.dosage.type` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:type.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.url",
"fixedUri": "type"
}, {
"id": "Extension.extension:dosage.extension:type.value[x]",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Type of dosage",
"definition": "The type of dosage (for example, prophylaxis, maintenance, therapeutic, etc.)."
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.dosage.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.dosage.dosage` (new:Dosage)",
"short": "R4B: Dosage for the medication for the specific guidelines (new)",
"sliceName": "dosage",
"max": "*",
"id": "Extension.extension:dosage.extension:dosage",
"comment": "Element `MedicationKnowledge.administrationGuidelines.dosage.dosage` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.dosage` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.dosage.dosage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
},
"path": "Extension.extension.extension.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype",
"max": "1",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
},
"path": "Extension.extension.extension.extension",
"short": "DataType slice for a FHIR R4B `Dosage` value",
"sliceName": "_datatype",
"definition": "Slice to indicate the presence of a R4B `Dosage` in FHIR STU3"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/_datatype"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:_datatype.value[x]",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]",
"type": [ {
"code": "string"
} ],
"comment": "Must be: Dosage",
"fixedString": "Dosage"
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.sequence` is mapped to FHIR STU3 element `Dosage.sequence` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.sequence`",
"short": "R4B: sequence",
"sliceName": "sequence",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:sequence",
"comment": "Element `Dosage.sequence` is mapped to FHIR STU3 element `Dosage.sequence` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:sequence.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "sequence"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:sequence.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]",
"type": [ {
"code": "integer"
} ],
"short": "The order of the dosage instructions",
"definition": "Indicates the order in which the dosage instructions should be applied or interpreted."
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.text` is mapped to FHIR STU3 element `Dosage.text` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.text`",
"short": "R4B: text",
"sliceName": "text",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:text",
"comment": "Element `Dosage.text` is mapped to FHIR STU3 element `Dosage.text` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:text.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "text"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:text.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]",
"type": [ {
"code": "string"
} ],
"short": "Free text dosage instructions e.g. SIG",
"definition": "Free text dosage instructions e.g. SIG."
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.additionalInstruction` is mapped to FHIR STU3 element `Dosage.additionalInstruction` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.additionalInstruction`",
"short": "R4B: Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"",
"sliceName": "additionalInstruction",
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction",
"comment": "Element `Dosage.additionalInstruction` is mapped to FHIR STU3 element `Dosage.additionalInstruction` as `Equivalent`.\nInformation 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.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "additionalInstruction"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "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\").",
"short": "Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"",
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:additionalInstruction.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "Element `Dosage.patientInstruction` is mapped to FHIR STU3 element `Dosage.patientInstruction` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.patientInstruction`",
"short": "R4B: patientInstruction",
"sliceName": "patientInstruction",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction",
"comment": "Element `Dosage.patientInstruction` is mapped to FHIR STU3 element `Dosage.patientInstruction` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "patientInstruction"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:patientInstruction.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]",
"type": [ {
"code": "string"
} ],
"short": "Patient or consumer oriented instructions",
"definition": "Instructions in terms that are understood by the patient or consumer."
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.timing` is mapped to FHIR STU3 element `Dosage.timing` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.timing` do not cover the following types: Timing.\nThe mappings for `Dosage.timing` do not cover the following types based on type expansion: bounds[x], code, count, countMax, dayOfWeek, duration, durationMax, durationUnit, event, frequency, frequencyMax, offset, period, periodMax, periodUnit, repeat, timeOfDay, when.",
"min": 0,
"definition": "R4B: `Dosage.timing` additional types (Timing) additional types from child elements (code, event, repeat, bounds[x], count, countMax, dayOfWeek, duration, durationMax, durationUnit, frequency, frequencyMax, offset, period, periodMax, periodUnit, timeOfDay, when)",
"short": "R4B: timing additional types",
"sliceName": "timing",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:timing",
"comment": "Element `Dosage.timing` is mapped to FHIR STU3 element `Dosage.timing` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.timing` do not cover the following types: Timing.\nThe mappings for `Dosage.timing` do not cover the following types based on type expansion: bounds[x], code, count, countMax, dayOfWeek, duration, durationMax, durationUnit, event, frequency, frequencyMax, offset, period, periodMax, periodUnit, repeat, timeOfDay, when.\nThis 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.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:timing.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "timing"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "When medication should be administered.",
"short": "When medication should be administered",
"type": [ {
"code": "Timing"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:timing.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "Element `Dosage.asNeeded[x]` is mapped to FHIR STU3 element `Dosage.asNeeded[x]` as `Equivalent`.\nThe target context `Dosage.asNeeded[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.",
"min": 0,
"definition": "R4B: `Dosage.asNeeded[x]`",
"short": "R4B: asNeeded",
"sliceName": "asNeeded",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded",
"comment": "Element `Dosage.asNeeded[x]` is mapped to FHIR STU3 element `Dosage.asNeeded[x]` as `Equivalent`.\nThe target context `Dosage.asNeeded[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.\nCan 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\".",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "asNeeded"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "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).",
"short": "Take \"as needed\" (for x)",
"type": [ {
"code": "boolean"
}, {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:asNeeded.value[x]",
"comment": "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\".",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "A coded specification of the anatomic site where the medication first enters the body. Element `Dosage.site` is mapped to FHIR STU3 element `Dosage.site` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.site`",
"short": "R4B: site",
"sliceName": "site",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:site",
"comment": "Element `Dosage.site` is mapped to FHIR STU3 element `Dosage.site` as `Equivalent`.\nIf the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:site.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "site"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Body site to administer to.",
"short": "Body site to administer to",
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:site.value[x]",
"comment": "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Element `Dosage.route` is mapped to FHIR STU3 element `Dosage.route` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.route`",
"short": "R4B: route",
"sliceName": "route",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:route",
"comment": "Element `Dosage.route` is mapped to FHIR STU3 element `Dosage.route` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:route.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "route"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:route.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "How drug should enter body",
"definition": "How drug should enter body."
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.method` is mapped to FHIR STU3 element `Dosage.method` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.method`",
"short": "R4B: method",
"sliceName": "method",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:method",
"comment": "Element `Dosage.method` is mapped to FHIR STU3 element `Dosage.method` as `Equivalent`.\nTerminologies used often pre-coordinate this term with the route and or form of administration.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:method.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "method"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Technique for administering medication.",
"short": "Technique for administering medication",
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:method.value[x]",
"comment": "Terminologies used often pre-coordinate this term with the route and or form of administration.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "Element `Dosage.doseAndRate` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate` (new:Element)",
"short": "R4B: Amount of medication administered (new)",
"sliceName": "doseAndRate",
"max": "*",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate",
"comment": "Element `Dosage.doseAndRate` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
},
"path": "Extension.extension.extension.extension.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Extension.extension.extension.extension.extension",
"requirements": "If the type is not populated, assume to be \"ordered\". Element `Dosage.doseAndRate.type` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.type` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate.type` (new:CodeableConcept)",
"short": "R4B: The kind of dose or rate specified (new)",
"sliceName": "type",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type",
"comment": "Element `Dosage.doseAndRate.type` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.type` has a context of Dosage based on following the parent source element upwards and mapping to `Dosage`.\nElement `Dosage.doseAndRate.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.extension.url",
"fixedUri": "type"
}, {
"path": "Extension.extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "The kind of dose or rate specified, for example, ordered or calculated.",
"short": "The kind of dose or rate specified",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R4B-dose-rate-type-for-R3|0.1.0"
},
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:type.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"requirements": "The amount of therapeutic or other substance given at one administration event. Element `Dosage.doseAndRate.dose[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.dose[x]` is mapped to FHIR STU3 element `Dosage.dose[x]` as `SourceIsBroaderThanTarget`.\nThe target context `Dosage.dose[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate.dose[x]`",
"short": "R4B: dose",
"sliceName": "dose",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose",
"comment": "Element `Dosage.doseAndRate.dose[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.dose[x]` is mapped to FHIR STU3 element `Dosage.dose[x]` as `SourceIsBroaderThanTarget`.\nThe target context `Dosage.dose[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.\nNote 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.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.extension.url",
"fixedUri": "dose"
}, {
"path": "Extension.extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Amount of medication per dose.",
"short": "Amount of medication per dose",
"type": [ {
"code": "Range"
}, {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:dose.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension.extension",
"requirements": "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. Element `Dosage.doseAndRate.rate[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.rate[x]` is mapped to FHIR STU3 element `Dosage.rate[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.doseAndRate.rate[x]` do not cover the following types: Range, Ratio.\nThe target context `Dosage.rate[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.",
"min": 0,
"definition": "R4B: `Dosage.doseAndRate.rate[x]` additional types (Ratio, Range)",
"short": "R4B: rate additional types",
"sliceName": "rate",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate",
"comment": "Element `Dosage.doseAndRate.rate[x]` is part of an existing definition because parent element `Dosage.doseAndRate` requires a cross-version extension.\nElement `Dosage.doseAndRate.rate[x]` is mapped to FHIR STU3 element `Dosage.rate[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.doseAndRate.rate[x]` do not cover the following types: Range, Ratio.\nThe target context `Dosage.rate[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Dosage`.\nIt 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.\r\rIt 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.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.extension.url",
"fixedUri": "rate"
}, {
"path": "Extension.extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Amount of medication per unit of time.",
"short": "Amount of medication per unit of time",
"type": [ {
"code": "Ratio"
}, {
"code": "Range"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.extension:rate.value[x]",
"comment": "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.\r\rIt 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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "doseAndRate"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:doseAndRate.value[x]",
"max": "0",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]"
}, {
"path": "Extension.extension.extension.extension",
"requirements": "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. Element `Dosage.maxDosePerPeriod` is mapped to FHIR STU3 element `Dosage.maxDosePerPeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types: Ratio.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types based on type expansion: denominator, numerator.",
"min": 0,
"definition": "R4B: `Dosage.maxDosePerPeriod` additional types (Ratio) additional types from child elements (denominator, numerator)",
"short": "R4B: maxDosePerPeriod additional types",
"sliceName": "maxDosePerPeriod",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod",
"comment": "Element `Dosage.maxDosePerPeriod` is mapped to FHIR STU3 element `Dosage.maxDosePerPeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types: Ratio.\nThe mappings for `Dosage.maxDosePerPeriod` do not cover the following types based on type expansion: denominator, numerator.\nThis 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\".",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "maxDosePerPeriod"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Upper limit on medication per unit of time.",
"short": "Upper limit on medication per unit of time",
"type": [ {
"code": "Ratio"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerPeriod.value[x]",
"comment": "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\".",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. Element `Dosage.maxDosePerAdministration` is mapped to FHIR STU3 element `Dosage.maxDosePerAdministration` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.maxDosePerAdministration`",
"short": "R4B: maxDosePerAdministration",
"sliceName": "maxDosePerAdministration",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration",
"comment": "Element `Dosage.maxDosePerAdministration` is mapped to FHIR STU3 element `Dosage.maxDosePerAdministration` as `Equivalent`.\nThis 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.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "maxDosePerAdministration"
}, {
"path": "Extension.extension.extension.extension.value[x]",
"min": 0,
"definition": "Upper limit on medication per administration.",
"short": "Upper limit on medication per administration",
"type": [ {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerAdministration.value[x]",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension.extension.extension",
"requirements": "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. Element `Dosage.maxDosePerLifetime` is mapped to FHIR STU3 element `Dosage.maxDosePerLifetime` as `Equivalent`.",
"min": 0,
"definition": "R4B: `Dosage.maxDosePerLifetime`",
"short": "R4B: maxDosePerLifetime",
"sliceName": "maxDosePerLifetime",
"max": "1",
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime",
"comment": "Element `Dosage.maxDosePerLifetime` is mapped to FHIR STU3 element `Dosage.maxDosePerLifetime` as `Equivalent`.",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.extension.url",
"fixedUri": "maxDosePerLifetime"
}, {
"id": "Extension.extension:dosage.extension:dosage.extension:maxDosePerLifetime.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.extension.value[x]",
"type": [ {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"short": "Upper limit on medication per lifetime of the patient",
"definition": "Upper limit on medication per lifetime of the patient."
}, {
"id": "Extension.extension:dosage.extension:dosage.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.url",
"fixedUri": "dosage"
}, {
"id": "Extension.extension:dosage.extension:dosage.value[x]",
"max": "0",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.value[x]"
}, {
"id": "Extension.extension:dosage.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.url",
"fixedUri": "dosage"
}, {
"id": "Extension.extension:dosage.value[x]",
"max": "0",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.value[x]"
}, {
"path": "Extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.indication[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.indication[x]` (new:CodeableConcept, Reference(ObservationDefinition))",
"short": "R4B: Indication for use that apply to the specific administration guidelines (new)",
"sliceName": "indication",
"max": "1",
"id": "Extension.extension:indication",
"comment": "Element `MedicationKnowledge.administrationGuidelines.indication[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.indication[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:indication.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.url",
"fixedUri": "indication"
}, {
"id": "Extension.extension:indication.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/4.3/StructureDefinition/profile-ObservationDefinition|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
} ],
"short": "Indication for use that apply to the specific administration guidelines",
"definition": "Indication for use that apply to the specific administration guidelines."
}, {
"path": "Extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.patientCharacteristics` (new:BackboneElement)",
"short": "R4B: Characteristics of the patient that are relevant to the administration guidelines (new)",
"sliceName": "patientCharacteristics",
"max": "*",
"id": "Extension.extension:patientCharacteristics",
"comment": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:patientCharacteristics.extension",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
},
"path": "Extension.extension.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` (new:CodeableConcept, Quantity[SimpleQuantity])",
"short": "R4B: Specific characteristic that is relevant to the administration guideline (new)",
"sliceName": "characteristic",
"max": "1",
"id": "Extension.extension:patientCharacteristics.extension:characteristic",
"comment": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:patientCharacteristics.extension:characteristic.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.url",
"fixedUri": "characteristic"
}, {
"id": "Extension.extension:patientCharacteristics.extension:characteristic.value[x]",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
} ],
"short": "Specific characteristic that is relevant to the administration guideline",
"definition": "Specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender)."
}, {
"path": "Extension.extension.extension",
"requirements": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"definition": "R4B: `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` (new:string)",
"short": "R4B: The specific characteristic (new)",
"sliceName": "value",
"max": "*",
"id": "Extension.extension:patientCharacteristics.extension:value",
"comment": "Element `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is part of an existing definition because parent element `MedicationKnowledge.administrationGuidelines.patientCharacteristics` requires a cross-version extension.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.administrationGuidelines.patientCharacteristics.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"base": {
"max": "*",
"min": 0,
"path": "Extension.extension"
}
}, {
"id": "Extension.extension:patientCharacteristics.extension:value.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.extension.url",
"fixedUri": "value"
}, {
"id": "Extension.extension:patientCharacteristics.extension:value.value[x]",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.extension.value[x]",
"type": [ {
"code": "string"
} ],
"short": "The specific characteristic",
"definition": "The specific characteristic (e.g. height, weight, gender, etc.)."
}, {
"id": "Extension.extension:patientCharacteristics.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.extension.url",
"fixedUri": "patientCharacteristics"
}, {
"id": "Extension.extension:patientCharacteristics.value[x]",
"max": "0",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.extension.value[x]"
}, {
"id": "Extension.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.administrationGuidelines"
}, {
"id": "Extension.value[x]",
"max": "0",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"path": "Extension.value[x]"
} ]
},
"contact": [ {
"name": "FHIR Infrastructure",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ],
"contextType": "resource",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}