STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Dosageinstruction.profile.xml

Raw XML (canonical form)

StructureDefinition for DosageInstruction

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DosageInstruction"/>
  <text>
    <status value="generated"/>
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           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <a href="dosageinstruction-definitions.html#DosageInstruction" title="DosageInstruction : Indicates how the medication is to be used by the patient.">DosageInstruction</a>
            <a name="DosageInstruction"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="element.html">Element</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">How medication should be taken</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="dosageinstruction-definitions.html#DosageInstruction.sequence" title="DosageInstruction.sequence : Indicates the order in which the dosage instructions should
             be applied or interpreted.">sequence</a>
            <a name="DosageInstruction.sequence"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#integer">integer</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">The order of the dosage instructions</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="dosageinstruction-definitions.html#DosageInstruction.text" title="DosageInstruction.text : Free text dosage instructions e.g. SIG.">text</a>
            <a name="DosageInstruction.text"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Free text dosage instructions e.g. SIG</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <a href="dosageinstruction-definitions.html#DosageInstruction.additionalInstructions" title="DosageInstruction.additionalInstructions : Supplemental instructions - e.g. &quot;with
             meals&quot;.">additionalInstructions</a>
            <a name="DosageInstruction.additionalInstructions"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Supplemental instructions - e.g. &quot;with meals&quot;
            <br/>
            <a href="valueset-additional-instructions-codes.html" title="A coded concept identifying additional instructions such as &quot;take with water&quot;
             or &quot;avoid operating heavy machinery&quot;.">SNOMED CT Additional Dosage Instructions</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <a href="dosageinstruction-definitions.html#DosageInstruction.timing" title="DosageInstruction.timing : When medication should be administered.">timing</a>
            <a name="DosageInstruction.timing"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Timing">Timing</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">When medication should be administered</td>
        </tr>

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <a href="dosageinstruction-definitions.html#DosageInstruction.asNeeded_x_" title="DosageInstruction.asNeeded[x] : Take &quot;as needed&quot; (for x).">asNeeded[x]</a>
            <a name="DosageInstruction.asNeeded_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Take &quot;as needed&quot; (for x)
            <br/>
            <a href="valueset-medication-as-needed-reason.html" title="A coded concept identifying the precondition that should be met or evaluated prior to
             consuming or administering a medication dose.  For example &quot;pain&quot;, &quot;30
             minutes prior to sexual intercourse&quot;, &quot;on flare-up&quot; etc.">SNOMED CT Medication As Needed Reason Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Value of &quot;true&quot; or &quot;false&quot;">asNeededBoolean</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#boolean">boolean</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may
             be provided by text.">asNeededCodeableConcept</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
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            <a href="dosageinstruction-definitions.html#DosageInstruction.site" title="DosageInstruction.site : Body site to administer to.">site</a>
            <a name="DosageInstruction.site"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Body site to administer to
            <br/>
            <a href="valueset-approach-site-codes.html" title="A coded concept describing the site location the medicine enters into or onto the body.">SNOMED CT Anatomical Structure for Administration Site Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <a href="dosageinstruction-definitions.html#DosageInstruction.route" title="DosageInstruction.route : How drug should enter body.">route</a>
            <a name="DosageInstruction.route"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">How drug should enter body
            <br/>
            <a href="valueset-route-codes.html" title="A coded concept describing the route or physiological path of administration of a therapeutic
             agent into or onto the body of a subject.">SNOMED CT Route Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <a name="DosageInstruction.method"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Technique for administering medication
            <br/>
            <a href="valueset-administration-method-codes.html" title="A coded concept describing the technique by which the medicine is administered.">SNOMED CT Administration Method Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <a href="dosageinstruction-definitions.html#DosageInstruction.dose_x_" title="DosageInstruction.dose[x] : Amount of medication per dose.">dose[x]</a>
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="A set of ordered Quantities defined by a low and high limit.">doseRange</span>
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            <a href="datatypes.html#Range">Range</a>
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            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
          </td>
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            <a href="dosageinstruction-definitions.html#DosageInstruction.maxDosePerPeriod" title="DosageInstruction.maxDosePerPeriod : Upper limit on medication per unit of time.">maxDosePerPeriod</a>
            <a name="DosageInstruction.maxDosePerPeriod"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Ratio">Ratio</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Upper limit on medication per unit of time</td>
        </tr>

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            <a name="DosageInstruction.maxDosePerAdministration"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="dosageinstruction-definitions.html#DosageInstruction.maxDosePerLifetime" title="DosageInstruction.maxDosePerLifetime : Upper limit on medication per lifetime of the patient.">maxDosePerLifetime</a>
            <a name="DosageInstruction.maxDosePerLifetime"> </a>
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Upper limit on medication per lifetime of the patient</td>
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            <a href="dosageinstruction-definitions.html#DosageInstruction.rate_x_" title="DosageInstruction.rate[x] : Amount of medication per unit of time.">rate[x]</a>
            <a name="DosageInstruction.rate_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Amount of medication per unit of time</td>
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            <span title="A relationship of two Quantity values - expressed as a numerator and a denominator.">rateRatio</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="A set of ordered Quantities defined by a low and high limit.">rateRange</span>
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            <a href="datatypes.html#Range">Range</a>
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> rateQuantity
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/DosageInstruction"/>
  <name value="DosageInstruction"/>
  <status value="draft"/>
  <publisher value="HL7 FHIR Standard"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <date value="2016-12-06T12:22:34+11:00"/>
  <description value="Base StructureDefinition for DosageInstruction Type"/>
  <fhirVersion value="1.8.0"/>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="complex-type"/>
  <abstract value="false"/>
  <type value="DosageInstruction"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="DosageInstruction">
      <path value="DosageInstruction"/>
      <short value="How medication should be taken"/>
      <definition value="Indicates how the medication is to be used by the patient."/>
      <min value="0"/>
      <max value="*"/>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() &gt; id.count()"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DosageInstruction.id">
      <path value="DosageInstruction.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DosageInstruction.extension">
      <path value="DosageInstruction.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DosageInstruction.sequence">
      <path value="DosageInstruction.sequence"/>
      <short value="The order of the dosage instructions"/>
      <definition value="Indicates the order in which the dosage instructions should be applied or interpreted."/>
      <requirements value="If the sequence number of multiple dosageInstructions is the same, then it is implied
       that the instructions are to be treated as concurrent.  If the sequence number is different,
       then the dosageInstructions are intended to be sequential."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DosageInstruction.text">
      <path value="DosageInstruction.text"/>
      <short value="Free text dosage instructions e.g. SIG"/>
      <definition value="Free text dosage instructions e.g. SIG."/>
      <requirements value="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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="text"/>
      </mapping>
    </element>
    <element id="DosageInstruction.additionalInstructions">
      <path value="DosageInstruction.additionalInstructions"/>
      <short value="Supplemental instructions - e.g. &quot;with meals&quot;"/>
      <definition value="Supplemental instructions - e.g. &quot;with meals&quot;."/>
      <requirements value="Additional instructions such as &quot;Swallow with plenty of water&quot; which may or
       may not be coded."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept identifying additional instructions such as &quot;take with water&quot;
         or &quot;avoid operating heavy machinery&quot;."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/additional-instructions-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="component.substanceAdministrationRequest.text"/>
      </mapping>
    </element>
    <element id="DosageInstruction.timing">
      <path value="DosageInstruction.timing"/>
      <short value="When medication should be administered"/>
      <definition value="When medication should be administered."/>
      <requirements value="The timing schedule for giving the medication to the patient. The Schedule data type allows
       many different expressions. For example: &quot;Every 8 hours&quot;; &quot;Three times
       a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;; &quot;15
       Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.  Sometimes, a rate can imply duration when
       expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).
        However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration
       is needed to convey the infuse over time period."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="effectiveTime"/>
      </mapping>
    </element>
    <element id="DosageInstruction.asNeeded[x]">
      <path value="DosageInstruction.asNeeded[x]"/>
      <short value="Take &quot;as needed&quot; (for x)"/>
      <definition value="Take &quot;as needed&quot; (for x)."/>
      <requirements value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept identifying the precondition that should be met or evaluated prior to
         consuming or administering a medication dose.  For example &quot;pain&quot;, &quot;30
         minutes prior to sexual intercourse&quot;, &quot;on flare-up&quot; etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false
          CodeableConcept: precondition.observationEventCriterion[code=&quot;Assertion&quot;].value"/>
      </mapping>
    </element>
    <element id="DosageInstruction.site">
      <path value="DosageInstruction.site"/>
      <short value="Body site to administer to"/>
      <definition value="Body site to administer to."/>
      <comments value="If the use case requires attributes from the BodySite resource (e.g. to identify and track
       separately) then use the standard extension [body-site-instance](extension-body-site-instance.html).
        May be a summary code, or a reference to a very precise definition of the location, or
       both."/>
      <requirements value="A coded specification of the anatomic site where the medication first enters the body."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the site location the medicine enters into or onto the body."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="approachSiteCode"/>
      </mapping>
    </element>
    <element id="DosageInstruction.route">
      <path value="DosageInstruction.route"/>
      <short value="How drug should enter body"/>
      <definition value="How drug should enter body."/>
      <requirements value="A code specifying the route or physiological path of administration of a therapeutic agent
       into or onto a patient's body."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the route or physiological path of administration of a therapeutic
         agent into or onto the body of a subject."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/route-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="routeCode"/>
      </mapping>
    </element>
    <element id="DosageInstruction.method">
      <path value="DosageInstruction.method"/>
      <short value="Technique for administering medication"/>
      <definition value="Technique for administering medication."/>
      <requirements value="A coded value indicating the method by which the medication is introduced into or onto
       the body. Most commonly used for injections.  For examples, Slow Push; Deep IV."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the technique by which the medicine is administered."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administration-method-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="methodCode"/>
      </mapping>
    </element>
    <element id="DosageInstruction.dose[x]">
      <path value="DosageInstruction.dose[x]"/>
      <short value="Amount of medication per dose"/>
      <definition value="Amount of medication per dose."/>
      <requirements value="The amount of therapeutic or other substance given at one administration event."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="doseQuantity"/>
      </mapping>
    </element>
    <element id="DosageInstruction.maxDosePerPeriod">
      <path value="DosageInstruction.maxDosePerPeriod"/>
      <short value="Upper limit on medication per unit of time"/>
      <definition value="Upper limit on medication per unit of time."/>
      <requirements value="The maximum total quantity of a therapeutic substance that may be administered to a subject
       over the period of time.  For example, 1000mg in 24 hours."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Ratio"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="maxDoseQuantity"/>
      </mapping>
    </element>
    <element id="DosageInstruction.maxDosePerAdministration">
      <path value="DosageInstruction.maxDosePerAdministration"/>
      <short value="Upper limit on medication per administration"/>
      <definition value="Upper limit on medication per administration."/>
      <requirements value="The maximum total quantity of a therapeutic substance that may be administered to a subject
       per administration."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="no mapping"/>
      </mapping>
    </element>
    <element id="DosageInstruction.maxDosePerLifetime">
      <path value="DosageInstruction.maxDosePerLifetime"/>
      <short value="Upper limit on medication per lifetime of the patient"/>
      <definition value="Upper limit on medication per lifetime of the patient."/>
      <requirements value="The maximum total quantity of a therapeutic substance that may be administered per lifetime
       of the subject."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="no mapping"/>
      </mapping>
    </element>
    <element id="DosageInstruction.rate[x]">
      <path value="DosageInstruction.rate[x]"/>
      <short value="Amount of medication per unit of time"/>
      <definition value="Amount of medication per unit of time."/>
      <requirements value="Identifies the speed with which the medication was or will be introduced into the patient.
       Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed
       as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200
       mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as
       total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However,
       when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is
       needed to convey the infuse over time period."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="rateQuantity"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="DosageInstruction">
      <path value="DosageInstruction"/>
      <short value="How medication should be taken"/>
      <definition value="Indicates how the medication is to be used by the patient."/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="DosageInstruction.sequence">
      <path value="DosageInstruction.sequence"/>
      <short value="The order of the dosage instructions"/>
      <definition value="Indicates the order in which the dosage instructions should be applied or interpreted."/>
      <requirements value="If the sequence number of multiple dosageInstructions is the same, then it is implied
       that the instructions are to be treated as concurrent.  If the sequence number is different,
       then the dosageInstructions are intended to be sequential."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DosageInstruction.text">
      <path value="DosageInstruction.text"/>
      <short value="Free text dosage instructions e.g. SIG"/>
      <definition value="Free text dosage instructions e.g. SIG."/>
      <requirements value="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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="text"/>
      </mapping>
    </element>
    <element id="DosageInstruction.additionalInstructions">
      <path value="DosageInstruction.additionalInstructions"/>
      <short value="Supplemental instructions - e.g. &quot;with meals&quot;"/>
      <definition value="Supplemental instructions - e.g. &quot;with meals&quot;."/>
      <requirements value="Additional instructions such as &quot;Swallow with plenty of water&quot; which may or
       may not be coded."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept identifying additional instructions such as &quot;take with water&quot;
         or &quot;avoid operating heavy machinery&quot;."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/additional-instructions-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="component.substanceAdministrationRequest.text"/>
      </mapping>
    </element>
    <element id="DosageInstruction.timing">
      <path value="DosageInstruction.timing"/>
      <short value="When medication should be administered"/>
      <definition value="When medication should be administered."/>
      <requirements value="The timing schedule for giving the medication to the patient. The Schedule data type allows
       many different expressions. For example: &quot;Every 8 hours&quot;; &quot;Three times
       a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;; &quot;15
       Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.  Sometimes, a rate can imply duration when
       expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).
        However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration
       is needed to convey the infuse over time period."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="effectiveTime"/>
      </mapping>
    </element>
    <element id="DosageInstruction.asNeeded[x]">
      <path value="DosageInstruction.asNeeded[x]"/>
      <short value="Take &quot;as needed&quot; (for x)"/>
      <definition value="Take &quot;as needed&quot; (for x)."/>
      <requirements value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept identifying the precondition that should be met or evaluated prior to
         consuming or administering a medication dose.  For example &quot;pain&quot;, &quot;30
         minutes prior to sexual intercourse&quot;, &quot;on flare-up&quot; etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false
          CodeableConcept: precondition.observationEventCriterion[code=&quot;Assertion&quot;].value"/>
      </mapping>
    </element>
    <element id="DosageInstruction.site">
      <path value="DosageInstruction.site"/>
      <short value="Body site to administer to"/>
      <definition value="Body site to administer to."/>
      <comments value="If the use case requires attributes from the BodySite resource (e.g. to identify and track
       separately) then use the standard extension [body-site-instance](extension-body-site-instance.html).
        May be a summary code, or a reference to a very precise definition of the location, or
       both."/>
      <requirements value="A coded specification of the anatomic site where the medication first enters the body."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the site location the medicine enters into or onto the body."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="approachSiteCode"/>
      </mapping>
    </element>
    <element id="DosageInstruction.route">
      <path value="DosageInstruction.route"/>
      <short value="How drug should enter body"/>
      <definition value="How drug should enter body."/>
      <requirements value="A code specifying the route or physiological path of administration of a therapeutic agent
       into or onto a patient's body."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the route or physiological path of administration of a therapeutic
         agent into or onto the body of a subject."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/route-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="routeCode"/>
      </mapping>
    </element>
    <element id="DosageInstruction.method">
      <path value="DosageInstruction.method"/>
      <short value="Technique for administering medication"/>
      <definition value="Technique for administering medication."/>
      <requirements value="A coded value indicating the method by which the medication is introduced into or onto
       the body. Most commonly used for injections.  For examples, Slow Push; Deep IV."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A coded concept describing the technique by which the medicine is administered."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administration-method-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="methodCode"/>
      </mapping>
    </element>
    <element id="DosageInstruction.dose[x]">
      <path value="DosageInstruction.dose[x]"/>
      <short value="Amount of medication per dose"/>
      <definition value="Amount of medication per dose."/>
      <requirements value="The amount of therapeutic or other substance given at one administration event."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="doseQuantity"/>
      </mapping>
    </element>
    <element id="DosageInstruction.maxDosePerPeriod">
      <path value="DosageInstruction.maxDosePerPeriod"/>
      <short value="Upper limit on medication per unit of time"/>
      <definition value="Upper limit on medication per unit of time."/>
      <requirements value="The maximum total quantity of a therapeutic substance that may be administered to a subject
       over the period of time.  For example, 1000mg in 24 hours."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Ratio"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="maxDoseQuantity"/>
      </mapping>
    </element>
    <element id="DosageInstruction.maxDosePerAdministration">
      <path value="DosageInstruction.maxDosePerAdministration"/>
      <short value="Upper limit on medication per administration"/>
      <definition value="Upper limit on medication per administration."/>
      <requirements value="The maximum total quantity of a therapeutic substance that may be administered to a subject
       per administration."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="no mapping"/>
      </mapping>
    </element>
    <element id="DosageInstruction.maxDosePerLifetime">
      <path value="DosageInstruction.maxDosePerLifetime"/>
      <short value="Upper limit on medication per lifetime of the patient"/>
      <definition value="Upper limit on medication per lifetime of the patient."/>
      <requirements value="The maximum total quantity of a therapeutic substance that may be administered per lifetime
       of the subject."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="no mapping"/>
      </mapping>
    </element>
    <element id="DosageInstruction.rate[x]">
      <path value="DosageInstruction.rate[x]"/>
      <short value="Amount of medication per unit of time"/>
      <definition value="Amount of medication per unit of time."/>
      <requirements value="Identifies the speed with which the medication was or will be introduced into the patient.
       Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed
       as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200
       mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as
       total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However,
       when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is
       needed to convey the infuse over time period."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="rateQuantity"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.