StructureDefinition for medicationstatement

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:StructureDefinition ;
  fhir:id [ fhir:v "MedicationStatement"] ;
  fhir:meta [
     fhir:lastUpdated [ fhir:v "2024-08-12T16:52:12.437+08:00" ]
  ] ;
  fhir:text [
     fhir:status [ fhir:v "generated" ]
  ] ;
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ] ;
     fhir:value [ fhir:v "Clinical.Medications" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:value [ fhir:v "trial-use" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:value [ fhir:v "phx" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:value [ fhir:v "4" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ] ;
     fhir:value [ fhir:v "patient" ]
  ] ) ;
  fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationStatement"], [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationStatement"] ;
  fhir:version [ fhir:v "6.0.0-ballot2"], [ fhir:v "6.0.0-ballot2"] ;
  fhir:name [ fhir:v "MedicationStatement"], [ fhir:v "MedicationStatement"] ;
  fhir:status [ fhir:v "draft"], [ fhir:v "draft"] ;
  fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
  fhir:date [ fhir:v "2024-08-12T16:52:12+08:00"], [ fhir:v "2024-08-12T16:52:12+08:00"] ;
  fhir:publisher [ fhir:v "HL7 International / Pharmacy"], [ fhir:v "HL7 International / Pharmacy"] ;
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/medication" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/medication" ]
     ] )
  ] ) ;
  fhir:description [ fhir:v "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medicationstatement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information."], [ fhir:v "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medicationstatement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information."] ;
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] ) ;
  fhir:fhirVersion [ fhir:v "6.0.0-ballot2"] ;
  fhir:mapping ( [
     fhir:identity [ fhir:v "workflow" ] ;
     fhir:uri [ fhir:v "http://hl7.org/fhir/workflow" ] ;
     fhir:name [ fhir:v "Workflow Pattern" ]
  ] [
     fhir:identity [ fhir:v "w5" ] ;
     fhir:uri [ fhir:v "http://hl7.org/fhir/fivews" ] ;
     fhir:name [ fhir:v "FiveWs Pattern Mapping" ]
  ] [
     fhir:identity [ fhir:v "rim" ] ;
     fhir:uri [ fhir:v "http://hl7.org/v3" ] ;
     fhir:name [ fhir:v "RIM Mapping" ]
  ] [
     fhir:identity [ fhir:v "v2" ] ;
     fhir:uri [ fhir:v "http://hl7.org/v2" ] ;
     fhir:name [ fhir:v "HL7 V2 Mapping" ]
  ] ) ;
  fhir:kind [ fhir:v "resource"] ;
  fhir:abstract [ fhir:v "false"] ;
  fhir:type [ fhir:v "MedicationStatement"] ;
  fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"] ;
  fhir:derivation [ fhir:v "specialization"] ;
  fhir:snapshot [
     fhir:element ( [
       fhir:id [ fhir:v "MedicationStatement" ] ;
       fhir:path [ fhir:v "MedicationStatement" ] ;
       fhir:short [ fhir:v "Record of medication being taken by a patient" ] ;
       fhir:definition [ fhir:v "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medicationstatement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information." ] ;
       fhir:alias ( [ fhir:v "MedicationStatement" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "dom-2" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
         fhir:expression [ fhir:v "contained.contained.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-3" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ;
         fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-4" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
         fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-5" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
         fhir:expression [ fhir:v "contained.meta.security.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
           fhir:value [ fhir:v "true" ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
           fhir:value [ fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
         ] ) ;
         fhir:key [ fhir:v "dom-6" ] ;
         fhir:severity [ fhir:v "warning" ] ;
         fhir:human [ fhir:v "A resource should have narrative for robust management" ] ;
         fhir:expression [ fhir:v "text.`div`.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Entity, Role, or Act,SubstanceAdministration" ]
       ] [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "clinical.medication" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.id" ] ;
       fhir:path [ fhir:v "MedicationStatement.id" ] ;
       fhir:short [ fhir:v "Logical id of this artifact" ] ;
       fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
       fhir:comment [ fhir:v "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "id" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "MedicationStatement.meta" ] ;
       fhir:path [ fhir:v "MedicationStatement.meta" ] ;
       fhir:short [ fhir:v "Metadata about the resource" ] ;
       fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.meta" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Meta" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "MedicationStatement.implicitRules" ] ;
       fhir:path [ fhir:v "MedicationStatement.implicitRules" ] ;
       fhir:short [ fhir:v "A set of rules under which this content was created" ] ;
       fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ;
       fhir:comment [ fhir:v "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.implicitRules" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "uri" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "MedicationStatement.language" ] ;
       fhir:path [ fhir:v "MedicationStatement.language" ] ;
       fhir:short [ fhir:v "Language of the resource content" ] ;
       fhir:definition [ fhir:v "The base language in which the resource is written." ] ;
       fhir:comment [ fhir:v "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.language" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "Language" ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ] ;
           fhir:value [ fhir:v "true" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "IETF language tag for a human language" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot2" ] ;
         fhir:additional ( [
           fhir:purpose [ fhir:v "starter" ] ;
           fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages" ]
         ] )
       ]
     ] [
       fhir:id [ fhir:v "MedicationStatement.text" ] ;
       fhir:path [ fhir:v "MedicationStatement.text" ] ;
       fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ;
       fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ;
       fhir:comment [ fhir:v "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ;
       fhir:alias ( [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.text" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Narrative" ]
       ] ) ;
       fhir:condition ( [ fhir:v "dom-6" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Act.text?" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.contained" ] ;
       fhir:path [ fhir:v "MedicationStatement.contained" ] ;
       fhir:short [ fhir:v "Contained, inline Resources" ] ;
       fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning." ] ;
       fhir:comment [ fhir:v "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels." ] ;
       fhir:alias ( [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.contained" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Resource" ]
       ] ) ;
       fhir:condition ( [ fhir:v "dom-2" ] [ fhir:v "dom-4" ] [ fhir:v "dom-3" ] [ fhir:v "dom-5" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.extension" ] ;
       fhir:path [ fhir:v "MedicationStatement.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.modifierExtension" ] ;
       fhir:path [ fhir:v "MedicationStatement.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored" ] ;
       fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.identifier" ] ;
       fhir:path [ fhir:v "MedicationStatement.identifier" ] ;
       fhir:short [ fhir:v "External identifier" ] ;
       fhir:definition [ fhir:v "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." ] ;
       fhir:comment [ fhir:v "This is a business identifier, not a resource identifier." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.identifier" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Identifier" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.identifier" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.identifier" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.partOf" ] ;
       fhir:path [ fhir:v "MedicationStatement.partOf" ] ;
       fhir:short [ fhir:v "Part of referenced event" ] ;
       fhir:definition [ fhir:v "A larger event of which this particular MedicationStatement is a component or step." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.partOf" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy" ] ;
           fhir:value [ fhir:v "true" ]
         ] ) ;
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationStatement" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.status" ] ;
       fhir:path [ fhir:v "MedicationStatement.status" ] ;
       fhir:short [ fhir:v "recorded | entered-in-error | draft" ] ;
       fhir:definition [ fhir:v "A code representing the status of recording the medication statement." ] ;
       fhir:comment [ fhir:v "This status concerns just the recording of the medication statement.  MedicationStatement.adherence should be used for indicating a patient's adherence to the information in this resource.  Note, the statuses are different than in previous releases for MedicationStatement or MedicationStatement.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.status" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementStatus" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "A coded concept indicating the current status of a MedicationStatement." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-statement-status|6.0.0-ballot2" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.status" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.status" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".statusCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.category" ] ;
       fhir:path [ fhir:v "MedicationStatement.category" ] ;
       fhir:short [ fhir:v "Type of medication statement" ] ;
       fhir:definition [ fhir:v "Type of medication statement (for example, drug classification like ATC, where meds would be administered, legal category of the medication.)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.category" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementAdministrationLocation" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medicationrequest-admin-location" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication statement\"].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.medication" ] ;
       fhir:path [ fhir:v "MedicationStatement.medication" ] ;
       fhir:short [ fhir:v "What medication was taken" ] ;
       fhir:definition [ fhir:v "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications." ] ;
       fhir:comment [ fhir:v "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.medication" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableReference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Medication" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationCode" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "A coded concept identifying the substance or product being taken." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-codes" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.code" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.what[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=CSM].role[classCode=ADMM or MANU]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.subject" ] ;
       fhir:path [ fhir:v "MedicationStatement.subject" ] ;
       fhir:short [ fhir:v "Who is/was taking  the medication" ] ;
       fhir:definition [ fhir:v "The person, animal or group who is/was taking the medication." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.subject" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.subject" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "PID-3 Patient ID List" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=SBJ].role[classCode=PAT]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.encounter" ] ;
       fhir:path [ fhir:v "MedicationStatement.encounter" ] ;
       fhir:short [ fhir:v "Encounter associated with MedicationStatement" ] ;
       fhir:definition [ fhir:v "The encounter that establishes the context for this MedicationStatement." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.encounter" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.encounter" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.effective[x]" ] ;
       fhir:path [ fhir:v "MedicationStatement.effective[x]" ] ;
       fhir:short [ fhir:v "The date/time or interval when the medication is/was/will be taken" ] ;
       fhir:definition [ fhir:v "The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.adherence element is Not Taking)." ] ;
       fhir:comment [ fhir:v "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken and is expected to continue indefinitely at the time the usage is recorded, the \"end\" date will be omitted.  If the end date is known, then it is included as the \"end date\".  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.effective[x]" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "dateTime" ]
       ] [
         fhir:code [ fhir:v "Period" ]
       ] [
         fhir:code [ fhir:v "Timing" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.occurrence[x]" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.done[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".effectiveTime" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.dateAsserted" ] ;
       fhir:path [ fhir:v "MedicationStatement.dateAsserted" ] ;
       fhir:short [ fhir:v "When the usage was asserted?" ] ;
       fhir:definition [ fhir:v "The date when the Medication Statement was asserted by the information source." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.dateAsserted" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "dateTime" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.recorded" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=AUT].time" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.informationSource" ] ;
       fhir:path [ fhir:v "MedicationStatement.informationSource" ] ;
       fhir:short [ fhir:v "Person or organization that provided the information about the taking of this medication" ] ;
       fhir:definition [ fhir:v "The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.informationSource" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.source" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related Person (if PAT is the informer, then syntax for self-reported =true)" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.derivedFrom" ] ;
       fhir:path [ fhir:v "MedicationStatement.derivedFrom" ] ;
       fhir:short [ fhir:v "Link to information used to derive the MedicationStatement" ] ;
       fhir:definition [ fhir:v "Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement." ] ;
       fhir:comment [ fhir:v "Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.derivedFrom" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.reason" ] ;
       fhir:path [ fhir:v "MedicationStatement.reason" ] ;
       fhir:short [ fhir:v "Reason for why the medication is being/was taken" ] ;
       fhir:definition [ fhir:v "A concept, Condition or observation that supports why the medication is being/was taken." ] ;
       fhir:comment [ fhir:v "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.reason" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableReference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationReason" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "A coded concept identifying why the medication is being taken." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/condition-code" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.reason" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.why[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".reasonCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.note" ] ;
       fhir:path [ fhir:v "MedicationStatement.note" ] ;
       fhir:short [ fhir:v "Further information about the usage" ] ;
       fhir:definition [ fhir:v "Provides extra information about the Medication Statement that is not conveyed by the other attributes." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.note" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Annotation" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.note" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.relatedClinicalInformation" ] ;
       fhir:path [ fhir:v "MedicationStatement.relatedClinicalInformation" ] ;
       fhir:short [ fhir:v "Link to information relevant to the usage of a medication" ] ;
       fhir:definition [ fhir:v "Link to information that is relevant to a medication statement, for example, illicit drug use, gestational age, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.relatedClinicalInformation" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "TBD" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.renderedDosageInstruction" ] ;
       fhir:path [ fhir:v "MedicationStatement.renderedDosageInstruction" ] ;
       fhir:short [ fhir:v "Full representation of the dosage instructions" ] ;
       fhir:definition [ fhir:v "The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses." ] ;
       fhir:requirements [ fhir:v "The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.renderedDosageInstruction" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "markdown" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "SubstanceAdministration.text" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.dosage" ] ;
       fhir:path [ fhir:v "MedicationStatement.dosage" ] ;
       fhir:short [ fhir:v "Details of how medication is/was taken or should be taken" ] ;
       fhir:definition [ fhir:v "Indicates how the medication is/was or should be taken by the patient." ] ;
       fhir:comment [ fhir:v "The dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.dosage" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Dosage" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "refer dosageInstruction mapping" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence" ] ;
       fhir:short [ fhir:v "Indicates whether the medication is or is not being consumed or administered" ] ;
       fhir:definition [ fhir:v "Indicates whether the medication is or is not being consumed or administered." ] ;
       fhir:comment [ fhir:v "This element can be used to indicate whether a patient is following a course of treatment as instructed/prescribed or whether they are taking medications of their own volition.  It can also be used to indicate that a patient is not taking a medication, either because they were told not to or because they decided on their own." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.adherence" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=PERT].target[classCode=OBV,moodCode=EVN].value[xsi:type=BL]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.id" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.extension" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.modifierExtension" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.code" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.code" ] ;
       fhir:short [ fhir:v "Type of adherence" ] ;
       fhir:definition [ fhir:v "Type of the adherence for the medication." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.adherence.code" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementAdherence" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-statement-adherence" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=PERT].target[classCode=OBV,moodCode=EVN].value[xsi:type=BL]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.reason" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.reason" ] ;
       fhir:short [ fhir:v "Details of the reason for the current use of the medication" ] ;
       fhir:definition [ fhir:v "Captures the reason for the current use or adherence of a medication." ] ;
       fhir:comment [ fhir:v "This is generally only used for \"exception\" statuses such as \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MedicationStatement.adherence.reason" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementStatusReason" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/reason-medication-status-codes" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCode" ]
       ] )
     ] )
  ] ;
  fhir:differential [
     fhir:element ( [
       fhir:id [ fhir:v "MedicationStatement" ] ;
       fhir:path [ fhir:v "MedicationStatement" ] ;
       fhir:short [ fhir:v "Record of medication being taken by a patient" ] ;
       fhir:definition [ fhir:v "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medicationstatement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information." ] ;
       fhir:alias ( [ fhir:v "MedicationStatement" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "clinical.medication" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "SubstanceAdministration" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.identifier" ] ;
       fhir:path [ fhir:v "MedicationStatement.identifier" ] ;
       fhir:short [ fhir:v "External identifier" ] ;
       fhir:definition [ fhir:v "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." ] ;
       fhir:comment [ fhir:v "This is a business identifier, not a resource identifier." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Identifier" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.identifier" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.identifier" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.partOf" ] ;
       fhir:path [ fhir:v "MedicationStatement.partOf" ] ;
       fhir:short [ fhir:v "Part of referenced event" ] ;
       fhir:definition [ fhir:v "A larger event of which this particular MedicationStatement is a component or step." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy" ] ;
           fhir:value [ fhir:v "true" ]
         ] ) ;
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationStatement" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.status" ] ;
       fhir:path [ fhir:v "MedicationStatement.status" ] ;
       fhir:short [ fhir:v "recorded | entered-in-error | draft" ] ;
       fhir:definition [ fhir:v "A code representing the status of recording the medication statement." ] ;
       fhir:comment [ fhir:v "This status concerns just the recording of the medication statement.  MedicationStatement.adherence should be used for indicating a patient's adherence to the information in this resource.  Note, the statuses are different than in previous releases for MedicationStatement or MedicationStatement.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementStatus" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "A coded concept indicating the current status of a MedicationStatement." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-statement-status|6.0.0-ballot2" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.status" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.status" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".statusCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.category" ] ;
       fhir:path [ fhir:v "MedicationStatement.category" ] ;
       fhir:short [ fhir:v "Type of medication statement" ] ;
       fhir:definition [ fhir:v "Type of medication statement (for example, drug classification like ATC, where meds would be administered, legal category of the medication.)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementAdministrationLocation" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medicationrequest-admin-location" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication statement\"].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.medication" ] ;
       fhir:path [ fhir:v "MedicationStatement.medication" ] ;
       fhir:short [ fhir:v "What medication was taken" ] ;
       fhir:definition [ fhir:v "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications." ] ;
       fhir:comment [ fhir:v "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableReference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Medication" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationCode" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "A coded concept identifying the substance or product being taken." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-codes" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.code" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.what[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=CSM].role[classCode=ADMM or MANU]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.subject" ] ;
       fhir:path [ fhir:v "MedicationStatement.subject" ] ;
       fhir:short [ fhir:v "Who is/was taking  the medication" ] ;
       fhir:definition [ fhir:v "The person, animal or group who is/was taking the medication." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.subject" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "PID-3 Patient ID List" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=SBJ].role[classCode=PAT]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.encounter" ] ;
       fhir:path [ fhir:v "MedicationStatement.encounter" ] ;
       fhir:short [ fhir:v "Encounter associated with MedicationStatement" ] ;
       fhir:definition [ fhir:v "The encounter that establishes the context for this MedicationStatement." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.encounter" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.effective[x]" ] ;
       fhir:path [ fhir:v "MedicationStatement.effective[x]" ] ;
       fhir:short [ fhir:v "The date/time or interval when the medication is/was/will be taken" ] ;
       fhir:definition [ fhir:v "The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.adherence element is Not Taking)." ] ;
       fhir:comment [ fhir:v "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken and is expected to continue indefinitely at the time the usage is recorded, the \"end\" date will be omitted.  If the end date is known, then it is included as the \"end date\".  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "dateTime" ]
       ] [
         fhir:code [ fhir:v "Period" ]
       ] [
         fhir:code [ fhir:v "Timing" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.occurrence[x]" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.done[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".effectiveTime" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.dateAsserted" ] ;
       fhir:path [ fhir:v "MedicationStatement.dateAsserted" ] ;
       fhir:short [ fhir:v "When the usage was asserted?" ] ;
       fhir:definition [ fhir:v "The date when the Medication Statement was asserted by the information source." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "dateTime" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.recorded" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=AUT].time" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.informationSource" ] ;
       fhir:path [ fhir:v "MedicationStatement.informationSource" ] ;
       fhir:short [ fhir:v "Person or organization that provided the information about the taking of this medication" ] ;
       fhir:definition [ fhir:v "The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.source" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related Person (if PAT is the informer, then syntax for self-reported =true)" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.derivedFrom" ] ;
       fhir:path [ fhir:v "MedicationStatement.derivedFrom" ] ;
       fhir:short [ fhir:v "Link to information used to derive the MedicationStatement" ] ;
       fhir:definition [ fhir:v "Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement." ] ;
       fhir:comment [ fhir:v "Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.reason" ] ;
       fhir:path [ fhir:v "MedicationStatement.reason" ] ;
       fhir:short [ fhir:v "Reason for why the medication is being/was taken" ] ;
       fhir:definition [ fhir:v "A concept, Condition or observation that supports why the medication is being/was taken." ] ;
       fhir:comment [ fhir:v "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableReference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationReason" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "A coded concept identifying why the medication is being taken." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/condition-code" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.reason" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.why[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".reasonCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.note" ] ;
       fhir:path [ fhir:v "MedicationStatement.note" ] ;
       fhir:short [ fhir:v "Further information about the usage" ] ;
       fhir:definition [ fhir:v "Provides extra information about the Medication Statement that is not conveyed by the other attributes." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Annotation" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "workflow" ] ;
         fhir:map [ fhir:v "Event.note" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.relatedClinicalInformation" ] ;
       fhir:path [ fhir:v "MedicationStatement.relatedClinicalInformation" ] ;
       fhir:short [ fhir:v "Link to information relevant to the usage of a medication" ] ;
       fhir:definition [ fhir:v "Link to information that is relevant to a medication statement, for example, illicit drug use, gestational age, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "TBD" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.renderedDosageInstruction" ] ;
       fhir:path [ fhir:v "MedicationStatement.renderedDosageInstruction" ] ;
       fhir:short [ fhir:v "Full representation of the dosage instructions" ] ;
       fhir:definition [ fhir:v "The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses." ] ;
       fhir:requirements [ fhir:v "The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "markdown" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "SubstanceAdministration.text" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.dosage" ] ;
       fhir:path [ fhir:v "MedicationStatement.dosage" ] ;
       fhir:short [ fhir:v "Details of how medication is/was taken or should be taken" ] ;
       fhir:definition [ fhir:v "Indicates how the medication is/was or should be taken by the patient." ] ;
       fhir:comment [ fhir:v "The dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Dosage" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "refer dosageInstruction mapping" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence" ] ;
       fhir:short [ fhir:v "Indicates whether the medication is or is not being consumed or administered" ] ;
       fhir:definition [ fhir:v "Indicates whether the medication is or is not being consumed or administered." ] ;
       fhir:comment [ fhir:v "This element can be used to indicate whether a patient is following a course of treatment as instructed/prescribed or whether they are taking medications of their own volition.  It can also be used to indicate that a patient is not taking a medication, either because they were told not to or because they decided on their own." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=PERT].target[classCode=OBV,moodCode=EVN].value[xsi:type=BL]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.code" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.code" ] ;
       fhir:short [ fhir:v "Type of adherence" ] ;
       fhir:definition [ fhir:v "Type of the adherence for the medication." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementAdherence" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-statement-adherence" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=PERT].target[classCode=OBV,moodCode=EVN].value[xsi:type=BL]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MedicationStatement.adherence.reason" ] ;
       fhir:path [ fhir:v "MedicationStatement.adherence.reason" ] ;
       fhir:short [ fhir:v "Details of the reason for the current use of the medication" ] ;
       fhir:definition [ fhir:v "Captures the reason for the current use or adherence of a medication." ] ;
       fhir:comment [ fhir:v "This is generally only used for \"exception\" statuses such as \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MedicationStatementStatusReason" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/reason-medication-status-codes" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCode" ]
       ] )
     ] )
  ] .

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