FHIR Cross-Version Extensions package for FHIR R4 from FHIR R2
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R2 - Version 0.0.1-snapshot-2. See the Directory of published versions

Extension: Ext_R2_MedicationStatement_dosage - Detailed Descriptions

Page standards status: Informative Maturity Level: 0

Definitions for the ext-R2-MedicationStatement.dosage extension.

Guidance on how to interpret the contents of this table can be foundhere

0. Extension
Definition

Indicates how the medication is/was used by the patient.

ShortDetails of how medication was taken
Comments

MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

Control0..*
2. Extension.extension
Control0..*
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:text
    Slice Nametext
    Definition

    Free text dosage information as reported about a patient's medication use. When coded dosage information is present, the free text may still be present for display to humans.

    ShortReported dosage information
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    6. Extension.extension:text.url
    Control1..1
    Fixed Valuetext
    8. Extension.extension:text.value[x]
    Definition

    Free text dosage information as reported about a patient's medication use. When coded dosage information is present, the free text may still be present for display to humans.

    ShortReported dosage information
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Typestring
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    10. Extension.extension:timing
    Slice Nametiming
    Definition

    The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".

    ShortWhen/how often was medication taken
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    12. Extension.extension:timing.url
    Control1..1
    Fixed Valuetiming
    14. Extension.extension:timing.value[x]
    Definition

    The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".

    ShortWhen/how often was medication taken
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    TypeTiming
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    16. Extension.extension:asNeeded[x]
    Slice NameasNeeded[x]
    Definition

    Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.

    ShortTake "as needed" (for x)
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    18. Extension.extension:asNeeded[x].url
    Control1..1
    Fixed ValueasNeeded[x]
    20. Extension.extension:asNeeded[x].value[x]
    Definition

    Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.

    ShortTake "as needed" (for x)
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    TypeChoice of: boolean, CodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    22. Extension.extension:site[x]
    Slice Namesite[x]
    Definition

    A coded specification of or a reference to the anatomic site where the medication first enters the body.

    ShortWhere (on body) medication is/was administered
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    24. Extension.extension:site[x].url
    Control1..1
    Fixed Valuesite[x]
    26. Extension.extension:site[x].value[x]
    Definition

    A coded specification of or a reference to the anatomic site where the medication first enters the body.

    ShortWhere (on body) medication is/was administered
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    BindingFor example codes, see R2_approach_site_codes_for_R4 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/1.0/ValueSet/R2-approach-site-codes-for-R4|0.0.1-snapshot-2)

    A coded concept describing the site location the medicine enters into or onto the body.

    TypeChoice of: CodeableConcept, Reference
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    28. Extension.extension:route
    Slice Nameroute
    Definition

    A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.

    ShortHow the medication entered the body
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    30. Extension.extension:route.url
    Control1..1
    Fixed Valueroute
    32. Extension.extension:route.value[x]
    Definition

    A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.

    ShortHow the medication entered the body
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    BindingFor example codes, see R2_route_codes_for_R4 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/1.0/ValueSet/R2-route-codes-for-R4|0.0.1-snapshot-2)

    A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    34. Extension.extension:method
    Slice Namemethod
    Definition

    A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

    ShortTechnique used to administer medication
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    36. Extension.extension:method.url
    Control1..1
    Fixed Valuemethod
    38. Extension.extension:method.value[x]
    Definition

    A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

    ShortTechnique used to administer medication
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    40. Extension.extension:quantity[x]
    Slice Namequantity[x]
    Definition

    The amount of therapeutic or other substance given at one administration event.

    ShortAmount administered in one dose
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    42. Extension.extension:quantity[x].url
    Control1..1
    Fixed Valuequantity[x]
    44. Extension.extension:quantity[x].value[x]
    Definition

    The amount of therapeutic or other substance given at one administration event.

    ShortAmount administered in one dose
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    TypeChoice of: Quantity(SimpleQuantity), Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    46. Extension.extension:rate[x]
    Slice Namerate[x]
    Definition

    Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

    ShortDose quantity per unit of time
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    48. Extension.extension:rate[x].url
    Control1..1
    Fixed Valuerate[x]
    50. Extension.extension:rate[x].value[x]
    Definition

    Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

    ShortDose quantity per unit of time
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    TypeChoice of: Ratio, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    52. Extension.extension:maxDosePerPeriod
    Slice NamemaxDosePerPeriod
    Definition

    The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

    ShortMaximum dose that was consumed per unit of time
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..1
    54. Extension.extension:maxDosePerPeriod.url
    Control1..1
    Fixed ValuemaxDosePerPeriod
    56. Extension.extension:maxDosePerPeriod.value[x]
    Definition

    The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

    ShortMaximum dose that was consumed per unit of time
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    TypeRatio
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    58. Extension.url
    Control1..1
    Fixed Valuehttp://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationStatement.dosage

    Guidance on how to interpret the contents of this table can be foundhere

    0. Extension
    Definition

    Indicates how the medication is/was used by the patient.


    Optional Extension Element - found in all resources.

    ShortDetails of how medication was takenOptional Extensions Element
    Comments

    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

    Control0..*
    This element is affected by the following invariants: ele-1
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    2. Extension.extension
    Definition

    An Extension


    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 manageable, 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.

    ShortExtensionAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Extension.extension:text
      Slice Nametext
      Definition

      Free text dosage information as reported about a patient's medication use. When coded dosage information is present, the free text may still be present for display to humans.

      ShortReported dosage informationAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      6. Extension.extension:text.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuetext
      8. Extension.extension:text.value[x]
      Definition

      Free text dosage information as reported about a patient's medication use. When coded dosage information is present, the free text may still be present for display to humans.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortReported dosage informationValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Extension.extension:timing
      Slice Nametiming
      Definition

      The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".

      ShortWhen/how often was medication takenAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      12. Extension.extension:timing.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuetiming
      14. Extension.extension:timing.value[x]
      Definition

      The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortWhen/how often was medication takenValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      TypeTiming, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Extension.extension:asNeeded[x]
      Slice NameasNeeded[x]
      Definition

      Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.

      ShortTake "as needed" (for x)Additional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. Extension.extension:asNeeded[x].url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed ValueasNeeded[x]
      20. Extension.extension:asNeeded[x].value[x]
      Definition

      Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortTake "as needed" (for x)Value of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      TypeChoice of: boolean, CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Extension.extension:site[x]
      Slice Namesite[x]
      Definition

      A coded specification of or a reference to the anatomic site where the medication first enters the body.

      ShortWhere (on body) medication is/was administeredAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      24. Extension.extension:site[x].url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuesite[x]
      26. Extension.extension:site[x].value[x]
      Definition

      A coded specification of or a reference to the anatomic site where the medication first enters the body.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortWhere (on body) medication is/was administeredValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      BindingFor example codes, see For codes, see R2_approach_site_codes_for_R4 (0.0.1-snapshot-2)
      (example to http://hl7.org/fhir/1.0/ValueSet/R2-approach-site-codes-for-R4|0.0.1-snapshot-2)

      A coded concept describing the site location the medicine enters into or onto the body.

      TypeChoice of: CodeableConcept, Reference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Extension.extension:route
      Slice Nameroute
      Definition

      A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.

      ShortHow the medication entered the bodyAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      30. Extension.extension:route.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valueroute
      32. Extension.extension:route.value[x]
      Definition

      A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortHow the medication entered the bodyValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      BindingFor example codes, see For codes, see R2_route_codes_for_R4 (0.0.1-snapshot-2)
      (example to http://hl7.org/fhir/1.0/ValueSet/R2-route-codes-for-R4|0.0.1-snapshot-2)

      A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Extension.extension:method
      Slice Namemethod
      Definition

      A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

      ShortTechnique used to administer medicationAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      36. Extension.extension:method.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuemethod
      38. Extension.extension:method.value[x]
      Definition

      A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortTechnique used to administer medicationValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Extension.extension:quantity[x]
      Slice Namequantity[x]
      Definition

      The amount of therapeutic or other substance given at one administration event.

      ShortAmount administered in one doseAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      42. Extension.extension:quantity[x].url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuequantity[x]
      44. Extension.extension:quantity[x].value[x]
      Definition

      The amount of therapeutic or other substance given at one administration event.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortAmount administered in one doseValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      TypeChoice of: Quantity(SimpleQuantity), Range, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Extension.extension:rate[x]
      Slice Namerate[x]
      Definition

      Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

      ShortDose quantity per unit of timeAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      48. Extension.extension:rate[x].url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuerate[x]
      50. Extension.extension:rate[x].value[x]
      Definition

      Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortDose quantity per unit of timeValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      TypeChoice of: Ratio, Range, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Extension.extension:maxDosePerPeriod
      Slice NamemaxDosePerPeriod
      Definition

      The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

      ShortMaximum dose that was consumed per unit of timeAdditional content defined by implementations
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      54. Extension.extension:maxDosePerPeriod.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed ValuemaxDosePerPeriod
      56. Extension.extension:maxDosePerPeriod.value[x]
      Definition

      The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortMaximum dose that was consumed per unit of timeValue of extension
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..1
      TypeRatio, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Extension.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttp://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationStatement.dosage

      Guidance on how to interpret the contents of this table can be foundhere

      0. Extension
      Definition

      Indicates how the medication is/was used by the patient.

      ShortDetails of how medication was taken
      Comments

      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

      Control0..*
      This element is affected by the following invariants: ele-1
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      2. Extension.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      4. Extension.extension
      Definition

      An Extension

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Extension.extension:text
        Slice Nametext
        Definition

        Free text dosage information as reported about a patient's medication use. When coded dosage information is present, the free text may still be present for display to humans.

        ShortReported dosage information
        Comments

        MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

        Control0..1
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Extension.extension:text.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        10. Extension.extension:text.extension
        Definition

        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 manageable, 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.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 12. Extension.extension:text.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valuetext
          14. Extension.extension:text.value[x]
          Definition

          Free text dosage information as reported about a patient's medication use. When coded dosage information is present, the free text may still be present for display to humans.

          ShortReported dosage information
          Comments

          MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

          Control0..1
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Extension.extension:timing
          Slice Nametiming
          Definition

          The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".

          ShortWhen/how often was medication taken
          Comments

          MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

          Control0..1
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Extension.extension:timing.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          20. Extension.extension:timing.extension
          Definition

          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 manageable, 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.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 22. Extension.extension:timing.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuetiming
            24. Extension.extension:timing.value[x]
            Definition

            The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".

            ShortWhen/how often was medication taken
            Comments

            MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

            Control0..1
            TypeTiming
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Extension.extension:asNeeded[x]
            Slice NameasNeeded[x]
            Definition

            Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.

            ShortTake "as needed" (for x)
            Comments

            MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

            Control0..1
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Extension.extension:asNeeded[x].id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            30. Extension.extension:asNeeded[x].extension
            Definition

            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 manageable, 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.

            ShortAdditional content defined by implementations
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 32. Extension.extension:asNeeded[x].url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed ValueasNeeded[x]
              34. Extension.extension:asNeeded[x].value[x]
              Definition

              Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Specifically if 'boolean' datatype is selected, then the following logic applies: If set to True, this indicates that the medication is only taken when needed, within the specified schedule.

              ShortTake "as needed" (for x)
              Comments

              MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

              Control0..1
              TypeChoice of: boolean, CodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Extension.extension:site[x]
              Slice Namesite[x]
              Definition

              A coded specification of or a reference to the anatomic site where the medication first enters the body.

              ShortWhere (on body) medication is/was administered
              Comments

              MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

              Control0..1
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              38. Extension.extension:site[x].id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              40. Extension.extension:site[x].extension
              Definition

              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 manageable, 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.

              ShortAdditional content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 42. Extension.extension:site[x].url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valuesite[x]
                44. Extension.extension:site[x].value[x]
                Definition

                A coded specification of or a reference to the anatomic site where the medication first enters the body.

                ShortWhere (on body) medication is/was administered
                Comments

                MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                Control0..1
                BindingFor example codes, see R2_approach_site_codes_for_R4 (0.0.1-snapshot-2)
                (example to http://hl7.org/fhir/1.0/ValueSet/R2-approach-site-codes-for-R4|0.0.1-snapshot-2)

                A coded concept describing the site location the medicine enters into or onto the body.

                TypeChoice of: CodeableConcept, Reference
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. Extension.extension:route
                Slice Nameroute
                Definition

                A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.

                ShortHow the medication entered the body
                Comments

                MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                Control0..1
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                48. Extension.extension:route.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                50. Extension.extension:route.extension
                Definition

                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 manageable, 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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 52. Extension.extension:route.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valueroute
                  54. Extension.extension:route.value[x]
                  Definition

                  A code specifying the route or physiological path of administration of a therapeutic agent into or onto a subject.

                  ShortHow the medication entered the body
                  Comments

                  MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                  Control0..1
                  BindingFor example codes, see R2_route_codes_for_R4 (0.0.1-snapshot-2)
                  (example to http://hl7.org/fhir/1.0/ValueSet/R2-route-codes-for-R4|0.0.1-snapshot-2)

                  A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

                  TypeCodeableConcept
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. Extension.extension:method
                  Slice Namemethod
                  Definition

                  A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

                  ShortTechnique used to administer medication
                  Comments

                  MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                  Control0..1
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  58. Extension.extension:method.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  60. Extension.extension:method.extension
                  Definition

                  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 manageable, 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.

                  ShortAdditional content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 62. Extension.extension:method.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valuemethod
                    64. Extension.extension:method.value[x]
                    Definition

                    A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

                    ShortTechnique used to administer medication
                    Comments

                    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                    Control0..1
                    TypeCodeableConcept
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. Extension.extension:quantity[x]
                    Slice Namequantity[x]
                    Definition

                    The amount of therapeutic or other substance given at one administration event.

                    ShortAmount administered in one dose
                    Comments

                    MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                    Control0..1
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    68. Extension.extension:quantity[x].id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    70. Extension.extension:quantity[x].extension
                    Definition

                    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 manageable, 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.

                    ShortAdditional content defined by implementations
                    Comments

                    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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 72. Extension.extension:quantity[x].url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      Fixed Valuequantity[x]
                      74. Extension.extension:quantity[x].value[x]
                      Definition

                      The amount of therapeutic or other substance given at one administration event.

                      ShortAmount administered in one dose
                      Comments

                      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                      Control0..1
                      TypeChoice of: Quantity(SimpleQuantity), Range
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      76. Extension.extension:rate[x]
                      Slice Namerate[x]
                      Definition

                      Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

                      ShortDose quantity per unit of time
                      Comments

                      MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                      Control0..1
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      78. Extension.extension:rate[x].id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      80. Extension.extension:rate[x].extension
                      Definition

                      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 manageable, 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.

                      ShortAdditional content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 82. Extension.extension:rate[x].url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuerate[x]
                        84. Extension.extension:rate[x].value[x]
                        Definition

                        Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Currently we do not specify a default of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

                        ShortDose quantity per unit of time
                        Comments

                        MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                        Control0..1
                        TypeChoice of: Ratio, Range
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        86. Extension.extension:maxDosePerPeriod
                        Slice NamemaxDosePerPeriod
                        Definition

                        The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

                        ShortMaximum dose that was consumed per unit of time
                        Comments

                        MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                        Control0..1
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        88. Extension.extension:maxDosePerPeriod.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        90. Extension.extension:maxDosePerPeriod.extension
                        Definition

                        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 manageable, 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.

                        ShortAdditional content defined by implementations
                        Comments

                        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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 92. Extension.extension:maxDosePerPeriod.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          Fixed ValuemaxDosePerPeriod
                          94. Extension.extension:maxDosePerPeriod.value[x]
                          Definition

                          The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

                          ShortMaximum dose that was consumed per unit of time
                          Comments

                          MedicationStatement.dosage maps to R4 MedicationStatement.dosage. So is mapped as SourceIsNarrowerThanTarget.

                          Control0..1
                          TypeRatio
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          96. Extension.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          Fixed Valuehttp://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationStatement.dosage
                          98. Extension.value[x]
                          Definition

                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                          ShortValue of extension
                          Control0..1
                          TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))