R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Medication.profile.xml

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Not linked to any defined compartments

Raw XML (canonical form)

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StructureDefinition for medication

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Medication"/> 
  <meta> 
    <lastUpdated value="2017-12-20T15:52:34.818+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="Medication : This resource is primarily used for the identification and definition of
             a medication for the purposes of prescribing, dispensing, and administering a medication
             as well as for making statements about medication use.">Medication</span> 
            <a name="Medication"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6" title="Ballot Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Definition of a Medication
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="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.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource, and may 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 &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. In order to make the use of extensions safe and manageable, there is
             a strict set of governance  applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="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.
             Usually modifier elements provide negation or qualification. In order to make the use
             of extensions safe and manageable, there is a strict set of governance applied to the
             definition and use of extensions. Though any implementer is allowed to define an extension,
             there is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.">modifierExtension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Medication.code : A code (or set of codes) that specify this medication, or a textual
             description if no code is available. Usage note: This could be a standard medication code
             such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local
             formulary code, optionally with translations to other code systems.">code</span> 
            <a name="Medication.code"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Codes that identify this medication
            <br/>  
            <a href="valueset-medication-codes.html" title="A coded concept that defines the type of a medication">SNOMED CT Medication Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Medication.status : A code to indicate if the medication is in active use.">status</span> 
            <a name="Medication.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">active | inactive | entered-in-error
            <br/>  
            <a href="valueset-medication-status.html" title="A coded concept defining if the medication is in active use">MedicationStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Medication.manufacturer : Describes the details of the manufacturer of the medication
             product.  This is not intended to represent the distributor of a medication product.">manufacturer</span> 
            <a name="Medication.manufacturer"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Manufacturer of the item</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="Medication.form : Describes the form of the item.  Powder; tablets; capsule.">form</span> 
            <a name="Medication.form"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">powder | tablets | capsule +
            <br/>  
            <a href="valueset-medication-form-codes.html" title="A coded concept defining the form of a medication">SNOMED CT Form Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
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            <span title="Medication.amount : Specific amount of the drug in the packaged product.  For example,
             when specifying a product that has the same strength (For example, Insulin glargine 100
             unit per mL solution for injection), this attribute provides additional clarification
             of the package amount (For example, 3 mL, 10mL, etc).">amount</span> 
            <a name="Medication.amount"> </a> 
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> 
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            <span title="Medication.ingredient : Identifies a particular constituent of interest in the product.">ingredient</span> 
            <a name="Medication.ingredient"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
          </td> 
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            <span title="Medication.ingredient.item[x] : The actual ingredient - either a substance (simple ingredient)
             or another medication.">item[x]</span> 
            <a name="Medication.ingredient.item_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">The product contained</td> 
        </tr> 

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            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="substance.html">Substance</a>  | 
            <a href="medication.html">Medication</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
        </tr> 

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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <span title="Medication.ingredient.isActive : Indication of whether this ingredient affects the therapeutic
             action of the drug.">isActive</span> 
            <a name="Medication.ingredient.isActive"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Active ingredient indicator</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
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            <span title="Medication.ingredient.amount : Specifies how many (or how much) of the items there are
             in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where
             the numerator is 250mg and the denominator is 1 tablet.">amount</span> 
            <a name="Medication.ingredient.amount"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Ratio">Ratio</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Quantity of ingredient present</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="Medication.batch : Information that only applies to packages (not products).">batch</span> 
            <a name="Medication.batch"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Details about packaged medications</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
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            <span title="Medication.batch.lotNumber : The assigned lot number of a batch of the specified product.">lotNumber</span> 
            <a name="Medication.batch.lotNumber"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Identifier assigned to batch</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          AASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Medication.batch.expirationDate : When this specific batch of product will expire.">expirationDate</span> 
            <a name="Medication.batch.expirationDate"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">When batch will expire</td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="phx"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
  <name value="Medication"/> 
  <status value="draft"/> 
  <date value="2017-12-20T15:52:34+11:00"/> 
  <publisher value="Health Level Seven International (Pharmacy)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/medication/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="This resource is primarily used for the identification and definition of a medication
   for the purposes of prescribing, dispensing, and administering a medication as well as
   for making statements about medication use."/> 
  <fhirVersion value="3.2.0"/> 
  <mapping> 
    <identity value="script10.6"/> 
    <uri value="http://ncpdp.org/SCRIPT10_6"/> 
    <name value="Mapping to NCPDP SCRIPT 10.6"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/w5"/> 
    <name value="W5 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Medication"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="Medication">
      <path value="Medication"/> 
      <short value="Definition of a Medication"/> 
      <definition value="This resource is primarily used for the identification and definition of a medication
       for the purposes of prescribing, dispensing, and administering a medication as well as
       for making statements about medication use."/> 
      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="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"/> 
        <expression value="contained.all(('#'+id in %resource.descendants().reference) or descendants().where(reference
         = '#').exists())"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="NewRx/MedicationPrescribed
-or-
RxFill/MedicationDispensed
-or-
RxHistoryResponse/MedicationDispensed
-or-
RxHistoryResponse/MedicationPrescribed"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="ManufacturedProduct[classCode=ADMM]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.medication"/> 
      </mapping> 
    </element> 
    <element id="Medication.id">
      <path value="Medication.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="Medication.meta">
      <path value="Medication.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="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."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="Medication.implicitRules">
      <path value="Medication.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/> 
      <comment value="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. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Medication.language">
      <path value="Medication.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="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)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="A human language."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/languages"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="Medication.text">
      <path value="Medication.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource, and may 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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="Contained resources do not have 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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-1"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Medication.contained">
      <path value="Medication.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/> 
      <comment value="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."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Medication.extension">
      <path value="Medication.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Medication.modifierExtension">
      <path value="Medication.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Medication.code">
      <path value="Medication.code"/> 
      <short value="Codes that identify this medication"/> 
      <definition value="A code (or set of codes) that specify this medication, or a textual description if no
       code is available. Usage note: This could be a standard medication code such as a code
       from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code,
       optionally with translations to other code systems."/> 
      <comment value="Depending on the context of use, the code that was actually selected by the user (prescriber,
       dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding
       datatype: &quot;A coding may be marked as a &quot;userSelected&quot; if a user selected
       the particular coded value in a user interface (e.g. the user selects an item in a pick-list).
       If a user selected coding exists, it is the preferred choice for performing translations
       etc. Other codes can only be literal translations to alternative code systems, or codes
       at a lower level of granularity (e.g. a generic code for a vendor-specific primary one)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationFormalRepresentation"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept that defines the type of a medication"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode

coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier

coding.display = //element(*,MedicationType)/DrugDescription"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code
         / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="class"/> 
      </mapping> 
    </element> 
    <element id="Medication.status">
      <path value="Medication.status"/> 
      <short value="active | inactive | entered-in-error"/> 
      <definition value="A code to indicate if the medication is in active use."/> 
      <comment value="This status is intended to identify if the medication in a local system is in active use
       within a drug database or inventory.  For example, a pharmacy system may create a new
       drug file record for a compounded product &quot;ABC Hospital Special Cream&quot; with
       an active status.  At some point in the future, it may be determined that the drug record
       was created with an error and the status is changed to &quot;entered in error&quot;. 
        This status is not intended to specify if a medication is part of a particular formulary.
        It is possible that the drug record may be referenced by multiple formularies or catalogues
       and each of those entries would have a separate status."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept defining if the medication is in active use"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
    </element> 
    <element id="Medication.manufacturer">
      <path value="Medication.manufacturer"/> 
      <short value="Manufacturer of the item"/> 
      <definition value="Describes the details of the manufacturer of the medication product.  This is not intended
       to represent the distributor of a medication product."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance
         Manufacturer Name"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player.scopingRole[typeCode=MANU].scoper"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="Medication.form">
      <path value="Medication.form"/> 
      <short value="powder | tablets | capsule +"/> 
      <definition value="Describes the form of the item.  Powder; tablets; capsule."/> 
      <comment value="When Medication is referenced from MedicationRequest, this is the ordered form.  When
       Medication is referenced within MedicationDispense, this is the dispensed form.  When
       Medication is referenced within MedicationAdministration, this is administered form."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationForm"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept defining the form of a medication"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-form-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="coding.code =  //element(*,DrugCodedType)/FormCode

coding.system = //element(*,DrugCodedType)/FormSourceCode"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give
         Dosage Form / RXA-8-Administered Dosage Form"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".formCode"/> 
      </mapping> 
    </element> 
    <element id="Medication.amount">
      <path value="Medication.amount"/> 
      <short value="Amount of drug in package"/> 
      <definition value="Specific amount of the drug in the packaged product.  For example, when specifying a product
       that has the same strength (For example, Insulin glargine 100 unit per mL solution for
       injection), this attribute provides additional clarification of the package amount (For
       example, 3 mL, 10mL, etc)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".quantity"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient">
      <path value="Medication.ingredient"/> 
      <short value="Active or inactive ingredient"/> 
      <definition value="Identifies a particular constituent of interest in the product."/> 
      <comment value="The ingredients need not be a complete list.  If an ingredient is not specified, this
       does not indicate whether an ingredient is present or absent.  If an ingredient is specified
       it does not mean that all ingredients are specified.  It is possible to specify both inactive
       and active ingredients."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scopesRole[typeCode=INGR]"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.id">
      <path value="Medication.ingredient.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.extension">
      <path value="Medication.ingredient.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.modifierExtension">
      <path value="Medication.ingredient.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.item[x]">
      <path value="Medication.ingredient.item[x]"/> 
      <short value="The product contained"/> 
      <definition value="The actual ingredient - either a substance (simple ingredient) or another medication."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode

coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier

coding.display = //element(*,MedicationType)/DrugDescription"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Gi
        ve Code / RXG-4-Give Code / RXA-5-Administered Code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.isActive">
      <path value="Medication.ingredient.isActive"/> 
      <short value="Active ingredient indicator"/> 
      <definition value="Indication of whether this ingredient affects the therapeutic action of the drug."/> 
      <requirements value="True indicates that the ingredient affects the therapeutic action of the drug (i.e. active).
       
False indicates that the ingredient does not affect the therapeutic action of the drug
       (i.e. inactive)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="NA"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.amount">
      <path value="Medication.ingredient.amount"/> 
      <short value="Quantity of ingredient present"/> 
      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example,
       250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the
       denominator is 1 tablet."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="//element(*,DrugCodedType)/Strength"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXC-3-Component Amount &amp; RXC-4-Component Units  if medication: RXO-2-Requested Give
         Amount - Minimum &amp; RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum
         &amp; RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount &amp; RXO-12-Requested
         Dispense Units / RXE-3-Give Amount - Minimum &amp; RXE-5-Give Units / RXE-4-Give Amount
         - Maximum &amp; RXE-5-Give Units / RXE-10-Dispense Amount &amp; RXE-10-Dispense Units"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".quantity"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch">
      <path value="Medication.batch"/> 
      <short value="Details about packaged medications"/> 
      <definition value="Information that only applies to packages (not products)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player[classCode=CONT]"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.id">
      <path value="Medication.batch.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.extension">
      <path value="Medication.batch.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.modifierExtension">
      <path value="Medication.batch.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.lotNumber">
      <path value="Medication.batch.lotNumber"/> 
      <short value="Identifier assigned to batch"/> 
      <definition value="The assigned lot number of a batch of the specified product."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.expirationDate">
      <path value="Medication.batch.expirationDate"/> 
      <short value="When batch will expire"/> 
      <definition value="When this specific batch of product will expire."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Medication">
      <path value="Medication"/> 
      <short value="Definition of a Medication"/> 
      <definition value="This resource is primarily used for the identification and definition of a medication
       for the purposes of prescribing, dispensing, and administering a medication as well as
       for making statements about medication use."/> 
      <min value="0"/> 
      <max value="*"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="NewRx/MedicationPrescribed
-or-
RxFill/MedicationDispensed
-or-
RxHistoryResponse/MedicationDispensed
-or-
RxHistoryResponse/MedicationPrescribed"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="ManufacturedProduct[classCode=ADMM]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.medication"/> 
      </mapping> 
    </element> 
    <element id="Medication.code">
      <path value="Medication.code"/> 
      <short value="Codes that identify this medication"/> 
      <definition value="A code (or set of codes) that specify this medication, or a textual description if no
       code is available. Usage note: This could be a standard medication code such as a code
       from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code,
       optionally with translations to other code systems."/> 
      <comment value="Depending on the context of use, the code that was actually selected by the user (prescriber,
       dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding
       datatype: &quot;A coding may be marked as a &quot;userSelected&quot; if a user selected
       the particular coded value in a user interface (e.g. the user selects an item in a pick-list).
       If a user selected coding exists, it is the preferred choice for performing translations
       etc. Other codes can only be literal translations to alternative code systems, or codes
       at a lower level of granularity (e.g. a generic code for a vendor-specific primary one)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationFormalRepresentation"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept that defines the type of a medication"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode

coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier

coding.display = //element(*,MedicationType)/DrugDescription"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code
         / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="class"/> 
      </mapping> 
    </element> 
    <element id="Medication.status">
      <path value="Medication.status"/> 
      <short value="active | inactive | entered-in-error"/> 
      <definition value="A code to indicate if the medication is in active use."/> 
      <comment value="This status is intended to identify if the medication in a local system is in active use
       within a drug database or inventory.  For example, a pharmacy system may create a new
       drug file record for a compounded product &quot;ABC Hospital Special Cream&quot; with
       an active status.  At some point in the future, it may be determined that the drug record
       was created with an error and the status is changed to &quot;entered in error&quot;. 
        This status is not intended to specify if a medication is part of a particular formulary.
        It is possible that the drug record may be referenced by multiple formularies or catalogues
       and each of those entries would have a separate status."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept defining if the medication is in active use"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
    </element> 
    <element id="Medication.manufacturer">
      <path value="Medication.manufacturer"/> 
      <short value="Manufacturer of the item"/> 
      <definition value="Describes the details of the manufacturer of the medication product.  This is not intended
       to represent the distributor of a medication product."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance
         Manufacturer Name"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player.scopingRole[typeCode=MANU].scoper"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="Medication.form">
      <path value="Medication.form"/> 
      <short value="powder | tablets | capsule +"/> 
      <definition value="Describes the form of the item.  Powder; tablets; capsule."/> 
      <comment value="When Medication is referenced from MedicationRequest, this is the ordered form.  When
       Medication is referenced within MedicationDispense, this is the dispensed form.  When
       Medication is referenced within MedicationAdministration, this is administered form."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationForm"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept defining the form of a medication"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-form-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="coding.code =  //element(*,DrugCodedType)/FormCode

coding.system = //element(*,DrugCodedType)/FormSourceCode"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give
         Dosage Form / RXA-8-Administered Dosage Form"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".formCode"/> 
      </mapping> 
    </element> 
    <element id="Medication.amount">
      <path value="Medication.amount"/> 
      <short value="Amount of drug in package"/> 
      <definition value="Specific amount of the drug in the packaged product.  For example, when specifying a product
       that has the same strength (For example, Insulin glargine 100 unit per mL solution for
       injection), this attribute provides additional clarification of the package amount (For
       example, 3 mL, 10mL, etc)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".quantity"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient">
      <path value="Medication.ingredient"/> 
      <short value="Active or inactive ingredient"/> 
      <definition value="Identifies a particular constituent of interest in the product."/> 
      <comment value="The ingredients need not be a complete list.  If an ingredient is not specified, this
       does not indicate whether an ingredient is present or absent.  If an ingredient is specified
       it does not mean that all ingredients are specified.  It is possible to specify both inactive
       and active ingredients."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scopesRole[typeCode=INGR]"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.item[x]">
      <path value="Medication.ingredient.item[x]"/> 
      <short value="The product contained"/> 
      <definition value="The actual ingredient - either a substance (simple ingredient) or another medication."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode

coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier

coding.display = //element(*,MedicationType)/DrugDescription"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Gi
        ve Code / RXG-4-Give Code / RXA-5-Administered Code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.isActive">
      <path value="Medication.ingredient.isActive"/> 
      <short value="Active ingredient indicator"/> 
      <definition value="Indication of whether this ingredient affects the therapeutic action of the drug."/> 
      <requirements value="True indicates that the ingredient affects the therapeutic action of the drug (i.e. active).
       
False indicates that the ingredient does not affect the therapeutic action of the drug
       (i.e. inactive)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="NA"/> 
      </mapping> 
    </element> 
    <element id="Medication.ingredient.amount">
      <path value="Medication.ingredient.amount"/> 
      <short value="Quantity of ingredient present"/> 
      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example,
       250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the
       denominator is 1 tablet."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="//element(*,DrugCodedType)/Strength"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXC-3-Component Amount &amp; RXC-4-Component Units  if medication: RXO-2-Requested Give
         Amount - Minimum &amp; RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum
         &amp; RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount &amp; RXO-12-Requested
         Dispense Units / RXE-3-Give Amount - Minimum &amp; RXE-5-Give Units / RXE-4-Give Amount
         - Maximum &amp; RXE-5-Give Units / RXE-10-Dispense Amount &amp; RXE-10-Dispense Units"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".quantity"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch">
      <path value="Medication.batch"/> 
      <short value="Details about packaged medications"/> 
      <definition value="Information that only applies to packages (not products)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player[classCode=CONT]"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.lotNumber">
      <path value="Medication.batch.lotNumber"/> 
      <short value="Identifier assigned to batch"/> 
      <definition value="The assigned lot number of a batch of the specified product."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Medication.batch.expirationDate">
      <path value="Medication.batch.expirationDate"/> 
      <short value="When batch will expire"/> 
      <definition value="When this specific batch of product will expire."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> 
      </mapping> 
    </element> 
  </differential> 
</StructureDefinition> 

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