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Medicationadministration.profile.json

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for medicationadministration

{
  "resourceType" : "StructureDefinition",
  "id" : "MedicationAdministration",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "phx"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "version" : "3.6.0",
  "name" : "MedicationAdministration",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Pharmacy)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
    }]
  }],
  "description" : "Описывает событие употребления пациентом или другого введения лекарственного средства. Может быть как простым - проглотить таблетку, так и длительным вливанием.\r\rСвязанные ресурсы привязывают это событие к его санкционирующему предписанию (authorizing prescription) и конкретной встрече (encounter) пациента и медицинского специалиста (health care practitioner).",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "w3c.prov",
    "uri" : "http://www.w3.org/ns/prov",
    "name" : "W3C PROV"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationAdministration",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "MedicationAdministration",
      "path" : "MedicationAdministration",
      "short" : "Введение лекарственного средства пациенту",
      "definition" : "Описывает событие употребления пациентом или другого введения лекарственного средства. Может быть как простым - проглотить таблетку, так и длительным вливанием.\r\rСвязанные ресурсы привязывают это событие к его санкционирующему предписанию (authorizing prescription) и конкретной встрече (encounter) пациента и медицинского специалиста (health care practitioner).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "SubstanceAdministration"
      }]
    },
    {
      "id" : "MedicationAdministration.id",
      "path" : "MedicationAdministration.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "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" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "MedicationAdministration.meta",
      "path" : "MedicationAdministration.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "MedicationAdministration.implicitRules",
      "path" : "MedicationAdministration.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "MedicationAdministration.language",
      "path" : "MedicationAdministration.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "MedicationAdministration.text",
      "path" : "MedicationAdministration.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "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 \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "MedicationAdministration.contained",
      "path" : "MedicationAdministration.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "MedicationAdministration.extension",
      "path" : "MedicationAdministration.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "MedicationAdministration.modifierExtension",
      "path" : "MedicationAdministration.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "MedicationAdministration.identifier",
      "path" : "MedicationAdministration.identifier",
      "short" : "Внешний идентификатор",
      "definition" : "Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "MedicationAdministration.instantiates",
      "path" : "MedicationAdministration.instantiates",
      "short" : "Instantiates protocol or definition",
      "definition" : "A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.instantiates",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.instantiates"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"
      }]
    },
    {
      "id" : "MedicationAdministration.partOf",
      "path" : "MedicationAdministration.partOf",
      "short" : "Part of referenced event",
      "definition" : "A larger event of which this particular event is a component or step.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.partOf",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
        "http://hl7.org/fhir/StructureDefinition/Procedure"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationAdministration.status",
      "path" : "MedicationAdministration.status",
      "short" : "in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown",
      "definition" : "Устанавливается, как правило, для указания, что введение было завершено. Для некоторых длительных введений, например вливаний, возможно состояние, когда введение начато, но не завершено или приостановлено на время, пока идет другой процесс.",
      "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationStatus"
        }],
        "strength" : "required",
        "description" : "Коды, обозначающие текущий статус данного ресурса MedicationAdministration.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "v2",
        "map" : "RXA-20-Completion Status"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "id" : "MedicationAdministration.statusReason",
      "path" : "MedicationAdministration.statusReason",
      "short" : "Причина, по которой введение не было выполнено",
      "definition" : "Код, указывающий почему введение не было выполнено.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.statusReason",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationNegationReason"
        }],
        "strength" : "example",
        "description" : "Коды причины, почему данный ресурс MedicationAdministration передаёт отрицательное утверждение.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "v2",
        "map" : "RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value"
      }]
    },
    {
      "id" : "MedicationAdministration.category",
      "path" : "MedicationAdministration.category",
      "short" : "Type of medication usage",
      "definition" : "Indicates where the medication is expected to be consumed or administered.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.category",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationCategory"
        }],
        "strength" : "preferred",
        "description" : "A coded concept describing where the medication administered is expected to occur.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-category"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
      }]
    },
    {
      "id" : "MedicationAdministration.medication[x]",
      "path" : "MedicationAdministration.medication[x]",
      "short" : "Что было введено?",
      "definition" : "Определяет лекарственное средство, которое было введено. Это либо ссылка на ресурс, представляющий детали лекарственного средства, либо простой атрибут с кодом лекарственного средства из известного списка медикаментов.",
      "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example if you require form or lot number, then you must reference the Medication resource.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.medication[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationCode"
        }],
        "strength" : "example",
        "description" : "Codes identifying substance or product that can be administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXA-5-Administered Code"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=CSM].role[classCode=ADMM]"
      }]
    },
    {
      "id" : "MedicationAdministration.subject",
      "path" : "MedicationAdministration.subject",
      "short" : "Кто получил лекарственное средство?",
      "definition" : "The person or animal or group receiving the medication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.subject",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3-Patient ID List"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "MedicationAdministration.context",
      "path" : "MedicationAdministration.context",
      "short" : "Encounter or Episode of Care administered as part of",
      "definition" : "Визит, госпитализация или другой вид контакта пациента и поставщика медицинских услуг, в рамках которого было введено данное лекарственное средство.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.context",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
        "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "v2",
        "map" : "PV1-19-Visit Number"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
      }]
    },
    {
      "id" : "MedicationAdministration.supportingInformation",
      "path" : "MedicationAdministration.supportingInformation",
      "short" : "Additional information to support administration",
      "definition" : "Additional information (for example, patient height and weight) that supports the administration of the medication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.supportingInformation",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
      }]
    },
    {
      "id" : "MedicationAdministration.effective[x]",
      "path" : "MedicationAdministration.effective[x]",
      "short" : "Время начала и окончания введения",
      "definition" : "Дата/время или период, в течение которого происходило введение (или не происходило, если значение атрибута 'notGiven' установлено в true). Для большинства случаев, например глотание таблетки, больше подходит использовать дату/время.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.effective[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "MedicationAdministration.performer",
      "path" : "MedicationAdministration.performer",
      "short" : "Who performed the medication administration and what they did",
      "definition" : "Indicates who or what performed the medication administration and how they were involved.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.performer",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      },
      {
        "identity" : "v2",
        "map" : "RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF]"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.id",
      "path" : "MedicationAdministration.performer.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.extension",
      "path" : "MedicationAdministration.performer.extension",
      "short" : "Additional content defined by implementations",
      "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.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.modifierExtension",
      "path" : "MedicationAdministration.performer.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.function",
      "path" : "MedicationAdministration.performer.function",
      "short" : "Type of performance",
      "definition" : "Distinguishes the type of involvement of the performer in the medication administration.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.performer.function",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationPerformerFunction"
        }],
        "strength" : "example",
        "description" : "A code describing the role an individual played in administering the medication.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/med-admin-perform-function"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.function"
      },
      {
        "identity" : "rim",
        "map" : "participation[typeCode=PRF].functionCode"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.actor",
      "path" : "MedicationAdministration.performer.actor",
      "short" : "Who performed the medication administration",
      "definition" : "Indicates who or what performed the medication administration.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.performer.actor",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "rim",
        "map" : ".role"
      }]
    },
    {
      "id" : "MedicationAdministration.reasonCode",
      "path" : "MedicationAdministration.reasonCode",
      "short" : "Основание выполнения введения",
      "definition" : "Код, указывающий, почему лекарственное средство было выдано.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.reasonCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationReason"
        }],
        "strength" : "example",
        "description" : "Коды причины, почему была сделана данная запись MedicationAdministration.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-given-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "v2",
        "map" : "RXE-27 Give Indication"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "MedicationAdministration.reasonReference",
      "path" : "MedicationAdministration.reasonReference",
      "short" : "Condition or observation that supports why the medication was administered",
      "definition" : "Condition or observation that supports why the medication was administered.",
      "comment" : "This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.reasonReference",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value"
      },
      {
        "identity" : "w3c.prov",
        "map" : "no mapping"
      }]
    },
    {
      "id" : "MedicationAdministration.request",
      "path" : "MedicationAdministration.request",
      "short" : "Request administration performed against",
      "definition" : "Исходный запрос, указание или полномочие на выполнение введения.",
      "comment" : "This is a reference to the MedicationRequest  where the intent is either order or instance-order.  It should not reference MedicationRequests where the intent is any other value.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.request",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "v2",
        "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
      },
      {
        "identity" : "rim",
        "map" : "InFullfillmentOf->SubstanceAdministration"
      }]
    },
    {
      "id" : "MedicationAdministration.device",
      "path" : "MedicationAdministration.device",
      "short" : "Устройство, используемое для введения",
      "definition" : "Устройство, используемое для введения лекарственного средства пациенту. Например конкретный инфузионный насос.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.device",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "PRT-10 Participation Device / RXR-3 Administrative Device"
      },
      {
        "identity" : "rim",
        "map" : "device->Access  OR device->AssignedDevice"
      }]
    },
    {
      "id" : "MedicationAdministration.note",
      "path" : "MedicationAdministration.note",
      "short" : "Информация о введении",
      "definition" : "Дополнительная информация о введении лекарственного средства, которая не может быть передана в других атрибутах.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage",
      "path" : "MedicationAdministration.dosage",
      "short" : "Подробности о том, каким образом был принят медикамент",
      "definition" : "Сведения о дозировке, например доза, скорость, место, способ и т. д.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      },
      {
        "key" : "mad-1",
        "severity" : "error",
        "human" : "Обязательно указать dosage.quantity или dosage.rate[x]",
        "expression" : "dose.exists() or rate.exists()",
        "xpath" : "exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "component->SubstanceAdministrationEvent"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.id",
      "path" : "MedicationAdministration.dosage.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.extension",
      "path" : "MedicationAdministration.dosage.extension",
      "short" : "Additional content defined by implementations",
      "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.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.modifierExtension",
      "path" : "MedicationAdministration.dosage.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.text",
      "path" : "MedicationAdministration.dosage.text",
      "short" : "Инструкции по дозировке в свободной текстовой форме, например SIG",
      "definition" : "Произвольные текстовые дозировки могут использоваться в случаях, когда введённая доза слишком сложная для кодирования. Если присутствует кодированная дозировка, произвольная текстовая дозировка также может присутствовать для отображения людям.\r\rИнструкции по дозировке должны отражать дозировку медикамента, которая была введена.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".text"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.site",
      "path" : "MedicationAdministration.dosage.site",
      "short" : "Анатомическое расположение, куда ввели",
      "definition" : "Кодированное указание анатомического расположения, где медикамент вводится в тело. Например \"левая рука\".",
      "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage.site",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationSite"
        }],
        "strength" : "example",
        "description" : "Закодированный концепт, описывающий анатомическое расположение, где лекарство попадает в или на тело.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXR-2 Administration Site / RXR-6 Administration Site Modifier"
      },
      {
        "identity" : "rim",
        "map" : ".approachSiteCode"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.route",
      "path" : "MedicationAdministration.dosage.route",
      "short" : "Путь вещества в теле",
      "definition" : "Код, обозначающий способ ввода или физиологический путь введения терапевтического средства в или на пациента. Например местный, внутривенный и т. д.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage.route",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RouteOfAdministration"
        }],
        "strength" : "example",
        "description" : "Закодированный концепт, описывающий способ или физиологический путь введения терапевтического средства в или на тело субъекта.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXR-1-Route"
      },
      {
        "identity" : "rim",
        "map" : ".routeCode"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.method",
      "path" : "MedicationAdministration.dosage.method",
      "short" : "Как препарат был введен",
      "definition" : "Закодированное значение, обозначающее метод введения лекарственного средства в или на тело. Чаще всего этот атрибут заполняться не будет. Используется в основном для инъекций. Например медленное внутривенное вливание, глубокое внутримышечное вливание.",
      "comment" : "Одна из причин, почему этот атрибут нечасто используется, состоит в том, что метод часто указывается вместе с местом и/или формой введения. Это означает, что коды, используемые для указания места или формы введения, могут одновременно устанавливать и метод. Решение реализаторов, какую кодовую систему использовать для указания пути или формы введения, будет определять, насколько часто будет заполняться код метода, например, если код пути или формы устанавливает код метода, тогда этот атрибут будет заполняться нечасто; если не устанавливает, тогда код метода будет указываться часто.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage.method",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationMethod"
        }],
        "strength" : "example",
        "description" : "Закодированный концепт, описывающий метод введения лекарства.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXR-4-Administration Method"
      },
      {
        "identity" : "rim",
        "map" : ".methodCode"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.dose",
      "path" : "MedicationAdministration.dosage.dose",
      "short" : "Amount of medication per dose",
      "definition" : "Количество лекарственного средства, данного при одном введении. Используйте это значение, когда введение является, по сути, мгновенным событием, таким как проглотить таблетку или сделать инъекцию.",
      "comment" : "If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage.dose",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-6 Administered Amount / RXA-7 Administered Units"
      },
      {
        "identity" : "rim",
        "map" : ".doseQuantity"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.rate[x]",
      "path" : "MedicationAdministration.dosage.rate[x]",
      "short" : "Количество дозы в единицу времени",
      "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.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.",
      "comment" : "Если скорость изменяется со временем, и вы хотите зафиксировать это в ресурсе MedicationAdministration, тогда для каждого изменения потребуется отдельный MedicationAdministration, где будет указан элемент MedicationAdministration.dosage.rate и дата/время, когда произошло изменение скорости. Для передачи усреднённого значения скорости элемент MedicationAdministration.dosage.rate, как правило, не используется.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationAdministration.dosage.rate[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Ratio"
      },
      {
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-12-Administered Per (Time Unit)"
      },
      {
        "identity" : "rim",
        "map" : ".rateQuantity"
      }]
    },
    {
      "id" : "MedicationAdministration.eventHistory",
      "path" : "MedicationAdministration.eventHistory",
      "short" : "A list of events of interest in the lifecycle",
      "definition" : "A summary of the events of interest that have occurred, such as when the administration was verified.",
      "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationAdministration.eventHistory",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "MedicationAdministration",
      "path" : "MedicationAdministration",
      "short" : "Введение лекарственного средства пациенту",
      "definition" : "Описывает событие употребления пациентом или другого введения лекарственного средства. Может быть как простым - проглотить таблетку, так и длительным вливанием.\r\rСвязанные ресурсы привязывают это событие к его санкционирующему предписанию (authorizing prescription) и конкретной встрече (encounter) пациента и медицинского специалиста (health care practitioner).",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "SubstanceAdministration"
      }]
    },
    {
      "id" : "MedicationAdministration.identifier",
      "path" : "MedicationAdministration.identifier",
      "short" : "Внешний идентификатор",
      "definition" : "Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "MedicationAdministration.instantiates",
      "path" : "MedicationAdministration.instantiates",
      "short" : "Instantiates protocol or definition",
      "definition" : "A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "uri"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.instantiates"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"
      }]
    },
    {
      "id" : "MedicationAdministration.partOf",
      "path" : "MedicationAdministration.partOf",
      "short" : "Part of referenced event",
      "definition" : "A larger event of which this particular event is a component or step.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
        "http://hl7.org/fhir/StructureDefinition/Procedure"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationAdministration.status",
      "path" : "MedicationAdministration.status",
      "short" : "in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown",
      "definition" : "Устанавливается, как правило, для указания, что введение было завершено. Для некоторых длительных введений, например вливаний, возможно состояние, когда введение начато, но не завершено или приостановлено на время, пока идет другой процесс.",
      "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationStatus"
        }],
        "strength" : "required",
        "description" : "Коды, обозначающие текущий статус данного ресурса MedicationAdministration.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "v2",
        "map" : "RXA-20-Completion Status"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "id" : "MedicationAdministration.statusReason",
      "path" : "MedicationAdministration.statusReason",
      "short" : "Причина, по которой введение не было выполнено",
      "definition" : "Код, указывающий почему введение не было выполнено.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationNegationReason"
        }],
        "strength" : "example",
        "description" : "Коды причины, почему данный ресурс MedicationAdministration передаёт отрицательное утверждение.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "v2",
        "map" : "RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value"
      }]
    },
    {
      "id" : "MedicationAdministration.category",
      "path" : "MedicationAdministration.category",
      "short" : "Type of medication usage",
      "definition" : "Indicates where the medication is expected to be consumed or administered.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationCategory"
        }],
        "strength" : "preferred",
        "description" : "A coded concept describing where the medication administered is expected to occur.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-category"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
      }]
    },
    {
      "id" : "MedicationAdministration.medication[x]",
      "path" : "MedicationAdministration.medication[x]",
      "short" : "Что было введено?",
      "definition" : "Определяет лекарственное средство, которое было введено. Это либо ссылка на ресурс, представляющий детали лекарственного средства, либо простой атрибут с кодом лекарственного средства из известного списка медикаментов.",
      "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example if you require form or lot number, then you must reference the Medication resource.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationCode"
        }],
        "strength" : "example",
        "description" : "Codes identifying substance or product that can be administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXA-5-Administered Code"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=CSM].role[classCode=ADMM]"
      }]
    },
    {
      "id" : "MedicationAdministration.subject",
      "path" : "MedicationAdministration.subject",
      "short" : "Кто получил лекарственное средство?",
      "definition" : "The person or animal or group receiving the medication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3-Patient ID List"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "MedicationAdministration.context",
      "path" : "MedicationAdministration.context",
      "short" : "Encounter or Episode of Care administered as part of",
      "definition" : "Визит, госпитализация или другой вид контакта пациента и поставщика медицинских услуг, в рамках которого было введено данное лекарственное средство.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
        "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "v2",
        "map" : "PV1-19-Visit Number"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
      }]
    },
    {
      "id" : "MedicationAdministration.supportingInformation",
      "path" : "MedicationAdministration.supportingInformation",
      "short" : "Additional information to support administration",
      "definition" : "Additional information (for example, patient height and weight) that supports the administration of the medication.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
      }]
    },
    {
      "id" : "MedicationAdministration.effective[x]",
      "path" : "MedicationAdministration.effective[x]",
      "short" : "Время начала и окончания введения",
      "definition" : "Дата/время или период, в течение которого происходило введение (или не происходило, если значение атрибута 'notGiven' установлено в true). Для большинства случаев, например глотание таблетки, больше подходит использовать дату/время.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "MedicationAdministration.performer",
      "path" : "MedicationAdministration.performer",
      "short" : "Who performed the medication administration and what they did",
      "definition" : "Indicates who or what performed the medication administration and how they were involved.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      },
      {
        "identity" : "v2",
        "map" : "RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF]"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.function",
      "path" : "MedicationAdministration.performer.function",
      "short" : "Type of performance",
      "definition" : "Distinguishes the type of involvement of the performer in the medication administration.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationPerformerFunction"
        }],
        "strength" : "example",
        "description" : "A code describing the role an individual played in administering the medication.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/med-admin-perform-function"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.function"
      },
      {
        "identity" : "rim",
        "map" : "participation[typeCode=PRF].functionCode"
      }]
    },
    {
      "id" : "MedicationAdministration.performer.actor",
      "path" : "MedicationAdministration.performer.actor",
      "short" : "Who performed the medication administration",
      "definition" : "Indicates who or what performed the medication administration.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "rim",
        "map" : ".role"
      }]
    },
    {
      "id" : "MedicationAdministration.reasonCode",
      "path" : "MedicationAdministration.reasonCode",
      "short" : "Основание выполнения введения",
      "definition" : "Код, указывающий, почему лекарственное средство было выдано.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationReason"
        }],
        "strength" : "example",
        "description" : "Коды причины, почему была сделана данная запись MedicationAdministration.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-given-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "v2",
        "map" : "RXE-27 Give Indication"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "MedicationAdministration.reasonReference",
      "path" : "MedicationAdministration.reasonReference",
      "short" : "Condition or observation that supports why the medication was administered",
      "definition" : "Condition or observation that supports why the medication was administered.",
      "comment" : "This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value"
      },
      {
        "identity" : "w3c.prov",
        "map" : "no mapping"
      }]
    },
    {
      "id" : "MedicationAdministration.request",
      "path" : "MedicationAdministration.request",
      "short" : "Request administration performed against",
      "definition" : "Исходный запрос, указание или полномочие на выполнение введения.",
      "comment" : "This is a reference to the MedicationRequest  where the intent is either order or instance-order.  It should not reference MedicationRequests where the intent is any other value.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "v2",
        "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
      },
      {
        "identity" : "rim",
        "map" : "InFullfillmentOf->SubstanceAdministration"
      }]
    },
    {
      "id" : "MedicationAdministration.device",
      "path" : "MedicationAdministration.device",
      "short" : "Устройство, используемое для введения",
      "definition" : "Устройство, используемое для введения лекарственного средства пациенту. Например конкретный инфузионный насос.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "PRT-10 Participation Device / RXR-3 Administrative Device"
      },
      {
        "identity" : "rim",
        "map" : "device->Access  OR device->AssignedDevice"
      }]
    },
    {
      "id" : "MedicationAdministration.note",
      "path" : "MedicationAdministration.note",
      "short" : "Информация о введении",
      "definition" : "Дополнительная информация о введении лекарственного средства, которая не может быть передана в других атрибутах.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Annotation"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage",
      "path" : "MedicationAdministration.dosage",
      "short" : "Подробности о том, каким образом был принят медикамент",
      "definition" : "Сведения о дозировке, например доза, скорость, место, способ и т. д.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "mad-1",
        "severity" : "error",
        "human" : "Обязательно указать dosage.quantity или dosage.rate[x]",
        "expression" : "dose.exists() or rate.exists()",
        "xpath" : "exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "component->SubstanceAdministrationEvent"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.text",
      "path" : "MedicationAdministration.dosage.text",
      "short" : "Инструкции по дозировке в свободной текстовой форме, например SIG",
      "definition" : "Произвольные текстовые дозировки могут использоваться в случаях, когда введённая доза слишком сложная для кодирования. Если присутствует кодированная дозировка, произвольная текстовая дозировка также может присутствовать для отображения людям.\r\rИнструкции по дозировке должны отражать дозировку медикамента, которая была введена.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".text"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.site",
      "path" : "MedicationAdministration.dosage.site",
      "short" : "Анатомическое расположение, куда ввели",
      "definition" : "Кодированное указание анатомического расположения, где медикамент вводится в тело. Например \"левая рука\".",
      "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationSite"
        }],
        "strength" : "example",
        "description" : "Закодированный концепт, описывающий анатомическое расположение, где лекарство попадает в или на тело.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXR-2 Administration Site / RXR-6 Administration Site Modifier"
      },
      {
        "identity" : "rim",
        "map" : ".approachSiteCode"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.route",
      "path" : "MedicationAdministration.dosage.route",
      "short" : "Путь вещества в теле",
      "definition" : "Код, обозначающий способ ввода или физиологический путь введения терапевтического средства в или на пациента. Например местный, внутривенный и т. д.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RouteOfAdministration"
        }],
        "strength" : "example",
        "description" : "Закодированный концепт, описывающий способ или физиологический путь введения терапевтического средства в или на тело субъекта.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXR-1-Route"
      },
      {
        "identity" : "rim",
        "map" : ".routeCode"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.method",
      "path" : "MedicationAdministration.dosage.method",
      "short" : "Как препарат был введен",
      "definition" : "Закодированное значение, обозначающее метод введения лекарственного средства в или на тело. Чаще всего этот атрибут заполняться не будет. Используется в основном для инъекций. Например медленное внутривенное вливание, глубокое внутримышечное вливание.",
      "comment" : "Одна из причин, почему этот атрибут нечасто используется, состоит в том, что метод часто указывается вместе с местом и/или формой введения. Это означает, что коды, используемые для указания места или формы введения, могут одновременно устанавливать и метод. Решение реализаторов, какую кодовую систему использовать для указания пути или формы введения, будет определять, насколько часто будет заполняться код метода, например, если код пути или формы устанавливает код метода, тогда этот атрибут будет заполняться нечасто; если не устанавливает, тогда код метода будет указываться часто.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationAdministrationMethod"
        }],
        "strength" : "example",
        "description" : "Закодированный концепт, описывающий метод введения лекарства.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXR-4-Administration Method"
      },
      {
        "identity" : "rim",
        "map" : ".methodCode"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.dose",
      "path" : "MedicationAdministration.dosage.dose",
      "short" : "Amount of medication per dose",
      "definition" : "Количество лекарственного средства, данного при одном введении. Используйте это значение, когда введение является, по сути, мгновенным событием, таким как проглотить таблетку или сделать инъекцию.",
      "comment" : "If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-6 Administered Amount / RXA-7 Administered Units"
      },
      {
        "identity" : "rim",
        "map" : ".doseQuantity"
      }]
    },
    {
      "id" : "MedicationAdministration.dosage.rate[x]",
      "path" : "MedicationAdministration.dosage.rate[x]",
      "short" : "Количество дозы в единицу времени",
      "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.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.",
      "comment" : "Если скорость изменяется со временем, и вы хотите зафиксировать это в ресурсе MedicationAdministration, тогда для каждого изменения потребуется отдельный MedicationAdministration, где будет указан элемент MedicationAdministration.dosage.rate и дата/время, когда произошло изменение скорости. Для передачи усреднённого значения скорости элемент MedicationAdministration.dosage.rate, как правило, не используется.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Ratio"
      },
      {
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-12-Administered Per (Time Unit)"
      },
      {
        "identity" : "rim",
        "map" : ".rateQuantity"
      }]
    },
    {
      "id" : "MedicationAdministration.eventHistory",
      "path" : "MedicationAdministration.eventHistory",
      "short" : "A list of events of interest in the lifecycle",
      "definition" : "A summary of the events of interest that have occurred, such as when the administration was verified.",
      "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.