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Medicationdispense.profile.json

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

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

StructureDefinition for medicationdispense

{
  "resourceType" : "StructureDefinition",
  "id" : "MedicationDispense",
  "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/MedicationDispense",
  "version" : "3.6.0",
  "name" : "MedicationDispense",
  "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" : "Обозначает, что лекарственный продукт был или должен быть выдан названному лицу/пациенту. Включает в себя описание и инструкции по применению поставляемого лекарственного продукта. Выдача лекарственного средства - это ответное действие фармацевтической системы на заказ лекарственного средства.",
  "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" : "rx-dispense-rmim",
    "uri" : "http://www.hl7.org/v3/PORX_RM020070UV",
    "name" : "V3 Pharmacy Dispense RMIM"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationDispense",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "MedicationDispense",
      "path" : "MedicationDispense",
      "short" : "Выдача лекарственного средства названному пациенту",
      "definition" : "Обозначает, что лекарственный продукт был или должен быть выдан названному лицу/пациенту. Включает в себя описание и инструкции по применению поставляемого лекарственного продукта. Выдача лекарственного средства - это ответное действие фармацевтической системы на заказ лекарственного средства.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense",
        "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"
      },
      {
        "key" : "mdd-1",
        "severity" : "error",
        "human" : "Дата whenHandedOver не может быть меньше даты whenPrepared",
        "expression" : "whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared",
        "xpath" : "not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "Supply[moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationDispense.id",
      "path" : "MedicationDispense.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" : "MedicationDispense.meta",
      "path" : "MedicationDispense.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" : "MedicationDispense.implicitRules",
      "path" : "MedicationDispense.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" : "MedicationDispense.language",
      "path" : "MedicationDispense.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" : "MedicationDispense.text",
      "path" : "MedicationDispense.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" : "MedicationDispense.contained",
      "path" : "MedicationDispense.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" : "MedicationDispense.extension",
      "path" : "MedicationDispense.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" : "MedicationDispense.modifierExtension",
      "path" : "MedicationDispense.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" : "MedicationDispense.identifier",
      "path" : "MedicationDispense.identifier",
      "short" : "Внешний идентификатор",
      "definition" : "Identifiers associated with this Medication Dispense 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" : "MedicationDispense.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"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.id"
      }]
    },
    {
      "id" : "MedicationDispense.partOf",
      "path" : "MedicationDispense.partOf",
      "short" : "Event that dispense is part of",
      "definition" : "The procedure that trigger the dispense.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.partOf",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationDispense.status",
      "path" : "MedicationDispense.status",
      "short" : "preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown",
      "definition" : "Код состояния ряда событий по выдаче.",
      "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" : "MedicationDispense.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" : "MedicationDispenseStatus"
        }],
        "strength" : "required",
        "description" : "A coded concept specifying the state of the dispense event.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.statusCode"
      }]
    },
    {
      "id" : "MedicationDispense.statusReason[x]",
      "path" : "MedicationDispense.statusReason[x]",
      "short" : "Why a dispense was not performed",
      "definition" : "Indicates the reason why a dispense was not performed.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.statusReason[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispenseStatusReason"
        }],
        "strength" : "example",
        "description" : "A code describing why a dispense was not performed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"
      }]
    },
    {
      "id" : "MedicationDispense.category",
      "path" : "MedicationDispense.category",
      "short" : "Type of medication dispense",
      "definition" : "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
      "comment" : "The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.category",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispenseCategory"
        }],
        "strength" : "preferred",
        "description" : "A code describing where the dispensed medication is expected to be consumed or administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-category"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"
      }]
    },
    {
      "id" : "MedicationDispense.medication[x]",
      "path" : "MedicationDispense.medication[x]",
      "short" : "Какое лекарственное средство было приготовлено",
      "definition" : "Определяет вводимое лекарственное средство. 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" : "MedicationDispense.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" : "A coded concept identifying which substance or product can be dispensed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXD-2-Dispense/Give Code"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRD].role"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationRequest.component1.AdministrationRequest.consumable"
      }]
    },
    {
      "id" : "MedicationDispense.subject",
      "path" : "MedicationDispense.subject",
      "short" : "Кому будет выдано",
      "definition" : "A link to a resource representing the person or the group to whom the medication will be given.",
      "comment" : "SubstanceAdministration->subject->Patient.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.subject",
        "min" : 0,
        "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" : "MedicationDispense.context",
      "path" : "MedicationDispense.context",
      "short" : "Encounter / Episode associated with event",
      "definition" : "The encounter or episode of care that establishes the context for this event.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.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" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
      }]
    },
    {
      "id" : "MedicationDispense.supportingInformation",
      "path" : "MedicationDispense.supportingInformation",
      "short" : "Information that supports the dispensing of the medication",
      "definition" : "Additional information that supports the medication being dispensed.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.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" : "MedicationDispense.performer",
      "path" : "MedicationDispense.performer",
      "short" : "Who performed event",
      "definition" : "Indicates who or what performed the event.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.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" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF]"
      }]
    },
    {
      "id" : "MedicationDispense.performer.id",
      "path" : "MedicationDispense.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" : "MedicationDispense.performer.extension",
      "path" : "MedicationDispense.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" : "MedicationDispense.performer.modifierExtension",
      "path" : "MedicationDispense.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" : "MedicationDispense.performer.function",
      "path" : "MedicationDispense.performer.function",
      "short" : "Who performed the dispense and what they did",
      "definition" : "Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.",
      "requirements" : "Allows disambiguation of the types of involvement of different performers.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.performer.function",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispensePerformerFunction"
        }],
        "strength" : "example",
        "description" : "A code describing the role an individual played in dispensing a medication.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "participation[typeCode=PRF].functionCode"
      }]
    },
    {
      "id" : "MedicationDispense.performer.actor",
      "path" : "MedicationDispense.performer.actor",
      "short" : "Individual who was performing",
      "definition" : "The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.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/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "rim",
        "map" : ".role"
      }]
    },
    {
      "id" : "MedicationDispense.location",
      "path" : "MedicationDispense.location",
      "short" : "Where the dispense occurred",
      "definition" : "The principal physical location where the dispense was performed.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.location",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=LOC].role"
      }]
    },
    {
      "id" : "MedicationDispense.authorizingPrescription",
      "path" : "MedicationDispense.authorizingPrescription",
      "short" : "Заказ на лекарственное средство, который санкционирует приготовление и распределение",
      "definition" : "Обозначает заказ на лекарственное средство, по которому выполняется приготовление и распределение.",
      "comment" : "Maps to basedOn in Event logical model.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.authorizingPrescription",
        "min" : 0,
        "max" : "*"
      },
      "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"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.inFulfillmentOf"
      }]
    },
    {
      "id" : "MedicationDispense.type",
      "path" : "MedicationDispense.type",
      "short" : "Пробная выдача, частичная выдача, неотложная выдача и т. д",
      "definition" : "Обозначает тип события выдачи. Например пробная выдача, завершение испытания, частичная выдача, неотложная выдача, образцы и т. п.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispenseType"
        }],
        "strength" : "example",
        "description" : "Обозначает тип события выдачи. Например пробная выдача, завершение испытания, частичная выдача, неотложная выдача, образцы и т. п.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-33-Dispense Type"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.code"
      }]
    },
    {
      "id" : "MedicationDispense.quantity",
      "path" : "MedicationDispense.quantity",
      "short" : "Приготовленное количество",
      "definition" : "Количество лекарственного средства, которое было приготовлено. Включает единицы измерения.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.quantity",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
      },
      {
        "identity" : "rim",
        "map" : ".quantity"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.quantity"
      }]
    },
    {
      "id" : "MedicationDispense.daysSupply",
      "path" : "MedicationDispense.daysSupply",
      "short" : "Количество лекарственного средства, выраженное в виде временного срока",
      "definition" : "Количество лекарственного средства, выраженное в виде временного срока.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.daysSupply",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component.  This is a formatted string, first character for the time unit (e.g., D=days), followed by the value.  For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration.  This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6.  Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
      },
      {
        "identity" : "rim",
        "map" : "effectiveUseTime"
      }]
    },
    {
      "id" : "MedicationDispense.whenPrepared",
      "path" : "MedicationDispense.whenPrepared",
      "short" : "When product was packaged and reviewed",
      "definition" : "Время, когда приготовленный продукт был упакован и проверен.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.whenPrepared",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-3-Date/Time Dispensed"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime[xmi:type=IVL_TS].low"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
      }]
    },
    {
      "id" : "MedicationDispense.whenHandedOver",
      "path" : "MedicationDispense.whenHandedOver",
      "short" : "Когда продукт был выдан",
      "definition" : "Время, когда приготовленный продукт был выдан пациенту или его представителю.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.whenHandedOver",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXD-3-Date/Time Dispensed"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime[xmi:type=IVL_TS].high"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
      }]
    },
    {
      "id" : "MedicationDispense.destination",
      "path" : "MedicationDispense.destination",
      "short" : "Куда было отправлено лекарственное средство",
      "definition" : "Учреждение/место, куда было отгружено лекарственное средство в рамках события приготовления.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.destination",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=DST].role"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.destination"
      }]
    },
    {
      "id" : "MedicationDispense.receiver",
      "path" : "MedicationDispense.receiver",
      "short" : "Кто забрал лекарственное средство",
      "definition" : "Человек, который забрал лекарственное средство. Как правило, это пациент или тот, кто за ним ухаживает, но существуют случаи, когда это может быть и специалист по медицинскому обеспечению.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.receiver",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=RCV].role"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.receiver"
      }]
    },
    {
      "id" : "MedicationDispense.note",
      "path" : "MedicationDispense.note",
      "short" : "Информация о приготовлении",
      "definition" : "Дополнительная информация о приготовлении, которая не может быть передана в других атрибутах.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "RXD-9 Dispense Notes"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationDispense.dosageInstruction",
      "path" : "MedicationDispense.dosageInstruction",
      "short" : "How the medication is to be used by the patient or administered by the caregiver",
      "definition" : "Indicates how the medication is to be used by the patient.",
      "comment" : "When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.dosageInstruction",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Dosage"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
      }]
    },
    {
      "id" : "MedicationDispense.substitution",
      "path" : "MedicationDispense.substitution",
      "short" : "Whether a substitution was performed on the dispense",
      "definition" : "Indicates whether or not substitution was made as part of the dispense.  In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.substitution",
        "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"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.id",
      "path" : "MedicationDispense.substitution.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" : "MedicationDispense.substitution.extension",
      "path" : "MedicationDispense.substitution.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" : "MedicationDispense.substitution.modifierExtension",
      "path" : "MedicationDispense.substitution.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" : "MedicationDispense.substitution.wasSubstituted",
      "path" : "MedicationDispense.substitution.wasSubstituted",
      "short" : "Whether a substitution was or was not performed on the dispense",
      "definition" : "True if the dispenser dispensed a different drug or product from what was prescribed.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.substitution.wasSubstituted",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".actionNegationInd"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.type",
      "path" : "MedicationDispense.substitution.type",
      "short" : "Код, означающий, был ли приготовлен другой препарат, а не тот, что указан в рецепте",
      "definition" : "Код, означающий, был ли приготовлен другой препарат, а не тот, что указан в рецепте.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationDispense.substitution.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationIntendedSubstitutionType"
        }],
        "strength" : "example",
        "description" : "Закодированное понятие, описывающее, можно ли выдать другое лекарственное средство вместо продукта, указанного в рецепте.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade.code"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.reason",
      "path" : "MedicationDispense.substitution.reason",
      "short" : "Почему была сделана замена",
      "definition" : "Причина замены (или отсутствия замены) того, что было предписано.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.substitution.reason",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationIntendedSubstitutionReason"
        }],
        "strength" : "example",
        "description" : "Закодированное понятие, описывающее причину, по которой другое лекарственное средство следует (или не следует) выдать вместо указанного в рецепте.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".reasonCode"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade.reasonCode"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.responsibleParty",
      "path" : "MedicationDispense.substitution.responsibleParty",
      "short" : "Кто несет ответственность за замену",
      "definition" : "Человек или организация, несущая основную ответственность за эту замену.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.substitution.responsibleParty",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=PFM].role[classCode=ASSIGN]"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade.ResponsibleParty"
      }]
    },
    {
      "id" : "MedicationDispense.detectedIssue",
      "path" : "MedicationDispense.detectedIssue",
      "short" : "Clinical issue with action",
      "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.",
      "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
      "alias" : ["Contraindication",
      "Drug Utilization Review (DUR)",
      "Alert"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationDispense.detectedIssue",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
      }]
    },
    {
      "id" : "MedicationDispense.eventHistory",
      "path" : "MedicationDispense.eventHistory",
      "short" : "A list of relevant lifecycle events",
      "definition" : "A summary of the events of interest that have occurred, such as when the dispense 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" : "MedicationDispense.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" : "MedicationDispense",
      "path" : "MedicationDispense",
      "short" : "Выдача лекарственного средства названному пациенту",
      "definition" : "Обозначает, что лекарственный продукт был или должен быть выдан названному лицу/пациенту. Включает в себя описание и инструкции по применению поставляемого лекарственного продукта. Выдача лекарственного средства - это ответное действие фармацевтической системы на заказ лекарственного средства.",
      "min" : 0,
      "max" : "*",
      "constraint" : [{
        "key" : "mdd-1",
        "severity" : "error",
        "human" : "Дата whenHandedOver не может быть меньше даты whenPrepared",
        "expression" : "whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared",
        "xpath" : "not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "Supply[moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationDispense.identifier",
      "path" : "MedicationDispense.identifier",
      "short" : "Внешний идентификатор",
      "definition" : "Identifiers associated with this Medication Dispense 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"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.id"
      }]
    },
    {
      "id" : "MedicationDispense.partOf",
      "path" : "MedicationDispense.partOf",
      "short" : "Event that dispense is part of",
      "definition" : "The procedure that trigger the dispense.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationDispense.status",
      "path" : "MedicationDispense.status",
      "short" : "preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown",
      "definition" : "Код состояния ряда событий по выдаче.",
      "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" : "MedicationDispenseStatus"
        }],
        "strength" : "required",
        "description" : "A coded concept specifying the state of the dispense event.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.statusCode"
      }]
    },
    {
      "id" : "MedicationDispense.statusReason[x]",
      "path" : "MedicationDispense.statusReason[x]",
      "short" : "Why a dispense was not performed",
      "definition" : "Indicates the reason why a dispense was not performed.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispenseStatusReason"
        }],
        "strength" : "example",
        "description" : "A code describing why a dispense was not performed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"
      }]
    },
    {
      "id" : "MedicationDispense.category",
      "path" : "MedicationDispense.category",
      "short" : "Type of medication dispense",
      "definition" : "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
      "comment" : "The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispenseCategory"
        }],
        "strength" : "preferred",
        "description" : "A code describing where the dispensed medication is expected to be consumed or administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-category"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"
      }]
    },
    {
      "id" : "MedicationDispense.medication[x]",
      "path" : "MedicationDispense.medication[x]",
      "short" : "Какое лекарственное средство было приготовлено",
      "definition" : "Определяет вводимое лекарственное средство. 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" : "A coded concept identifying which substance or product can be dispensed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXD-2-Dispense/Give Code"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRD].role"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationRequest.component1.AdministrationRequest.consumable"
      }]
    },
    {
      "id" : "MedicationDispense.subject",
      "path" : "MedicationDispense.subject",
      "short" : "Кому будет выдано",
      "definition" : "A link to a resource representing the person or the group to whom the medication will be given.",
      "comment" : "SubstanceAdministration->subject->Patient.",
      "min" : 0,
      "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" : "MedicationDispense.context",
      "path" : "MedicationDispense.context",
      "short" : "Encounter / Episode associated with event",
      "definition" : "The encounter or episode of care that establishes the context for this event.",
      "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" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
      }]
    },
    {
      "id" : "MedicationDispense.supportingInformation",
      "path" : "MedicationDispense.supportingInformation",
      "short" : "Information that supports the dispensing of the medication",
      "definition" : "Additional information that supports the medication being dispensed.",
      "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" : "MedicationDispense.performer",
      "path" : "MedicationDispense.performer",
      "short" : "Who performed event",
      "definition" : "Indicates who or what performed the event.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF]"
      }]
    },
    {
      "id" : "MedicationDispense.performer.function",
      "path" : "MedicationDispense.performer.function",
      "short" : "Who performed the dispense and what they did",
      "definition" : "Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.",
      "requirements" : "Allows disambiguation of the types of involvement of different performers.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispensePerformerFunction"
        }],
        "strength" : "example",
        "description" : "A code describing the role an individual played in dispensing a medication.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "participation[typeCode=PRF].functionCode"
      }]
    },
    {
      "id" : "MedicationDispense.performer.actor",
      "path" : "MedicationDispense.performer.actor",
      "short" : "Individual who was performing",
      "definition" : "The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.",
      "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/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "rim",
        "map" : ".role"
      }]
    },
    {
      "id" : "MedicationDispense.location",
      "path" : "MedicationDispense.location",
      "short" : "Where the dispense occurred",
      "definition" : "The principal physical location where the dispense was performed.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=LOC].role"
      }]
    },
    {
      "id" : "MedicationDispense.authorizingPrescription",
      "path" : "MedicationDispense.authorizingPrescription",
      "short" : "Заказ на лекарственное средство, который санкционирует приготовление и распределение",
      "definition" : "Обозначает заказ на лекарственное средство, по которому выполняется приготовление и распределение.",
      "comment" : "Maps to basedOn in Event logical model.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "v2",
        "map" : "ORC-2 Placer Order Number"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.inFulfillmentOf"
      }]
    },
    {
      "id" : "MedicationDispense.type",
      "path" : "MedicationDispense.type",
      "short" : "Пробная выдача, частичная выдача, неотложная выдача и т. д",
      "definition" : "Обозначает тип события выдачи. Например пробная выдача, завершение испытания, частичная выдача, неотложная выдача, образцы и т. п.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationDispenseType"
        }],
        "strength" : "example",
        "description" : "Обозначает тип события выдачи. Например пробная выдача, завершение испытания, частичная выдача, неотложная выдача, образцы и т. п.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-33-Dispense Type"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.code"
      }]
    },
    {
      "id" : "MedicationDispense.quantity",
      "path" : "MedicationDispense.quantity",
      "short" : "Приготовленное количество",
      "definition" : "Количество лекарственного средства, которое было приготовлено. Включает единицы измерения.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
      },
      {
        "identity" : "rim",
        "map" : ".quantity"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.quantity"
      }]
    },
    {
      "id" : "MedicationDispense.daysSupply",
      "path" : "MedicationDispense.daysSupply",
      "short" : "Количество лекарственного средства, выраженное в виде временного срока",
      "definition" : "Количество лекарственного средства, выраженное в виде временного срока.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component.  This is a formatted string, first character for the time unit (e.g., D=days), followed by the value.  For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration.  This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6.  Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
      },
      {
        "identity" : "rim",
        "map" : "effectiveUseTime"
      }]
    },
    {
      "id" : "MedicationDispense.whenPrepared",
      "path" : "MedicationDispense.whenPrepared",
      "short" : "When product was packaged and reviewed",
      "definition" : "Время, когда приготовленный продукт был упакован и проверен.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-3-Date/Time Dispensed"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime[xmi:type=IVL_TS].low"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
      }]
    },
    {
      "id" : "MedicationDispense.whenHandedOver",
      "path" : "MedicationDispense.whenHandedOver",
      "short" : "Когда продукт был выдан",
      "definition" : "Время, когда приготовленный продукт был выдан пациенту или его представителю.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "v2",
        "map" : "RXD-3-Date/Time Dispensed"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime[xmi:type=IVL_TS].high"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
      }]
    },
    {
      "id" : "MedicationDispense.destination",
      "path" : "MedicationDispense.destination",
      "short" : "Куда было отправлено лекарственное средство",
      "definition" : "Учреждение/место, куда было отгружено лекарственное средство в рамках события приготовления.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=DST].role"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.destination"
      }]
    },
    {
      "id" : "MedicationDispense.receiver",
      "path" : "MedicationDispense.receiver",
      "short" : "Кто забрал лекарственное средство",
      "definition" : "Человек, который забрал лекарственное средство. Как правило, это пациент или тот, кто за ним ухаживает, но существуют случаи, когда это может быть и специалист по медицинскому обеспечению.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=RCV].role"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.SupplyEvent.receiver"
      }]
    },
    {
      "id" : "MedicationDispense.note",
      "path" : "MedicationDispense.note",
      "short" : "Информация о приготовлении",
      "definition" : "Дополнительная информация о приготовлении, которая не может быть передана в других атрибутах.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Annotation"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "RXD-9 Dispense Notes"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationDispense.dosageInstruction",
      "path" : "MedicationDispense.dosageInstruction",
      "short" : "How the medication is to be used by the patient or administered by the caregiver",
      "definition" : "Indicates how the medication is to be used by the patient.",
      "comment" : "When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Dosage"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
      }]
    },
    {
      "id" : "MedicationDispense.substitution",
      "path" : "MedicationDispense.substitution",
      "short" : "Whether a substitution was performed on the dispense",
      "definition" : "Indicates whether or not substitution was made as part of the dispense.  In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.wasSubstituted",
      "path" : "MedicationDispense.substitution.wasSubstituted",
      "short" : "Whether a substitution was or was not performed on the dispense",
      "definition" : "True if the dispenser dispensed a different drug or product from what was prescribed.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".actionNegationInd"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.type",
      "path" : "MedicationDispense.substitution.type",
      "short" : "Код, означающий, был ли приготовлен другой препарат, а не тот, что указан в рецепте",
      "definition" : "Код, означающий, был ли приготовлен другой препарат, а не тот, что указан в рецепте.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationIntendedSubstitutionType"
        }],
        "strength" : "example",
        "description" : "Закодированное понятие, описывающее, можно ли выдать другое лекарственное средство вместо продукта, указанного в рецепте.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade.code"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.reason",
      "path" : "MedicationDispense.substitution.reason",
      "short" : "Почему была сделана замена",
      "definition" : "Причина замены (или отсутствия замены) того, что было предписано.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationIntendedSubstitutionReason"
        }],
        "strength" : "example",
        "description" : "Закодированное понятие, описывающее причину, по которой другое лекарственное средство следует (или не следует) выдать вместо указанного в рецепте.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".reasonCode"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade.reasonCode"
      }]
    },
    {
      "id" : "MedicationDispense.substitution.responsibleParty",
      "path" : "MedicationDispense.substitution.responsibleParty",
      "short" : "Кто несет ответственность за замену",
      "definition" : "Человек или организация, несущая основную ответственность за эту замену.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=PFM].role[classCode=ASSIGN]"
      },
      {
        "identity" : "rx-dispense-rmim",
        "map" : "CombinedMedicationDispense.substitutionMade.ResponsibleParty"
      }]
    },
    {
      "id" : "MedicationDispense.detectedIssue",
      "path" : "MedicationDispense.detectedIssue",
      "short" : "Clinical issue with action",
      "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.",
      "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
      "alias" : ["Contraindication",
      "Drug Utilization Review (DUR)",
      "Alert"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
      }]
    },
    {
      "id" : "MedicationDispense.eventHistory",
      "path" : "MedicationDispense.eventHistory",
      "short" : "A list of relevant lifecycle events",
      "definition" : "A summary of the events of interest that have occurred, such as when the dispense 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.