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Medicationstatement.profile.json

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

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

StructureDefinition for medicationstatement

{
  "resourceType" : "StructureDefinition",
  "id" : "MedicationStatement",
  "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" : 3
  },
  {
    "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/MedicationStatement",
  "version" : "3.6.0",
  "name" : "MedicationStatement",
  "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" : "Запись о том, что лекарственное средство было употреблено пациентом. MedicationStatement может указывать на то, что пациент может принимать медикамент в текущее время, или принял медикамент в прошлом, или примет медикамент в будущем. Источником этой информации может выступать пациент, кто-то значимый для него (член семьи или супруг) или клиницист. Распространённым сценарием, когда вводится такая информация, является процесс сбора анамнеза пациента во время его визита или пребывания. Информация о медикаменте может сообщаться пациентом по памяти, быть взята из предписания на бутылочке с лекарством или из списка медикаментов, поддерживаемого пациентом, клиницистом или другой стороной \r\rОсновное различие между заявлением о медикаменте и введением медикамента в том, что введение медикамента содержит полную информацию о введении и основывается на реальной информации о введении от человека, который ввёл этот медикамент. Заявление о медикаменте часто, если не всегда, будет менее точным. В нём нет обязательного указания даты/времени, когда медикамент был введён, на деле мы знаем только, что источник сообщил о том, что пациент принимает этот медикамент, и такие детали, как время, количество, скорость или даже название медицинского препарата могут быть неполными, неточными или отсутствовать. Как указано выше, информация для заявления о медикаменте может идти из памяти пациента, из предписания на бутылочке или из списка медикаментов, поддерживаемого пациентом, клиницистом или другой стороной. Введение медикамента является более официальным, и в нём нет отсутствующих деталей информации.",
  "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"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationStatement",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "MedicationStatement",
      "path" : "MedicationStatement",
      "short" : "Запись о том, что лекарственное средство было принято пациентом",
      "definition" : "Запись о том, что лекарственное средство было употреблено пациентом. MedicationStatement может указывать на то, что пациент может принимать медикамент в текущее время, или принял медикамент в прошлом, или примет медикамент в будущем. Источником этой информации может выступать пациент, кто-то значимый для него (член семьи или супруг) или клиницист. Распространённым сценарием, когда вводится такая информация, является процесс сбора анамнеза пациента во время его визита или пребывания. Информация о медикаменте может сообщаться пациентом по памяти, быть взята из предписания на бутылочке с лекарством или из списка медикаментов, поддерживаемого пациентом, клиницистом или другой стороной \r\rОсновное различие между заявлением о медикаменте и введением медикамента в том, что введение медикамента содержит полную информацию о введении и основывается на реальной информации о введении от человека, который ввёл этот медикамент. Заявление о медикаменте часто, если не всегда, будет менее точным. В нём нет обязательного указания даты/времени, когда медикамент был введён, на деле мы знаем только, что источник сообщил о том, что пациент принимает этот медикамент, и такие детали, как время, количество, скорость или даже название медицинского препарата могут быть неполными, неточными или отсутствовать. Как указано выше, информация для заявления о медикаменте может идти из памяти пациента, из предписания на бутылочке или из списка медикаментов, поддерживаемого пациентом, клиницистом или другой стороной. Введение медикамента является более официальным, и в нём нет отсутствующих деталей информации.",
      "comment" : "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement",
        "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" : "MedicationStatement.id",
      "path" : "MedicationStatement.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" : "MedicationStatement.meta",
      "path" : "MedicationStatement.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" : "MedicationStatement.implicitRules",
      "path" : "MedicationStatement.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" : "MedicationStatement.language",
      "path" : "MedicationStatement.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" : "MedicationStatement.text",
      "path" : "MedicationStatement.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" : "MedicationStatement.contained",
      "path" : "MedicationStatement.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" : "MedicationStatement.extension",
      "path" : "MedicationStatement.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" : "MedicationStatement.modifierExtension",
      "path" : "MedicationStatement.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" : "MedicationStatement.identifier",
      "path" : "MedicationStatement.identifier",
      "short" : "Внешний идентификатор",
      "definition" : "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "MedicationStatement.basedOn",
      "path" : "MedicationStatement.basedOn",
      "short" : "Fulfils plan, proposal or order",
      "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
      "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.basedOn",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
      }]
    },
    {
      "id" : "MedicationStatement.partOf",
      "path" : "MedicationStatement.partOf",
      "short" : "Part of referenced event",
      "definition" : "A larger event of which this particular event is a component or step.",
      "requirements" : "This should not be used when indicating which resource a MedicationStatement has been derived from.  If that is the use case, then MedicationStatement.derivedFrom should be used.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.partOf",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
        "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
        "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
        "http://hl7.org/fhir/StructureDefinition/Procedure",
        "http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationStatement.status",
      "path" : "MedicationStatement.status",
      "short" : "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken",
      "definition" : "Код, представляющий собой суждение пациента или другого источника о статусе использованного медикамента, о котором сделано заявление. Как правило, это будет статус active или completed.",
      "comment" : "MedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis 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" : "MedicationStatement.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" : "MedicationStatementStatus"
        }],
        "strength" : "required",
        "description" : "A coded concept indicating the current status of a MedicationStatement.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "id" : "MedicationStatement.statusReason",
      "path" : "MedicationStatement.statusReason",
      "short" : "Reason for current status",
      "definition" : "Captures the reason for the current state of the MedicationStatement.",
      "comment" : "This is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.statusReason",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationStatementStatusReason"
        }],
        "strength" : "example",
        "description" : "A coded concept indicating the reason for the status of the statement.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
      }]
    },
    {
      "id" : "MedicationStatement.category",
      "path" : "MedicationStatement.category",
      "short" : "Type of medication usage",
      "definition" : "Indicates where the medication is expected to be consumed or administered.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationStatement.category",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationStatementCategory"
        }],
        "strength" : "preferred",
        "description" : "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
      }]
    },
    {
      "id" : "MedicationStatement.medication[x]",
      "path" : "MedicationStatement.medication[x]",
      "short" : "Какое именно лекарственное средство было принято?",
      "definition" : "Идентифицирует лекарственное средство, которое было введено. Это либо ссылка на ресурс, представляющий подробное описание медикамента, либо простой атрибут с кодом медикамента из известного списка лекарственных средств.",
      "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" : "MedicationStatement.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 the substance or product being taken.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
      }]
    },
    {
      "id" : "MedicationStatement.subject",
      "path" : "MedicationStatement.subject",
      "short" : "Кто принимал/принимает этот медикамент",
      "definition" : "The person, animal or group who is/was taking the medication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "MedicationStatement.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" : "MedicationStatement.context",
      "path" : "MedicationStatement.context",
      "short" : "Encounter / Episode associated with MedicationStatement",
      "definition" : "The encounter or episode of care that establishes the context for this MedicationStatement.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationStatement.context",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
        "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
      }]
    },
    {
      "id" : "MedicationStatement.effective[x]",
      "path" : "MedicationStatement.effective[x]",
      "short" : "The date/time or interval when the medication is/was/will taken",
      "definition" : "The interval of time during which it is being asserted that the patient is/was/will be taking the medication ( or was not taking, when the MedicationStatement.taken element is No).",
      "comment" : "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted.  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationStatement.effective[x]",
        "min" : 0,
        "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" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "MedicationStatement.dateAsserted",
      "path" : "MedicationStatement.dateAsserted",
      "short" : "Когда было сделано это заявление?",
      "definition" : "Дата, когда источником информации было сделано это заявление о приеме медикамента.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationStatement.dateAsserted",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].time"
      }]
    },
    {
      "id" : "MedicationStatement.informationSource",
      "path" : "MedicationStatement.informationSource",
      "short" : "Person or organization that provided the information about the taking of this medication",
      "definition" : "The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "MedicationStatement.informationSource",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)"
      }]
    },
    {
      "id" : "MedicationStatement.derivedFrom",
      "path" : "MedicationStatement.derivedFrom",
      "short" : "Дополнительная вспомогательная информация",
      "definition" : "Позволяет связывать MedicationStatement с лежащим в его основе MedicationOrder или с другой информацией, вспомогательной или используемой для вывода MedicationStatement.",
      "comment" : "Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.derivedFrom",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationStatement.reasonCode",
      "path" : "MedicationStatement.reasonCode",
      "short" : "Причина, почему это лекарственное средство принимается/было принято",
      "definition" : "Причина, почему это лекарственное средство принимается/было принято.",
      "comment" : "Это может быть код диагноза. Если имеется полная запись клинического состояния или требуются дополнительные детали, используйте reasonForUseReference.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.reasonCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationReason"
        }],
        "strength" : "example",
        "description" : "A coded concept identifying why the medication is being taken.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "MedicationStatement.reasonReference",
      "path" : "MedicationStatement.reasonReference",
      "short" : "Condition or observation that supports why the medication is being/was taken",
      "definition" : "Condition or observation that supports why the medication is being/was taken.",
      "comment" : "Это ссылка на ресурс Condition, являющийся обоснованием для принятия этого медикамента. Если имеется только код, используйте reasonForUseCode.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.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\"].value"
      }]
    },
    {
      "id" : "MedicationStatement.note",
      "path" : "MedicationStatement.note",
      "short" : "Дополнительная информация о заявлении",
      "definition" : "Дополнительная информация о заявлении о принятии медикамента, которая не передается другими атрибутами.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.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" : "MedicationStatement.dosage",
      "path" : "MedicationStatement.dosage",
      "short" : "Details of how medication is/was taken or should be taken",
      "definition" : "Indicates how the medication is/was or should be taken by the patient.",
      "comment" : "The dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "MedicationStatement.dosage",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Dosage"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "refer dosageInstruction mapping"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "MedicationStatement",
      "path" : "MedicationStatement",
      "short" : "Запись о том, что лекарственное средство было принято пациентом",
      "definition" : "Запись о том, что лекарственное средство было употреблено пациентом. MedicationStatement может указывать на то, что пациент может принимать медикамент в текущее время, или принял медикамент в прошлом, или примет медикамент в будущем. Источником этой информации может выступать пациент, кто-то значимый для него (член семьи или супруг) или клиницист. Распространённым сценарием, когда вводится такая информация, является процесс сбора анамнеза пациента во время его визита или пребывания. Информация о медикаменте может сообщаться пациентом по памяти, быть взята из предписания на бутылочке с лекарством или из списка медикаментов, поддерживаемого пациентом, клиницистом или другой стороной \r\rОсновное различие между заявлением о медикаменте и введением медикамента в том, что введение медикамента содержит полную информацию о введении и основывается на реальной информации о введении от человека, который ввёл этот медикамент. Заявление о медикаменте часто, если не всегда, будет менее точным. В нём нет обязательного указания даты/времени, когда медикамент был введён, на деле мы знаем только, что источник сообщил о том, что пациент принимает этот медикамент, и такие детали, как время, количество, скорость или даже название медицинского препарата могут быть неполными, неточными или отсутствовать. Как указано выше, информация для заявления о медикаменте может идти из памяти пациента, из предписания на бутылочке или из списка медикаментов, поддерживаемого пациентом, клиницистом или другой стороной. Введение медикамента является более официальным, и в нём нет отсутствующих деталей информации.",
      "comment" : "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "SubstanceAdministration"
      }]
    },
    {
      "id" : "MedicationStatement.identifier",
      "path" : "MedicationStatement.identifier",
      "short" : "Внешний идентификатор",
      "definition" : "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "MedicationStatement.basedOn",
      "path" : "MedicationStatement.basedOn",
      "short" : "Fulfils plan, proposal or order",
      "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
      "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
      }]
    },
    {
      "id" : "MedicationStatement.partOf",
      "path" : "MedicationStatement.partOf",
      "short" : "Part of referenced event",
      "definition" : "A larger event of which this particular event is a component or step.",
      "requirements" : "This should not be used when indicating which resource a MedicationStatement has been derived from.  If that is the use case, then MedicationStatement.derivedFrom should be used.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
        "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
        "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
        "http://hl7.org/fhir/StructureDefinition/Procedure",
        "http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationStatement.status",
      "path" : "MedicationStatement.status",
      "short" : "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken",
      "definition" : "Код, представляющий собой суждение пациента или другого источника о статусе использованного медикамента, о котором сделано заявление. Как правило, это будет статус active или completed.",
      "comment" : "MedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis 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" : "MedicationStatementStatus"
        }],
        "strength" : "required",
        "description" : "A coded concept indicating the current status of a MedicationStatement.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "id" : "MedicationStatement.statusReason",
      "path" : "MedicationStatement.statusReason",
      "short" : "Reason for current status",
      "definition" : "Captures the reason for the current state of the MedicationStatement.",
      "comment" : "This is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationStatementStatusReason"
        }],
        "strength" : "example",
        "description" : "A coded concept indicating the reason for the status of the statement.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
      }]
    },
    {
      "id" : "MedicationStatement.category",
      "path" : "MedicationStatement.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"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationStatementCategory"
        }],
        "strength" : "preferred",
        "description" : "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
      }]
    },
    {
      "id" : "MedicationStatement.medication[x]",
      "path" : "MedicationStatement.medication[x]",
      "short" : "Какое именно лекарственное средство было принято?",
      "definition" : "Идентифицирует лекарственное средство, которое было введено. Это либо ссылка на ресурс, представляющий подробное описание медикамента, либо простой атрибут с кодом медикамента из известного списка лекарственных средств.",
      "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 the substance or product being taken.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
      }]
    },
    {
      "id" : "MedicationStatement.subject",
      "path" : "MedicationStatement.subject",
      "short" : "Кто принимал/принимает этот медикамент",
      "definition" : "The person, animal or group who is/was taking 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" : "MedicationStatement.context",
      "path" : "MedicationStatement.context",
      "short" : "Encounter / Episode associated with MedicationStatement",
      "definition" : "The encounter or episode of care that establishes the context for this MedicationStatement.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
        "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
      }]
    },
    {
      "id" : "MedicationStatement.effective[x]",
      "path" : "MedicationStatement.effective[x]",
      "short" : "The date/time or interval when the medication is/was/will taken",
      "definition" : "The interval of time during which it is being asserted that the patient is/was/will be taking the medication ( or was not taking, when the MedicationStatement.taken element is No).",
      "comment" : "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted.  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "MedicationStatement.dateAsserted",
      "path" : "MedicationStatement.dateAsserted",
      "short" : "Когда было сделано это заявление?",
      "definition" : "Дата, когда источником информации было сделано это заявление о приеме медикамента.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].time"
      }]
    },
    {
      "id" : "MedicationStatement.informationSource",
      "path" : "MedicationStatement.informationSource",
      "short" : "Person or organization that provided the information about the taking of this medication",
      "definition" : "The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)"
      }]
    },
    {
      "id" : "MedicationStatement.derivedFrom",
      "path" : "MedicationStatement.derivedFrom",
      "short" : "Дополнительная вспомогательная информация",
      "definition" : "Позволяет связывать MedicationStatement с лежащим в его основе MedicationOrder или с другой информацией, вспомогательной или используемой для вывода MedicationStatement.",
      "comment" : "Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"
      }]
    },
    {
      "id" : "MedicationStatement.reasonCode",
      "path" : "MedicationStatement.reasonCode",
      "short" : "Причина, почему это лекарственное средство принимается/было принято",
      "definition" : "Причина, почему это лекарственное средство принимается/было принято.",
      "comment" : "Это может быть код диагноза. Если имеется полная запись клинического состояния или требуются дополнительные детали, используйте reasonForUseReference.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationReason"
        }],
        "strength" : "example",
        "description" : "A coded concept identifying why the medication is being taken.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "MedicationStatement.reasonReference",
      "path" : "MedicationStatement.reasonReference",
      "short" : "Condition or observation that supports why the medication is being/was taken",
      "definition" : "Condition or observation that supports why the medication is being/was taken.",
      "comment" : "Это ссылка на ресурс Condition, являющийся обоснованием для принятия этого медикамента. Если имеется только код, используйте reasonForUseCode.",
      "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\"].value"
      }]
    },
    {
      "id" : "MedicationStatement.note",
      "path" : "MedicationStatement.note",
      "short" : "Дополнительная информация о заявлении",
      "definition" : "Дополнительная информация о заявлении о принятии медикамента, которая не передается другими атрибутами.",
      "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" : "MedicationStatement.dosage",
      "path" : "MedicationStatement.dosage",
      "short" : "Details of how medication is/was taken or should be taken",
      "definition" : "Indicates how the medication is/was or should be taken by the patient.",
      "comment" : "The dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Dosage"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "refer dosageInstruction mapping"
      }]
    }]
  }
}

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