{
  "resourceType" : "StructureDefinition",
  "id" : "a47656ee-1c67-4611-b60e-3b058f1b72a2-48",
  "url" : "http://hl7.org/fhir/comparison/StructureDefinition/a47656ee-1c67-4611-b60e-3b058f1b72a2-48",
  "name" : "IntersectionMedicationAndMedication",
  "title" : "Intersection of Medication And Medication",
  "status" : "active",
  "date" : "2026-01-12T14:24:12+00:00",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "NL"
    }]
  }],
  "snapshot" : {
    "element" : [{
      "path" : "Medication",
      "short" : "Product",
      "definition" : "The prescribed product is usually a medicine. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Strictly speaking, food and blood products do not belong in the medication category, but can be prescribed and supplied by a pharmacy as well. \r\r\nA type of medication can be indicated with a single code. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary. \r\r\nIn addition to a primary code, alternative codes from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example).  \r\r\nEntering multiple ingredients will enable you to display a compound product. If one of the composite parts is liquid, the dosage will be given in milliliters; otherwise it will be given in ‘units’. \r\r\nIn that case, the composition of the medication can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) substance(s) of the medication. \r\nPrescriptions to be prepared by the pharmacy can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.",
      "alias" : ["Geneesmiddel"],
      "min" : 0,
      "max" : "*",
      "constraint" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "not(parent::f:contained and f:contained)"
        }],
        "key" : "dom-2",
        "severity" : "error",
        "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "expression" : "contained.contained.empty()",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "not(parent::f:contained and f:text)"
        }],
        "key" : "dom-1",
        "severity" : "error",
        "human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
        "expression" : "contained.text.empty()",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
        }],
        "key" : "dom-4",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"
        }],
        "key" : "dom-3",
        "severity" : "error",
        "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
        "expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
        "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "script10.6",
        "map" : "NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"
      },
      {
        "identity" : "rim",
        "map" : "ManufacturedProduct[classCode=ADMM]"
      },
      {
        "identity" : "w5",
        "map" : "clinical.medication"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19926",
        "comment" : "FarmaceuticalProduct"
      }]
    },
    {
      "path" : "Medication.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",
      "type" : [{
        "code" : "id"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "path" : "Medication.meta",
      "short" : "Metadata about the resource",
      "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Meta"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "path" : "Medication.implicitRules",
      "short" : "A set of rules under which this content was created",
      "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
      "comment" : "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "mustSupport" : false,
      "isModifier" : true,
      "isSummary" : true
    },
    {
      "path" : "Medication.language",
      "short" : "Language of the resource content",
      "definition" : "The base language in which the resource is written.",
      "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "strength" : "extensible",
        "description" : "A human language.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "path" : "Medication.text",
      "short" : "Text summary of the resource, for human interpretation",
      "definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
      "comment" : "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 in formation is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Narrative"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "path" : "Medication.contained",
      "short" : "Contained, inline Resources",
      "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
      "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Resource"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.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 resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.modifierExtension",
      "short" : "Extensions that cannot be ignored",
      "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. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : true,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.code",
      "short" : "Codes that identify this medication",
      "definition" : "A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.",
      "comment" : "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "example" : [{
        "label" : "Example of Medication code",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.113883.2.4.4.8",
            "code" : "13610554",
            "display" : "Carbasalaatcalcium Sandoz 600 30 sac"
          }]
        }
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationFormalRepresentation"
        }],
        "strength" : "example",
        "description" : "A coded concept that defines the type of a medication",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes",
        "_valueSet" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
            "valueUrl" : "Reference"
          }]
        }
      },
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
      },
      {
        "identity" : "v2",
        "map" : "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "w5",
        "map" : "class"
      }]
    },
    {
      "path" : "Medication.code.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.code.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.code.coding",
      "short" : "MedicationCode",
      "definition" : "Coding medication in the Netherlands is done on the basis of the G standard (issued by Z-index), which is filled under the direction of KNMP. \r\r\nThe coded medication can be expressed as: \r\r\n - GTIN International Article Number\r\n - KNMP article number = ATKODE (2.16.840.1.113883.2.4.4.8)\r - Trade product code (HPK)\r\n - Prescription code (PRK)\r\n - Generic product code (GPK)\r\n - Anatomic Therapeutic Classification code (ATC)\r\n - SNOMED CT code\r\n - Substance Name Code (SNK)\r\n - Substance Name Code, in combination with Route of Administration (SSK)\r\n - 90.000.000 number (individual code setting) (or similar from the facility)\r\r\nThe GTIN enables identification of the product including its origin with a barcode. \r\nThe ATKODE is the number with which wholesalers link the article to pharmacy systems (e.g. a box with 3 strips of 10 tablets). \r\nThe HPK is the code for the trade product (with the brand name) as used per dose/per time the medication is taken (1 pill, 1 puff, 1ml) \r\nThe PRK codes for the same product as the HPK does, but is not linked to a manufacturer (no brand name, no characteristics such as color, geometrical shape etc.). This code will enable a generic prescription, while still defining which trade product can be taken (e.g. a 200ml bag). \r\nThe generic product code defines the composition of a product, and is sufficient for recording the prescription, but not the order. \r\nThe prescription code (PRK) was developed and added to the older generic (GPK) and supplier-specific (HPK, ATKODE) coding to enable a generic product to be entered without listing a specific brand on the one hand, and to enable providing enough information to support the pharmacy supplying it on the other.  \r\r\nThe Substance Name Code (SNK) and the Substance Name Code, in combination with Route of Administration (SSK) are used to prescribe at a more generic level. \r\r\nThe GTIN coding is used for the implementation of a barcode scanning standard and to be able to trace the origin of the product. \r\r\nThe 90.000.000 number is used in accordance with national agreements.",
      "comment" : "It is possible to capture multiple product codes with .coding elements. These product codes need to be related to each other. It should not be possible that two different product codes result in two medication products: only more generic product codes are allowed next to the original product code.",
      "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "alias" : ["ProductCode",
      "Geneesmiddel code"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Coding"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.1-8, C*E.10-22"
      },
      {
        "identity" : "rim",
        "map" : "union(., ./translation)"
      },
      {
        "identity" : "orim",
        "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19927",
        "comment" : "MedicationCode"
      }]
    },
    {
      "path" : "Medication.code.text",
      "short" : "Medication",
      "definition" : "There is no code for medication entered in free text. In these cases, enter the complete description.",
      "comment" : "Very often the text is the same as a displayName of one of the codings.",
      "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "alias" : ["ProductNaam",
      "Geneesmiddel"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "example" : [{
        "label" : "Example of Medication as free text",
        "valueString" : "PARACETAMOL 500MG TABLET"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.9. But note many systems use C*E.2 for this"
      },
      {
        "identity" : "rim",
        "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
      },
      {
        "identity" : "orim",
        "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19929",
        "comment" : "Medication"
      }]
    },
    {
      "path" : "Medication.status",
      "short" : "active | inactive | entered-in-error",
      "definition" : "A code to indicate if the medication is in active use.",
      "comment" : "This status is not intended to specify if a medication is part of a formulary.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "strength" : "required",
        "description" : "A coded concept defining if the medication is in active use",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-status"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "path" : "Medication.isBrand",
      "short" : "True if a brand",
      "definition" : "Set to true if the item is attributable to a specific manufacturer.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : "true if .player.scopingRole[typeCode=MANU] exists"
      },
      {
        "identity" : "w5",
        "map" : "class"
      }]
    },
    {
      "path" : "Medication.isOverTheCounter",
      "short" : "True if medication does not require a prescription",
      "definition" : "Set to true if the medication can be obtained without an order from a prescriber.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "NA"
      },
      {
        "identity" : "w5",
        "map" : "class"
      }]
    },
    {
      "path" : "Medication.manufacturer",
      "short" : "Manufacturer of the item",
      "definition" : "Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "v2",
        "map" : "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
      },
      {
        "identity" : "rim",
        "map" : ".player.scopingRole[typeCode=MANU].scoper"
      },
      {
        "identity" : "w5",
        "map" : "who.actor"
      }]
    },
    {
      "path" : "Medication.form",
      "short" : "PharmaceuticalForm",
      "definition" : "The pharmaceutical form indicates the form of the medication in accordance with the route of administration. Examples include: tablet, suppository, infusion liquid, ointment. If the product has a generic code in the G standard, the form will be known in the G standard. For products without a code (free text, preparation by the pharmacy), the means of administration can be entered.",
      "comment" : "When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.",
      "alias" : ["FarmaceutischeVorm"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "example" : [{
        "label" : "Example of Pharmaceutical form",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.113883.2.4.4.11",
            "code" : "230",
            "display" : "TABLET"
          }]
        }
      }],
      "mustSupport" : true,
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "strength" : "required",
        "description" : "FarmaceutischeVormCodelijst",
        "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.8--20171231000000"
      },
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"
      },
      {
        "identity" : "v2",
        "map" : "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
      },
      {
        "identity" : "rim",
        "map" : ".formCode"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19931",
        "comment" : "PharmaceuticalForm"
      }]
    },
    {
      "path" : "Medication.form.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.form.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.form.coding",
      "short" : "Code defined by a terminology system",
      "definition" : "A reference to a code defined by a terminology system.",
      "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Coding"
      }],
      "mustSupport" : true,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.1-8, C*E.10-22"
      },
      {
        "identity" : "rim",
        "map" : "union(., ./translation)"
      },
      {
        "identity" : "orim",
        "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
      }]
    },
    {
      "path" : "Medication.form.coding.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.form.coding.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.form.coding.system",
      "short" : "Identity of the terminology system",
      "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
      "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
      "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.3"
      },
      {
        "identity" : "rim",
        "map" : "./codeSystem"
      },
      {
        "identity" : "orim",
        "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
      }]
    },
    {
      "path" : "Medication.form.coding.version",
      "short" : "Version of the system - if relevant",
      "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
      "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.7"
      },
      {
        "identity" : "rim",
        "map" : "./codeSystemVersion"
      },
      {
        "identity" : "orim",
        "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
      }]
    },
    {
      "path" : "Medication.form.coding.code",
      "short" : "Symbol in syntax defined by the system",
      "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
      "requirements" : "Need to refer to a particular code in the system.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.1"
      },
      {
        "identity" : "rim",
        "map" : "./code"
      },
      {
        "identity" : "orim",
        "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
      }]
    },
    {
      "path" : "Medication.form.coding.display",
      "short" : "Representation defined by the system",
      "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
      "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : true,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.2 - but note this is not well followed"
      },
      {
        "identity" : "rim",
        "map" : "CV.displayName"
      },
      {
        "identity" : "orim",
        "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
      }]
    },
    {
      "path" : "Medication.form.coding.userSelected",
      "short" : "If this coding was chosen directly by the user",
      "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
      "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
      "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "Sometimes implied by being first"
      },
      {
        "identity" : "rim",
        "map" : "CD.codingRationale"
      },
      {
        "identity" : "orim",
        "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
      }]
    },
    {
      "path" : "Medication.form.text",
      "short" : "Plain text representation of the concept",
      "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "comment" : "Very often the text is the same as a displayName of one of the codings.",
      "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.9. But note many systems use C*E.2 for this"
      },
      {
        "identity" : "rim",
        "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
      },
      {
        "identity" : "orim",
        "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
      }]
    },
    {
      "path" : "Medication.ingredient",
      "short" : "Ingredient",
      "definition" : "Container of the Ingredient concept. This container contains all data elements of the Ingredient concept. \r\r\nA product contains one or more active substances and excipients. These are usually determined by the product code. For medication prepared or compounded by the local pharmacy, each ingredient must be entered separately. \r\r\nThe active substances play an important role, as they: \r\r\na) determine the pharmacotherapeutic effect of the medication and \r\nb) serve as the basis for the indication of the strength of the medication (e.g. 200mg).",
      "comment" : "The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients. If the Medication.code does not fully specify the Medication (i.e. own preparation), all known ingredients by the source system must be conveyed.",
      "alias" : ["Ingredient"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "@value|f:*|h:div"
        }],
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() | (children().count() > id.count())",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".scopesRole[typeCode=INGR]"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19932",
        "comment" : "Ingredient"
      }]
    },
    {
      "path" : "Medication.ingredient.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.ingredient.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.ingredient.modifierExtension",
      "short" : "Extensions that cannot be ignored",
      "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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : true,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.ingredient.item[x]",
      "short" : "Substance",
      "definition" : "Active substance or excipient. \r\nHere, the same codes can be used as for the ProductCode (for dilutions and compounds in particular), but now, the ATC, SSK and SNK codes can also be used to indicate a substance (to list ingredients of local products prepared by the pharmacy). \r\n- GTIN International Article Number\r\n- KNMP article number\r\n- Trade product code (HPK)\r\n- Prescription code (PRK)\r\n- Generic product code (GPK)\r\n- ATC (anatomic therapeutic classification)\r\n- SSK (substance name code with route of administration)\r\n- SNK (substance name code)\r\n\r\n\r\nThe ATC is an international classification of pharmaceutical substances without a reference to specific products on the market. Therefore, the ATC code of a generic product will not contain a reference to a certain dose, pharmaceutical form or route of administration; it will only contain a reference to the ingredients (not the amount/concentration/strength).",
      "alias" : ["IngredientCode"],
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "example" : [{
        "label" : "Example of Ingredient substance",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://www.whocc.no/atc",
            "code" : "B01AC08",
            "display" : "carbasalate calcium"
          }]
        }
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
      },
      {
        "identity" : "v2",
        "map" : "RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
      },
      {
        "identity" : "rim",
        "map" : ".player"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19934",
        "comment" : "SubstanceCode"
      }]
    },
    {
      "path" : "Medication.ingredient.item[x].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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.ingredient.item[x].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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.ingredient.item[x].coding",
      "short" : "Code defined by a terminology system",
      "definition" : "A reference to a code defined by a terminology system.",
      "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "requirements" : "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Coding"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.1-8, C*E.10-22"
      },
      {
        "identity" : "rim",
        "map" : "union(., ./translation)"
      },
      {
        "identity" : "orim",
        "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
      }]
    },
    {
      "path" : "Medication.ingredient.item[x].text",
      "short" : "Plain text representation of the concept",
      "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "comment" : "Very often the text is the same as a displayName of one of the codings.",
      "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "C*E.9. But note many systems use C*E.2 for this"
      },
      {
        "identity" : "rim",
        "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
      },
      {
        "identity" : "orim",
        "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
      }]
    },
    {
      "path" : "Medication.ingredient.isActive",
      "short" : "Active ingredient indicator",
      "definition" : "Indication of whether this\u00a0ingredient affects\u00a0the therapeutic action of the drug.",
      "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "NA"
      }]
    },
    {
      "path" : "Medication.ingredient.amount",
      "short" : "Concentration",
      "definition" : "The relative amount of this ingredient in this product.  \r\nCalculation of Concentration = Ingredient Amount ÷ Product Amount. \r\n \r\nThis could be a concentration if the medication is dissolved in liquid, for example: 25mg/tablet or 50IE/ml of 200mg/500ml.",
      "alias" : ["Sterkte",
      "Concentratie",
      "Hoeveelheid"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Ratio"
      }],
      "example" : [{
        "label" : "Example of Concentration",
        "valueRatio" : {
          "numerator" : {
            "value" : 5,
            "unit" : "ml",
            "system" : "http://unitsofmeasure.org",
            "code" : "mL"
          },
          "denominator" : {
            "value" : 200,
            "unit" : "ml",
            "system" : "http://unitsofmeasure.org",
            "code" : "mL"
          }
        }
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "//element(*,DrugCodedType)/Strength"
      },
      {
        "identity" : "v2",
        "map" : "RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
      },
      {
        "identity" : "rim",
        "map" : ".quantity"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.19933",
        "comment" : "Concentration"
      }]
    },
    {
      "path" : "Medication.ingredient.amount.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.ingredient.amount.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.ingredient.amount.numerator",
      "short" : "IngredientAmount",
      "definition" : "The amount of this ingredient. This is the numerator for the calculation of the concentration. The unit should be selected from the G-Standard (Table 902)",
      "alias" : ["IngredientHoeveelheid"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".numerator"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.22277",
        "comment" : "IngredientAmount"
      }]
    },
    {
      "path" : "Medication.ingredient.amount.denominator",
      "short" : "ProductAmount",
      "definition" : "Amount of the product. This is the denominator for the calculation of the concentration",
      "alias" : ["ProductHoeveelheid"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".denominator"
      },
      {
        "identity" : "hcim-pharmaceuticalproduct-v2.0-2017EN",
        "map" : "NL-CM:9.7.22278",
        "comment" : "ProductAmount"
      }]
    },
    {
      "path" : "Medication.package",
      "short" : "Details about packaged medications",
      "definition" : "Information that only applies to packages (not products).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "@value|f:*|h:div"
        }],
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() | (children().count() > id.count())",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : ".player[classCode=CONT]"
      }]
    },
    {
      "path" : "Medication.package.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.package.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.package.modifierExtension",
      "short" : "Extensions that cannot be ignored",
      "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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : true,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.package.container",
      "short" : "E.g. box, vial, blister-pack",
      "definition" : "The kind of container that this package comes as.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MedicationContainer"
        }],
        "strength" : "example",
        "description" : "A coded concept defining the kind of container a medication package is packaged in",
        "valueSet" : "http://hl7.org/fhir/ValueSet/medication-package-form",
        "_valueSet" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
            "valueUrl" : "Reference"
          }]
        }
      },
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "path" : "Medication.package.content",
      "short" : "What is  in the package",
      "definition" : "A set of components that go to make up the described item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "@value|f:*|h:div"
        }],
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() | (children().count() > id.count())",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : ".scopesRole[typeCode=CONT]"
      }]
    },
    {
      "path" : "Medication.package.content.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.package.content.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.package.content.modifierExtension",
      "short" : "Extensions that cannot be ignored",
      "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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : true,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.package.content.item[x]",
      "short" : "The item in the package",
      "definition" : "Identifies one of the items in the package.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept",
        "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/zib-Product"]
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/zib-Product"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : ".player"
      }]
    },
    {
      "path" : "Medication.package.content.amount",
      "short" : "Quantity present in the package",
      "definition" : "The amount of the product that is in the package.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "#sd-SimpleQuantity-SimpleQuantity"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : ".quantity"
      }]
    },
    {
      "path" : "Medication.package.batch",
      "short" : "Identifies a single production run",
      "definition" : "Information about a group of medication produced or packaged from one production run.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.constraint.xpath",
          "valueString" : "@value|f:*|h:div"
        }],
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() | (children().count() > id.count())",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "rim",
        "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
      }]
    },
    {
      "path" : "Medication.package.batch.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",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.package.batch.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. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "path" : "Medication.package.batch.modifierExtension",
      "short" : "Extensions that cannot be ignored",
      "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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "comment" : "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" : "*",
      "type" : [{
        "code" : "Extension"
      }],
      "mustSupport" : false,
      "isModifier" : true,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "path" : "Medication.package.batch.lotNumber",
      "short" : "Identifier assigned to batch",
      "definition" : "The assigned lot number of a batch of the specified product.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "v2",
        "map" : "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "path" : "Medication.package.batch.expirationDate",
      "short" : "When batch will expire",
      "definition" : "When this specific batch of product will expire.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "script10.6",
        "map" : "no mapping"
      },
      {
        "identity" : "v2",
        "map" : "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"
      },
      {
        "identity" : "rim",
        "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
      }]
    },
    {
      "path" : "Medication.image",
      "short" : "Picture of the medication",
      "definition" : "Photo(s) or graphic representation(s) of the medication.",
      "requirements" : "Note that \"image\" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Attachment"
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=SUBJ].role[classCode=MANU],source[classCode=OBS,moodCode=EVN,code=\"type of image\"].value(ED.image)"
      }]
    }]
  }
}