{ "resourceType" : "StructureDefinition", "id" : "EHDSMedicationDispenseObligations", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition EHDSMedicationDispenseObligations

Language: en

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" EHDSMedicationDispense 0..*EHDSMedicationDispenseMedication dispense model
\".\"\".\"\".\" header
\".\"\".\"\".\"\".\" subject O1..1EHDSPatientThe person for whom the medication is prescribed. [Used for searching]
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
\".\"\".\"\".\"\".\" author[x] O1..*EHDSHealthProfessional, EHDSOrganisation, EHDSDeviceThe actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.
ObligationsActor
SHALL:able-to-populateProducer
SHOULD:processConsumer
\".\"\".\"\".\"\".\" date O1..1dateTimeDate and time of issuing the dispense record. [Used for searching]
ObligationsActor
SHALL:able-to-populateProducer
SHOULD:processConsumer
\".\"\".\"\".\"\".\" status O1..1CodeableConceptThe status of the dispense, e.g. completed, declined, entered-in-error. [Used for searching]
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
\".\"\".\"\".\" relatedRequest O0..*IdentifierIdentifier of the prescription item the dispense is related to. [Used for searching]
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
\".\"\".\"\".\" medication O1..1EHDSMedicationExact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
\".\"\".\"\".\" dispensedQuantity O1..1QuantityNumber of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.
ObligationsActor
SHALL:able-to-populateProducer
SHALL:processConsumer
\".\"\".\"\".\" dosageInstructions O0..1EHDSDosageDosage and administration instructions
ObligationsActor
SHOULD:able-to-populateProducer
SHOULD:processConsumer

\"doco\" Documentation for this format
" }, "url" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations", "version" : "1.0.0", "name" : "EHDSMedicationDispenseObligations", "title" : "Medication dispense model obligations", "status" : "active", "date" : "2026-04-03T08:10:50+00:00", "publisher" : "Xt-EHR", "contact" : [{ "name" : "Xt-EHR", "telecom" : [{ "system" : "url", "value" : "http://www.xt-ehr.eu/" }] }], "description" : "Obligations for the logical model for medication dispense for dispensing/pharmacy systems (producer) and prescribing systems or prescription repositories(consumer).", "fhirVersion" : "5.0.0", "mapping" : [{ "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "logical", "abstract" : false, "type" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispense", "baseDefinition" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispense", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "1.0.0" }], "element" : [{ "id" : "EHDSMedicationDispense", "path" : "EHDSMedicationDispense", "short" : "Medication dispense model", "definition" : "Logical model for medication dispensation (based on a request and dispensed in a pharmacy). Implementers should take into account, if allowed and needed, the calculation of remaining dispensable product based on this information.", "min" : 0, "max" : "*", "base" : { "path" : "Base", "min" : 0, "max" : "*" }, "isModifier" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "EHDSMedicationDispense.header", "path" : "EHDSMedicationDispense.header", "short" : "Basic metadata for this information", "definition" : "Basic metadata for this information", "min" : 1, "max" : "1", "base" : { "path" : "EHDSDataSet.header", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Base" }] }, { "id" : "EHDSMedicationDispense.header.subject", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.subject", "short" : "The person for whom the medication is prescribed. [Used for searching]", "definition" : "The person for whom the medication is prescribed. [Used for searching]", "min" : 1, "max" : "1", "base" : { "path" : "EHDSDataSet.header.subject", "min" : 1, "max" : "1" }, "type" : [{ "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient" }] }, { "id" : "EHDSMedicationDispense.header.identifier", "path" : "EHDSMedicationDispense.header.identifier", "short" : "Business identifier(s) for the dispense record. [Used for searching]", "definition" : "Business identifier(s) for the dispense record. [Used for searching]", "min" : 0, "max" : "*", "base" : { "path" : "EHDSDataSet.header.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }] }, { "id" : "EHDSMedicationDispense.header.author[x]", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "documentation", "valueMarkdown" : "Systems shall support at least EHDSHealthProfessional data type for the element." }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHOULD:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.author[x]", "short" : "The actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.", "definition" : "The actor who issued the dispense record. Responsibility for the dispense should be traceable from this information.", "min" : 1, "max" : "*", "base" : { "path" : "EHDSDataSet.header.author[x]", "min" : 0, "max" : "*" }, "type" : [{ "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional" }, { "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation" }, { "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice" }] }, { "id" : "EHDSMedicationDispense.header.date", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHOULD:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.date", "short" : "Date and time of issuing the dispense record. [Used for searching]", "definition" : "Date and time of issuing the dispense record. [Used for searching]", "min" : 1, "max" : "1", "base" : { "path" : "EHDSDataSet.header.date", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }] }, { "id" : "EHDSMedicationDispense.header.status", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.status", "short" : "The status of the dispense, e.g. completed, declined, entered-in-error. [Used for searching]", "definition" : "The status of the dispense, e.g. completed, declined, entered-in-error. [Used for searching]", "min" : 1, "max" : "1", "base" : { "path" : "EHDSDataSet.header.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "binding" : { "strength" : "preferred", "description" : "HL7 MedicationDispense Status Codes" } }, { "id" : "EHDSMedicationDispense.header.source", "path" : "EHDSMedicationDispense.header.source", "short" : "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.", "definition" : "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.", "min" : 0, "max" : "0", "base" : { "path" : "EHDSDataSet.header.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }] }, { "id" : "EHDSMedicationDispense.header.language", "path" : "EHDSMedicationDispense.header.language", "short" : "Language in which the resource is written. Language is expressed by the IETF language tag.", "definition" : "Language in which the resource is written. Language is expressed by the IETF language tag.", "min" : 0, "max" : "1", "base" : { "path" : "EHDSDataSet.header.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "binding" : { "strength" : "preferred", "description" : "BCP 47" } }, { "id" : "EHDSMedicationDispense.dispenseLocation", "path" : "EHDSMedicationDispense.dispenseLocation", "short" : "Location of dispense", "definition" : "Location of dispense", "min" : 0, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.dispenseLocation", "min" : 0, "max" : "1" }, "type" : [{ "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLocation" }] }, { "id" : "EHDSMedicationDispense.receiver[x]", "path" : "EHDSMedicationDispense.receiver[x]", "short" : "Identification of the person who received the dispensed medication, especially when it was not the patient. When not present, it is assumed that the patient is the receiver.", "definition" : "Identification of the person who received the dispensed medication, especially when it was not the patient. When not present, it is assumed that the patient is the receiver.", "min" : 0, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.receiver[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient" }, { "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional" }, { "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson" }] }, { "id" : "EHDSMedicationDispense.relatedRequest", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.relatedRequest", "short" : "Identifier of the prescription item the dispense is related to. [Used for searching]", "definition" : "Identifier of the prescription item the dispense is related to. [Used for searching]", "min" : 0, "max" : "*", "base" : { "path" : "EHDSMedicationDispense.relatedRequest", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }] }, { "id" : "EHDSMedicationDispense.medication", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.medication", "short" : "Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.", "definition" : "Exact dispensed product. If multiple medications are dispensed together, multiple dispense records should be created.", "min" : 1, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.medication", "min" : 1, "max" : "1" }, "type" : [{ "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedication" }] }, { "id" : "EHDSMedicationDispense.dispensedQuantity", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.dispensedQuantity", "short" : "Number of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.", "definition" : "Number of dispensed packages if the package size is known, or number of smaller items/units, according to the medication dispensed. A unit is expected.", "min" : 1, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.dispensedQuantity", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "binding" : { "strength" : "preferred", "description" : "UCUM, EDQM Standard Terms" } }, { "id" : "EHDSMedicationDispense.timeOfDispensation", "path" : "EHDSMedicationDispense.timeOfDispensation", "short" : "Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.", "definition" : "Date and time when medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing dispense record.", "min" : 0, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.timeOfDispensation", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }] }, { "id" : "EHDSMedicationDispense.substitutionOccurred", "path" : "EHDSMedicationDispense.substitutionOccurred", "short" : "Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.", "definition" : "Whether substitution was made by the dispenser. Definition of substitution is specific to the jurisdiction.", "min" : 0, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.substitutionOccurred", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }] }, { "id" : "EHDSMedicationDispense.dosageInstructions", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHOULD:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHOULD:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }, { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationDispenseObligations|1.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.dosageInstructions", "short" : "Dosage and administration instructions", "definition" : "Dosage and administration instructions", "min" : 0, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.dosageInstructions", "min" : 0, "max" : "1" }, "type" : [{ "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDosage" }] }, { "id" : "EHDSMedicationDispense.note", "path" : "EHDSMedicationDispense.note", "short" : "Additional information or comments", "definition" : "Additional information or comments", "min" : 0, "max" : "1", "base" : { "path" : "EHDSMedicationDispense.note", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }] }] }, "differential" : { "element" : [{ "id" : "EHDSMedicationDispense", "path" : "EHDSMedicationDispense" }, { "id" : "EHDSMedicationDispense.header.subject", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.subject" }, { "id" : "EHDSMedicationDispense.header.author[x]", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }, { "url" : "documentation", "valueMarkdown" : "Systems shall support at least EHDSHealthProfessional data type for the element." }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHOULD:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.author[x]" }, { "id" : "EHDSMedicationDispense.header.date", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHOULD:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.date" }, { "id" : "EHDSMedicationDispense.header.status", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }], "path" : "EHDSMedicationDispense.header.status" }, { "id" : "EHDSMedicationDispense.relatedRequest", "extension" : [{ "extension" : [{ "url" : "code", "valueCode" : "SHALL:able-to-populate" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-producer" }], "url" : "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension" : [{ "url" : "code", "valueCode" : "SHALL:process" }, { "url" : "actor", "valueCanonical" : "https://www.xt-ehr.eu/specifications/fhir/actor-consumer" }], 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