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Packagenictiz.fhir.nl.r4.medicationprocess9
Resource TypeStructureDefinition
Idext-StopType.json
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.medicationprocess9@2.0.0-rc.7&canonical=http://nictiz.nl/fhir/StructureDefinition/ext-StopType
URLhttp://nictiz.nl/fhir/StructureDefinition/ext-StopType
Version2.0.0-rc.7
Statusactive
NameExtStopType
Titleext StopType
Realmnl
DescriptionAn extension to provide the manner in which medication is discontinued (temporary or definitive).
PurposeThis extension represents the MedicationAgreementStopType and AdministrationAgreementStopType concepts, and the MedicationUseStopType and VariableDosingRegimenStopType concepts which have a binding on a more restricted ValueSet, of the MedicationProcess9 information standard.
CopyrightCopyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
nictiz.fhir.nl.r4.medicationprocess9#2.0.0-rc.7mp-AdministrationAgreementmp AdministrationAgreement
nictiz.fhir.nl.r4.medicationprocess9#2.0.0-rc.7mp-MedicationAgreementmp MedicationAgreement
nictiz.fhir.nl.r4.medicationprocess9#2.0.0-rc.7mp-MedicationUse2mp MedicationUse2
nictiz.fhir.nl.r4.medicationprocess9#2.0.0-rc.7mp-VariableDosingRegimenmp VariableDosingRegimen

Resources that this resource uses

ValueSet
nictiz.fhir.nl.r4.medicationprocess9#2.0.0-rc.72.16.840.1.113883.2.4.3.11.60.20.77.11.50--20221216102010StopTypeCodelijst

Examples of Use for Extension

No extension usage examples found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-StopType",
  "url": "http://nictiz.nl/fhir/StructureDefinition/ext-StopType",
  "version": "2.0.0-rc.7",
  "name": "ExtStopType",
  "title": "ext StopType",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "An extension to provide the manner in which medication is discontinued (temporary or definitive).",
  "purpose": "This extension represents the MedicationAgreementStopType and AdministrationAgreementStopType concepts, and the MedicationUseStopType and VariableDosingRegimenStopType concepts which have a binding on a more restricted ValueSet, of the MedicationProcess9 information standard.",
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "MedicationRequest"
    },
    {
      "type": "element",
      "expression": "MedicationDispense"
    },
    {
      "type": "element",
      "expression": "MedicationStatement"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Optional Extensions Element",
        "definition": "This StopType modifier extension works differently than the `.status` element of resources because it has a different meaning. The `.status` element usually represents the status of the resource at the moment of exchanging the resource. This means that over the lifetime of a resource, the status may change (and is very much related to use period). That – in itself – makes solely mapping StopType (which may never change in an instance) to `.status` not suitable.\r\n\r\nFor example: suppose you want the patient to stop taking medication definitively three days from today. This is a stop medication agreement with a StopType of _definitive_. However today, tomorrow and the day after tomorrow the `.status` of this medication agreement is _active_ and only after the end date of the usage period the `.status` should be _stopped_. Status and StopType are simply not the same thing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because StopType contains codes that mark the resource as no longer active.",
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/ext-StopType",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "StopType",
        "definition": "Stop type, the manner in which this medication is discontinued or canceled (temporary, definitive or canceled).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.50--20221216102010"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "definition": "This StopType modifier extension works differently than the `.status` element of resources because it has a different meaning. The `.status` element usually represents the status of the resource at the moment of exchanging the resource. This means that over the lifetime of a resource, the status may change (and is very much related to use period). That – in itself – makes solely mapping StopType (which may never change in an instance) to `.status` not suitable.\r\n\r\nFor example: suppose you want the patient to stop taking medication definitively three days from today. This is a stop medication agreement with a StopType of _definitive_. However today, tomorrow and the day after tomorrow the `.status` of this medication agreement is _active_ and only after the end date of the usage period the `.status` should be _stopped_. Status and StopType are simply not the same thing.",
        "max": "1",
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because StopType contains codes that mark the resource as no longer active."
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/ext-StopType"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "StopType",
        "definition": "Stop type, the manner in which this medication is discontinued or canceled (temporary, definitive or canceled).",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.50--20221216102010"
        }
      }
    ]
  }
}