Cross-Version Extension for MedicationOrder.dosageInstruction in R2

Context of Use

This extension may be used in the following contexts:

• element MedicationRequest (For version R5)
• extension http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest
• element MedicationRequest (For version R4B)
• extension http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationRequest
• element MedicationRequest (For version R4)
• extension http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest
• element MedicationRequest (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
Extension		0..*	Extension	How medication should be taken
extension		1..
value[x]		..0
url				"http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationOrder.dosageInstruction"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r2-mps.dosageInstruction",
  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationOrder.dosageInstruction",
  "name" : "XVerExtensionMedicationOrder.dosageInstructionR2",
  "title" : "Cross-Version Extension for MedicationOrder.dosageInstruction in R2",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Pharmacy)",
  "contact" : [{
    "telecom" : [{
      "system" : "other",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "other",
      "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for MedicationOrder.dosageInstruction. Valid in versions R3, R4, R4B, R5\r\n\r\nThis is a valid extension because the types BackboneElement were removed in a later version",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "5.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "5.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "MedicationRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "4.3"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "4.3"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "MedicationRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationRequest"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "4.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "4.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "MedicationRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "MedicationRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "How medication should be taken",
      "definition" : "Indicates how the medication is to be used by the patient.",
      "comment" : "When the dose or rate is intended to change over the entire administration period, e.g. Tapering dose prescriptions, multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. Another common example in institutional settings is 'titration' of an IV medication dose to maintain a specific stated hemodynamic value or range e.g. drug x to be administered to maintain AM (arterial mean) greater than 65.",
      "min" : 0,
      "max" : "*",
      "isModifier" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "component.substanceAdministrationRequest"
      }]
    },
    {
      "path" : "Extension.extension",
      "min" : 1
    },
    {
      "path" : "Extension.value[x]",
      "max" : "0"
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationOrder.dosageInstruction"
    }]
  }
}