Implementation Guide
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Version 2.0.0-ballot.2 - ballot

## Resource Profile: GEM_ERP_PR_MedicationDispense - JSON Profile

Active as of 2026-06-30

JSON representation of the GEM-ERP-PR-MedicationDispense resource profile.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "GEM-ERP-PR-MedicationDispense",
      "url" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense",
      "version" : "2.0.0-ballot.2",
      "name" : "GEM_ERP_PR_MedicationDispense",
      "title" : "GEM ERP PR MedicationDispense",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-06-30",
      "publisher" : "gematik GmbH",
      "contact" : [
        {
          "name" : "gematik GmbH",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://gematik.de"
            },
            {
              "system" : "email",
              "value" : "erp-umsetzung@gematik.de"
            }
          ]
        }
      ],
      "description" : "Dispensierung eines E-Rezepts",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "DE",
              "display" : "Germany"
            }
          ]
        }
      ],
      "copyright" : "gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.",
      "fhirVersion" : "4.0.1",
      "mapping" : [
        {
          "identity" : "workflow",
          "uri" : "http://hl7.org/fhir/workflow",
          "name" : "Workflow Pattern"
        },
        {
          "identity" : "rim",
          "uri" : "http://hl7.org/v3",
          "name" : "RIM Mapping"
        },
        {
          "identity" : "w5",
          "uri" : "http://hl7.org/fhir/fivews",
          "name" : "FiveWs Pattern Mapping"
        },
        {
          "identity" : "rx-dispense-rmim",
          "uri" : "http://www.hl7.org/v3/PORX_RM020070UV",
          "name" : "V3 Pharmacy Dispense RMIM"
        },
        {
          "identity" : "v2",
          "uri" : "http://hl7.org/v2",
          "name" : "HL7 v2 Mapping"
        }
      ],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicationDispense",
      "baseDefinition" : "https://gematik.de/fhir/ti/StructureDefinition/ti-medication-dispense-dgmp",
      "derivation" : "constraint",
      "snapshot" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
            "valueString" : "1.4.0"
          }
        ],
        "element" : [
          {
            "id" : "MedicationDispense",
            "path" : "MedicationDispense",
            "short" : "Dispensing a medication to a named patient",
            "definition" : "Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationDispense",
              "min" : 0,
              "max" : "*"
            },
            "constraint" : [
              {
                "key" : "dom-2",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
                "expression" : "contained.contained.empty()",
                "xpath" : "not(parent::f:contained and f:contained)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-3",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
                "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
                "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "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()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-5",
                "severity" : "error",
                "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
                "expression" : "contained.meta.security.empty()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                    "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
                  }
                ],
                "key" : "dom-6",
                "severity" : "warning",
                "human" : "A resource should have narrative for robust management",
                "expression" : "text.`div`.exists()",
                "xpath" : "exists(f:text/h:div)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "mdd-1",
                "severity" : "error",
                "human" : "whenHandedOver cannot be before whenPrepared",
                "expression" : "whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared",
                "xpath" : "not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)",
                "source" : "https://gematik.de/fhir/ti/StructureDefinition/ti-medication-dispense-dgmp"
              },
              {
                "key" : "workflow-dosageExtensionBeiDosierung",
                "severity" : "error",
                "human" : "Wenn eine Dosierung angegeben wurde, muss der generierte Dosierungstext, sowie die Metainformationen zur Generierung angegeben werden.",
                "expression" : "dosageInstruction.exists() implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction').exists() and extension.where(url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta').exists()",
                "source" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Entity. Role, or Act"
              },
              {
                "identity" : "workflow",
                "map" : "Event"
              },
              {
                "identity" : "rim",
                "map" : "Supply[moodCode=EVN]"
              }
            ]
          },
          {
            "id" : "MedicationDispense.id",
            "path" : "MedicationDispense.id",
            "short" : "Logical id of this artifact",
            "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
            "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "id"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta",
            "path" : "MedicationDispense.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 might not always be associated with version changes to the resource.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Resource.meta",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Meta"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta.id",
            "path" : "MedicationDispense.meta.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.meta.extension",
            "path" : "MedicationDispense.meta.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"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.meta.versionId",
            "path" : "MedicationDispense.meta.versionId",
            "short" : "Version specific identifier",
            "definition" : "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.",
            "comment" : "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Meta.versionId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "id"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta.lastUpdated",
            "path" : "MedicationDispense.meta.lastUpdated",
            "short" : "When the resource version last changed",
            "definition" : "When the resource last changed - e.g. when the version changed.",
            "comment" : "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Meta.lastUpdated",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "instant"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta.source",
            "path" : "MedicationDispense.meta.source",
            "short" : "Identifies where the resource comes from",
            "definition" : "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.",
            "comment" : "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Meta.source",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta.profile",
            "path" : "MedicationDispense.meta.profile",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "$this"
                }
              ],
              "description" : "Slicing für meta profile",
              "ordered" : false,
              "rules" : "closed"
            },
            "short" : "Profiles this resource claims to conform to",
            "definition" : "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).",
            "comment" : "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Meta.profile",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "canonical",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/StructureDefinition"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta.profile:workflowProfile",
            "path" : "MedicationDispense.meta.profile",
            "sliceName" : "workflowProfile",
            "short" : "Profiles this resource claims to conform to",
            "definition" : "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).",
            "comment" : "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Meta.profile",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "canonical",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/StructureDefinition"
                ]
              }
            ],
            "fixedCanonical" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense|2.0",
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.meta.security",
            "path" : "MedicationDispense.meta.security",
            "short" : "Security Labels applied to this resource",
            "definition" : "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
            "comment" : "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Meta.security",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "SecurityLabels"
                }
              ],
              "strength" : "extensible",
              "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
            }
          },
          {
            "id" : "MedicationDispense.meta.tag",
            "path" : "MedicationDispense.meta.tag",
            "short" : "Tags applied to this resource",
            "definition" : "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
            "comment" : "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Meta.tag",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "Tags"
                }
              ],
              "strength" : "example",
              "description" : "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".",
              "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags"
            }
          },
          {
            "id" : "MedicationDispense.implicitRules",
            "path" : "MedicationDispense.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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
            "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.implicitRules",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "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"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
            "isSummary" : true
          },
          {
            "id" : "MedicationDispense.language",
            "path" : "MedicationDispense.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",
            "base" : {
              "path" : "Resource.language",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
                  "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "Language"
                }
              ],
              "strength" : "preferred",
              "description" : "A human language.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
            }
          },
          {
            "id" : "MedicationDispense.text",
            "path" : "MedicationDispense.text",
            "short" : "Text summary of the resource, for human interpretation",
            "definition" : "A human-readable narrative that contains a summary of the resource and can 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 information is added later.",
            "alias" : [
              "narrative",
              "html",
              "xhtml",
              "display"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "DomainResource.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Narrative"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Act.text?"
              }
            ]
          },
          {
            "id" : "MedicationDispense.contained",
            "path" : "MedicationDispense.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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
            "alias" : [
              "inline resources",
              "anonymous resources",
              "contained resources"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.contained",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Resource"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension",
            "path" : "MedicationDispense.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "ordered" : false,
              "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 resource. 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" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:rxPrescriptionProcessIdentifier",
            "path" : "MedicationDispense.extension",
            "sliceName" : "rxPrescriptionProcessIdentifier",
            "short" : "Extension",
            "definition" : "This extension is used to track medication prescription transactions between the E-Rezept-Fachdienst and the ePA. The RxPrescriptionProcessIdentifier is generated by the ePA Medication Service and consists of the PrescriptionId and the authoredOn date of the operation parameters request. It ensures consistent referencing and management of medication-related resources across different systems.",
            "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" : "1",
            "base" : {
              "path" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension",
                "profile" : [
                  🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:renderedDosageInstruction",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                "valueCode" : "normative"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                "valueCode" : "4.0.0"
              }
            ],
            "path" : "MedicationDispense.extension",
            "sliceName" : "renderedDosageInstruction",
            "short" : "Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).",
            "definition" : "Ein menschenlesbarer, vollständiger Text der Dosierungsanweisungen. Der Text wird aus den strukturierten Dosage-Elementen generiert und dient der patientensicheren Darstellung der Dosierung. Er soll die maschinenlesbaren Angaben konsistent wiedergeben und in einer für Patient:innen verständlichen Form bereitstellen.",
            "comment" : "Element `MedicationDispense.renderedDosageInstruction` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`.\nElement `MedicationDispense.renderedDosageInstruction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension",
                "profile" : [
                  🔗 "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              },
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:renderedDosageInstruction.id",
            "path" : "MedicationDispense.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:renderedDosageInstruction.extension",
            "path" : "MedicationDispense.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" : "0",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:renderedDosageInstruction.url",
            "path" : "MedicationDispense.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://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction",
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:renderedDosageInstruction.value[x]",
            "path" : "MedicationDispense.extension.value[x]",
            "short" : "Full representation of the dosage instructions",
            "definition" : "The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses.",
            "comment" : "The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Extension.value[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "markdown"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.extension:generatedDosageInstructionsMeta",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                "valueCode" : "normative"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                "valueCode" : "4.0.0"
              }
            ],
            "path" : "MedicationDispense.extension",
            "sliceName" : "generatedDosageInstructionsMeta",
            "short" : "Metadaten zu den generierten Dosierungsanweisungen",
            "definition" : "Diese Extension enthält zusätzliche Metadaten zu den automatisch generierten Dosierungsanweisungen, wie z.B. Informationen zur Generierung oder zum Ursprung der Daten.",
            "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" : "1",
            "base" : {
              "path" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension",
                "profile" : [
                  🔗 "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              },
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.modifierExtension",
            "path" : "MedicationDispense.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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "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" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.identifier",
            "path" : "MedicationDispense.identifier",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "pattern",
                  "path" : "$this"
                }
              ],
              "ordered" : false,
              "rules" : "open"
            },
            "short" : "E-Rezept-ID",
            "definition" : "Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
            "comment" : "This is a business identifier, not a resource identifier.",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "MedicationDispense.identifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.identifier"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.identifier"
              },
              {
                "identity" : "rim",
                "map" : ".id"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.id"
              }
            ]
          },
          {
            "id" : "MedicationDispense.identifier:RxOriginatorProcessIdentifier",
            "path" : "MedicationDispense.identifier",
            "sliceName" : "RxOriginatorProcessIdentifier",
            "short" : "An identifier intended for computation",
            "definition" : "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
            "comment" : "This is a business identifier, not a resource identifier.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.identifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Identifier",
                "profile" : [
                  🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier"
                ]
              }
            ],
            "patternIdentifier" : {
              "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"
            },
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.identifier"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.identifier"
              },
              {
                "identity" : "rim",
                "map" : ".id"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.id"
              },
              {
                "identity" : "rim",
                "map" : "n/a"
              },
              {
                "identity" : "v2",
                "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
              },
              {
                "identity" : "rim",
                "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
              },
              {
                "identity" : "servd",
                "map" : "Identifier"
              }
            ]
          },
          {
            "id" : "MedicationDispense.identifier:prescriptionID",
            "path" : "MedicationDispense.identifier",
            "sliceName" : "prescriptionID",
            "short" : "External identifier",
            "definition" : "Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
            "comment" : "This is a business identifier, not a resource identifier.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.identifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Identifier",
                "profile" : [
                  🔗 "https://gematik.de/fhir/ti/StructureDefinition/e-prescription-id"
                ]
              }
            ],
            "patternIdentifier" : {
              "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"
            },
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.identifier"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.identifier"
              },
              {
                "identity" : "rim",
                "map" : ".id"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.id"
              }
            ]
          },
          {
            "id" : "MedicationDispense.partOf",
            "path" : "MedicationDispense.partOf",
            "short" : "Event that dispense is part of",
            "definition" : "The procedure that trigger the dispense.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.partOf",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Procedure"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.partOf"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
              }
            ]
          },
          {
            "id" : "MedicationDispense.status",
            "path" : "MedicationDispense.status",
            "short" : "completed",
            "definition" : "A code specifying the state of the set of dispense events.",
            "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.status",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "fixedCode" : "completed",
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : true,
            "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationDispenseStatus"
                }
              ],
              "strength" : "required",
              "description" : "A coded concept specifying the state of the dispense event.",
              "valueSet" : "https://gematik.de/fhir/terminology/ValueSet/ti-medication-dispense-status-vs"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.status"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.status"
              },
              {
                "identity" : "rim",
                "map" : ".statusCode"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.statusCode"
              }
            ]
          },
          {
            "id" : "MedicationDispense.statusReason[x]",
            "path" : "MedicationDispense.statusReason[x]",
            "short" : "Why a dispense was not performed",
            "definition" : "Indicates the reason why a dispense was not performed.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.statusReason[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              },
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/DetectedIssue"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationDispenseStatusReason"
                }
              ],
              "strength" : "example",
              "description" : "A code describing why a dispense was not performed.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"
            },
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.statusReason"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"
              }
            ]
          },
          {
            "id" : "MedicationDispense.category",
            "path" : "MedicationDispense.category",
            "short" : "Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin.",
            "definition" : "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
            "comment" : "The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.category",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationDispenseCategory"
                }
              ],
              "strength" : "required",
              "description" : "Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.",
              "valueSet" : "https://gematik.de/fhir/terminology/ValueSet/ti-medication-dispense-category-vs"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"
              }
            ]
          },
          {
            "id" : "MedicationDispense.medication[x]",
            "path" : "MedicationDispense.medication[x]",
            "short" : "What medication was supplied",
            "definition" : "Die MedicationDispense verweist auf ein Medikament, das abgegeben wurde.",
            "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.medication[x]",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Medication"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.code"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.what[x]"
              },
              {
                "identity" : "v2",
                "map" : "RXD-2-Dispense/Give Code"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=PRD].role"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationRequest.component1.AdministrationRequest.consumable"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject",
            "path" : "MedicationDispense.subject",
            "short" : "Who the dispense is for",
            "definition" : "A link to a resource representing the person or the group to whom the medication will be given.",
            "comment" : "SubstanceAdministration->subject->Patient.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.subject",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.subject"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.subject[x]"
              },
              {
                "identity" : "v2",
                "map" : "PID-3-Patient ID List"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.subject"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject.id",
            "path" : "MedicationDispense.subject.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject.extension",
            "path" : "MedicationDispense.subject.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"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject.reference",
            "path" : "MedicationDispense.subject.reference",
            "short" : "Literal reference, Relative, internal or absolute URL",
            "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
            "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.reference",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "condition" : [
              "ref-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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject.type",
            "path" : "MedicationDispense.subject.type",
            "short" : "Type the reference refers to (e.g. \"Patient\")",
            "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
            "comment" : "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "FHIRResourceTypeExt"
                }
              ],
              "strength" : "extensible",
              "description" : "Aa resource (or, for logical models, the URI of the logical model).",
              "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject.identifier",
            "path" : "MedicationDispense.subject.identifier",
            "short" : "An identifier intended for computation",
            "definition" : "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
            "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.identifier",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Identifier",
                "profile" : [
                  🔗 "http://fhir.de/StructureDefinition/identifier-kvid-10"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".identifier"
              },
              {
                "identity" : "rim",
                "map" : "n/a"
              },
              {
                "identity" : "v2",
                "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
              },
              {
                "identity" : "rim",
                "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
              },
              {
                "identity" : "servd",
                "map" : "Identifier"
              }
            ]
          },
          {
            "id" : "MedicationDispense.subject.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "MedicationDispense.subject.display",
            "short" : "Text alternative for the resource",
            "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
            "comment" : "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.context",
            "path" : "MedicationDispense.context",
            "short" : "Encounter / Episode associated with event",
            "definition" : "The encounter or episode of care that establishes the context for this event.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.context",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.context"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
              }
            ]
          },
          {
            "id" : "MedicationDispense.supportingInformation",
            "path" : "MedicationDispense.supportingInformation",
            "short" : "Information that supports the dispensing of the medication",
            "definition" : "Additional information that supports the medication being dispensed.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.supportingInformation",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Resource"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "w5",
                "map" : "FiveWs.context"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer",
            "path" : "MedicationDispense.performer",
            "short" : "Who performed event",
            "definition" : "Indicates who or what performed the event.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.performer",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.performer"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=PRF]"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.id",
            "path" : "MedicationDispense.performer.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.extension",
            "path" : "MedicationDispense.performer.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. 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"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.modifierExtension",
            "path" : "MedicationDispense.performer.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "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" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.function",
            "path" : "MedicationDispense.performer.function",
            "short" : "Who performed the dispense and what they did",
            "definition" : "Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.",
            "requirements" : "Allows disambiguation of the types of involvement of different performers.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.performer.function",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationDispensePerformerFunction"
                }
              ],
              "strength" : "example",
              "description" : "A code describing the role an individual played in dispensing a medication.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "participation[typeCode=PRF].functionCode"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor",
            "path" : "MedicationDispense.performer.actor",
            "short" : "Individual who was performing",
            "definition" : "The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.performer.actor",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Organization"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.performer.actor"
              },
              {
                "identity" : "rim",
                "map" : ".role"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor.id",
            "path" : "MedicationDispense.performer.actor.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor.extension",
            "path" : "MedicationDispense.performer.actor.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"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor.reference",
            "path" : "MedicationDispense.performer.actor.reference",
            "short" : "Literal reference, Relative, internal or absolute URL",
            "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
            "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.reference",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "condition" : [
              "ref-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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor.type",
            "path" : "MedicationDispense.performer.actor.type",
            "short" : "Type the reference refers to (e.g. \"Patient\")",
            "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
            "comment" : "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "FHIRResourceTypeExt"
                }
              ],
              "strength" : "extensible",
              "description" : "Aa resource (or, for logical models, the URI of the logical model).",
              "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor.identifier",
            "path" : "MedicationDispense.performer.actor.identifier",
            "short" : "Logical reference, when literal reference is not known",
            "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
            "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.identifier",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Identifier",
                "profile" : [
                  🔗 "http://fhir.de/StructureDefinition/identifier-telematik-id"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".identifier"
              }
            ]
          },
          {
            "id" : "MedicationDispense.performer.actor.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "MedicationDispense.performer.actor.display",
            "short" : "Text alternative for the resource",
            "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
            "comment" : "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.location",
            "path" : "MedicationDispense.location",
            "short" : "Where the dispense occurred",
            "definition" : "The principal physical location where the dispense was performed.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.location",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Location"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=LOC].role"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription",
            "path" : "MedicationDispense.authorizingPrescription",
            "short" : "Medication order that authorizes the dispense",
            "definition" : "Indicates the medication order that is being dispensed against.",
            "comment" : "Maps to basedOn in Event logical model.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationDispense.authorizingPrescription",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
                ]
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.basedOn"
              },
              {
                "identity" : "v2",
                "map" : "ORC-2 Placer Order Number"
              },
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.inFulfillmentOf"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription.id",
            "path" : "MedicationDispense.authorizingPrescription.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription.extension",
            "path" : "MedicationDispense.authorizingPrescription.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"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription.reference",
            "path" : "MedicationDispense.authorizingPrescription.reference",
            "short" : "Literal reference, Relative, internal or absolute URL",
            "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
            "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.reference",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "condition" : [
              "ref-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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription.type",
            "path" : "MedicationDispense.authorizingPrescription.type",
            "short" : "Type the reference refers to (e.g. \"Patient\")",
            "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
            "comment" : "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "FHIRResourceTypeExt"
                }
              ],
              "strength" : "extensible",
              "description" : "Aa resource (or, for logical models, the URI of the logical model).",
              "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription.identifier",
            "path" : "MedicationDispense.authorizingPrescription.identifier",
            "short" : "Logical reference, when literal reference is not known",
            "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
            "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.identifier",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".identifier"
              }
            ]
          },
          {
            "id" : "MedicationDispense.authorizingPrescription.display",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
                "valueBoolean" : true
              }
            ],
            "path" : "MedicationDispense.authorizingPrescription.display",
            "short" : "Text alternative for the resource",
            "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
            "comment" : "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.display",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.type",
            "path" : "MedicationDispense.type",
            "short" : "Trial fill, partial fill, emergency fill, etc.",
            "definition" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationDispenseType"
                }
              ],
              "strength" : "example",
              "description" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXD-33-Dispense Type"
              },
              {
                "identity" : "rim",
                "map" : ".code"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.code"
              }
            ]
          },
          {
            "id" : "MedicationDispense.quantity",
            "path" : "MedicationDispense.quantity",
            "short" : "Amount dispensed",
            "definition" : "The amount of medication that has been dispensed. Includes unit of measure.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.quantity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity",
                "profile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
              },
              {
                "identity" : "rim",
                "map" : ".quantity"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.quantity"
              }
            ]
          },
          {
            "id" : "MedicationDispense.daysSupply",
            "path" : "MedicationDispense.daysSupply",
            "short" : "Amount of medication expressed as a timing amount",
            "definition" : "The amount of medication expressed as a timing amount.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.daysSupply",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Quantity",
                "profile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component.  This is a formatted string, first character for the time unit (e.g., D=days), followed by the value.  For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration.  This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6.  Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
              },
              {
                "identity" : "rim",
                "map" : "effectiveUseTime"
              }
            ]
          },
          {
            "id" : "MedicationDispense.whenPrepared",
            "path" : "MedicationDispense.whenPrepared",
            "short" : "When product was packaged and reviewed",
            "definition" : "The time when the dispensed product was packaged and reviewed.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.whenPrepared",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "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" : "workflow-abgabeDatumsFormat",
                "severity" : "error",
                "human" : "Wert muss ein Datum in der Form: YYYY-MM-DD sein.",
                "expression" : "toString().length()=10",
                "source" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense"
              }
            ],
            "mustSupport" : false,
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXD-3-Date/Time Dispensed"
              },
              {
                "identity" : "rim",
                "map" : ".effectiveTime[xmi:type=IVL_TS].low"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
              }
            ]
          },
          {
            "id" : "MedicationDispense.whenHandedOver",
            "path" : "MedicationDispense.whenHandedOver",
            "short" : "When product was given out",
            "definition" : "The time the dispensed product was provided to the patient or their representative.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.whenHandedOver",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "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" : "workflow-abgabeDatumsFormat",
                "severity" : "error",
                "human" : "Wert muss ein Datum in der Form: YYYY-MM-DD sein.",
                "expression" : "toString().length()=10",
                "source" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.occurrence[x]"
              },
              {
                "identity" : "v2",
                "map" : "RXD-3-Date/Time Dispensed"
              },
              {
                "identity" : "rim",
                "map" : ".effectiveTime[xmi:type=IVL_TS].high"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
              }
            ]
          },
          {
            "id" : "MedicationDispense.destination",
            "path" : "MedicationDispense.destination",
            "short" : "Where the medication was sent",
            "definition" : "Identification of the facility/location where the medication was shipped to, as part of the dispense event.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.destination",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Location"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
              },
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=DST].role"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.destination"
              }
            ]
          },
          {
            "id" : "MedicationDispense.receiver",
            "path" : "MedicationDispense.receiver",
            "short" : "Who collected the medication",
            "definition" : "Identifies the person who picked up the medication.  This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationDispense.receiver",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Patient"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Practitioner"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=RCV].role"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.SupplyEvent.receiver"
              }
            ]
          },
          {
            "id" : "MedicationDispense.note",
            "path" : "MedicationDispense.note",
            "short" : "Abgabehinweise",
            "definition" : "Extra information about the dispense that could not be conveyed in the other attributes.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationDispense.note",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Annotation"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "workflow",
                "map" : "Event.note"
              },
              {
                "identity" : "v2",
                "map" : "RXD-9 Dispense Notes"
              },
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"
              }
            ]
          },
          {
            "id" : "MedicationDispense.dosageInstruction",
            "path" : "MedicationDispense.dosageInstruction",
            "short" : "Hier werden Informationen zur Dosierung angegeben.",
            "definition" : "Hier werden Informationen zur Dosierung angegeben.",
            "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.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "MedicationDispense.dosageInstruction",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Dosage",
                "profile" : [
                  🔗 "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE"
                ]
              }
            ],
            "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" : "DosageStructuredOrFreeTextWarning",
                "severity" : "warning",
                "human" : "Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.",
                "expression" : "(%resource.ofType(MedicationRequest).dosageInstruction | \n %resource.ofType(MedicationDispense).dosageInstruction | \n %resource.ofType(MedicationStatement).dosage).all(\n  (text.exists() and timing.empty() and doseAndRate.empty()) or\n  (text.empty() and (timing.exists() or doseAndRate.exists()))\n)",
                "source" : "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE"
              },
              {
                "key" : "DosageStructuredRequiresBoth",
                "severity" : "error",
                "human" : "Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden.",
                "expression" : "(%resource.ofType(MedicationRequest).dosageInstruction | \n %resource.ofType(MedicationDispense).dosageInstruction | \n %resource.ofType(MedicationStatement).dosage).all(\n  (timing.exists() implies doseAndRate.exists()) and\n  (doseAndRate.exists() implies timing.exists())\n)",
                "source" : "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE"
              },
              {
                "key" : "DosageDoseUnitSameCode",
                "severity" : "error",
                "human" : "Die Dosiereinheit muss über alle Dosierungen gleich sein.",
                "expression" : "(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all(\ndoseAndRate.exists() implies\n  (\n    (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | \n    (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | \n    (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code\n  ).distinct().count() = 1\n)",
                "source" : "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE"
              },
              {
                "key" : "DosageWarnungViererschemaInText",
                "severity" : "warning",
                "human" : "Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann.",
                "expression" : "text.exists() implies text.matches('.*\\\\d+\\\\s*[-–]\\\\s*\\\\d+\\\\s*[-–]\\\\s*\\\\d+\\\\s*[-–]\\\\d+.*').not()",
                "source" : "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE"
              },
              {
                "key" : "FreeTextSingleDosageOnlyWarning",
                "severity" : "warning",
                "human" : "Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren.",
                "expression" : "(\n  (%resource.ofType(MedicationRequest).dosageInstruction |\n   %resource.ofType(MedicationDispense).dosageInstruction |\n   %resource.ofType(MedicationStatement).dosage\n  ).exists(text.exists() and timing.empty() and doseAndRate.empty())\n)\nimplies\n(\n  (%resource.ofType(MedicationRequest).dosageInstruction |\n   %resource.ofType(MedicationDispense).dosageInstruction |\n   %resource.ofType(MedicationStatement).dosage\n  ).count() = 1\n)",
                "source" : "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
              },
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution",
            "path" : "MedicationDispense.substitution",
            "short" : "Whether a substitution was performed on the dispense",
            "definition" : "Indicates whether or not substitution was made as part of the dispense.  In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.substitution",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.substitutionMade"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.id",
            "path" : "MedicationDispense.substitution.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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.extension",
            "path" : "MedicationDispense.substitution.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. 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"
              }
            ],
            "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" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.modifierExtension",
            "path" : "MedicationDispense.substitution.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "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.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "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" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.wasSubstituted",
            "path" : "MedicationDispense.substitution.wasSubstituted",
            "short" : "Whether a substitution was or was not performed on the dispense",
            "definition" : "True if the dispenser dispensed a different drug or product from what was prescribed.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "MedicationDispense.substitution.wasSubstituted",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "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"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".actionNegationInd"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.type",
            "path" : "MedicationDispense.substitution.type",
            "short" : "Code signifying whether a different drug was dispensed from what was prescribed",
            "definition" : "A code signifying whether a different drug was dispensed from what was prescribed.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.substitution.type",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationIntendedSubstitutionType"
                }
              ],
              "strength" : "example",
              "description" : "A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
            },
            "mapping" : [
              {
                "identity" : "v2",
                "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
              },
              {
                "identity" : "rim",
                "map" : ".code"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.substitutionMade.code"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.reason",
            "path" : "MedicationDispense.substitution.reason",
            "short" : "Why was substitution made",
            "definition" : "Indicates the reason for the substitution (or lack of substitution) from what was prescribed.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.substitution.reason",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "MedicationIntendedSubstitutionReason"
                }
              ],
              "strength" : "example",
              "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
            },
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".reasonCode"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.substitutionMade.reasonCode"
              }
            ]
          },
          {
            "id" : "MedicationDispense.substitution.responsibleParty",
            "path" : "MedicationDispense.substitution.responsibleParty",
            "short" : "Who is responsible for the substitution",
            "definition" : "The person or organization that has primary responsibility for the substitution.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.substitution.responsibleParty",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".participation[typeCode=PFM].role[classCode=ASSIGN]"
              },
              {
                "identity" : "rx-dispense-rmim",
                "map" : "CombinedMedicationDispense.substitutionMade.ResponsibleParty"
              }
            ]
          },
          {
            "id" : "MedicationDispense.detectedIssue",
            "path" : "MedicationDispense.detectedIssue",
            "short" : "Clinical issue with action",
            "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.",
            "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
            "alias" : [
              "Contraindication",
              "Drug Utilization Review (DUR)",
              "Alert"
            ],
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.detectedIssue",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/DetectedIssue"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
              }
            ]
          },
          {
            "id" : "MedicationDispense.eventHistory",
            "path" : "MedicationDispense.eventHistory",
            "short" : "A list of relevant lifecycle events",
            "definition" : "A summary of the events of interest that have occurred, such as when the dispense was verified.",
            "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "MedicationDispense.eventHistory",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Provenance"
                ]
              }
            ],
            "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"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "MedicationDispense",
            "path" : "MedicationDispense",
            "constraint" : [
              {
                "key" : "workflow-dosageExtensionBeiDosierung",
                "severity" : "error",
                "human" : "Wenn eine Dosierung angegeben wurde, muss der generierte Dosierungstext, sowie die Metainformationen zur Generierung angegeben werden.",
                "expression" : "dosageInstruction.exists() implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction').exists() and extension.where(url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta').exists()",
                "source" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense"
              }
            ]
          },
          {
            "id" : "MedicationDispense.meta",
            "path" : "MedicationDispense.meta",
            "min" : 1
          },
          {
            "id" : "MedicationDispense.meta.profile",
            "path" : "MedicationDispense.meta.profile",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "$this"
                }
              ],
              "description" : "Slicing für meta profile",
              "ordered" : false,
              "rules" : "closed"
            },
            "min" : 1,
            "max" : "1",
            "mustSupport" : true
          },
          {
            "id" : "MedicationDispense.meta.profile:workflowProfile",
            "path" : "MedicationDispense.meta.profile",
            "sliceName" : "workflowProfile",
            "min" : 1,
            "max" : "1",
            "fixedCanonical" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense|2.0",
            "mustSupport" : true
          },
          {
            "id" : "MedicationDispense.identifier",
            "path" : "MedicationDispense.identifier",
            "short" : "E-Rezept-ID",
            "min" : 1
          },
          {
            "id" : "MedicationDispense.identifier:prescriptionID",
            "path" : "MedicationDispense.identifier",
            "sliceName" : "prescriptionID",
            "min" : 1,
            "max" : "1",
            "type" : [
              {
                "code" : "Identifier",
                "profile" : [
                  🔗 "https://gematik.de/fhir/ti/StructureDefinition/e-prescription-id"
                ]
              }
            ],
            "patternIdentifier" : {
              "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"
            }
          },
          {
            "id" : "MedicationDispense.partOf",
            "path" : "MedicationDispense.partOf",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.status",
            "path" : "MedicationDispense.status",
            "short" : "completed",
            "fixedCode" : "completed"
          },
          {
            "id" : "MedicationDispense.statusReason[x]",
            "path" : "MedicationDispense.statusReason[x]",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.medication[x]",
            "path" : "MedicationDispense.medication[x]",
            "definition" : "Die MedicationDispense verweist auf ein Medikament, das abgegeben wurde.",
            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Medication"
                ]
              }
            ]
          },
          {
            "id" : "MedicationDispense.context",
            "path" : "MedicationDispense.context",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.supportingInformation",
            "path" : "MedicationDispense.supportingInformation",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.performer.actor.identifier",
            "path" : "MedicationDispense.performer.actor.identifier",
            "min" : 1,
            "type" : [
              {
                "code" : "Identifier",
                "profile" : [
                  🔗 "http://fhir.de/StructureDefinition/identifier-telematik-id"
                ]
              }
            ]
          },
          {
            "id" : "MedicationDispense.location",
            "path" : "MedicationDispense.location",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.type",
            "path" : "MedicationDispense.type",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.quantity",
            "path" : "MedicationDispense.quantity",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.daysSupply",
            "path" : "MedicationDispense.daysSupply",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.whenPrepared",
            "path" : "MedicationDispense.whenPrepared",
            "constraint" : [
              {
                "key" : "workflow-abgabeDatumsFormat",
                "severity" : "error",
                "human" : "Wert muss ein Datum in der Form: YYYY-MM-DD sein.",
                "expression" : "toString().length()=10",
                "source" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense"
              }
            ],
            "mustSupport" : false
          },
          {
            "id" : "MedicationDispense.whenHandedOver",
            "path" : "MedicationDispense.whenHandedOver",
            "constraint" : [
              {
                "key" : "workflow-abgabeDatumsFormat",
                "severity" : "error",
                "human" : "Wert muss ein Datum in der Form: YYYY-MM-DD sein.",
                "expression" : "toString().length()=10",
                "source" : "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense"
              }
            ]
          },
          {
            "id" : "MedicationDispense.destination",
            "path" : "MedicationDispense.destination",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.note",
            "path" : "MedicationDispense.note",
            "short" : "Abgabehinweise"
          },
          {
            "id" : "MedicationDispense.substitution.wasSubstituted",
            "path" : "MedicationDispense.substitution.wasSubstituted",
            "mustSupport" : true
          },
          {
            "id" : "MedicationDispense.substitution.type",
            "path" : "MedicationDispense.substitution.type",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.substitution.reason",
            "path" : "MedicationDispense.substitution.reason",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.substitution.responsibleParty",
            "path" : "MedicationDispense.substitution.responsibleParty",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.detectedIssue",
            "path" : "MedicationDispense.detectedIssue",
            "max" : "0"
          },
          {
            "id" : "MedicationDispense.eventHistory",
            "path" : "MedicationDispense.eventHistory",
            "max" : "0"
          }
        ]
      }
    }