description: Dieses Profil ermöglicht die Abbildung der Verabreichung von Medikamenten für einen Patienten in ISiK Szenarien.
package_name: de.gematik.isik
derivation: constraint
name: ISiKMedikationsVerabreichung
type: MedicationAdministration
elements:
  dosage:
    short: Dosierungsangaben
    mustSupport: true
    index: 35
    elements:
      text: {short: Freitext-Dosierungsangabe, mustSupport: true, index: 36}
      site:
        short: Körperstelle der Verabreichung
        mustSupport: true
        index: 37
        elements:
          coding:
            mustSupport: true
            index: 38
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                SNOMED-CT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    type: Coding
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 39
                  min: 0
                  max: 1
          text: {mustSupport: true, index: 40}
      route:
        short: Route
        mustSupport: true
        index: 41
        elements:
          coding:
            mustSupport: true
            index: 42
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                EDQM:
                  match: {system: 'http://standardterms.edqm.eu'}
                  schema:
                    type: Coding
                    mustSupport: true
                    binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'}
                    pattern:
                      type: Coding
                      value: {system: 'http://standardterms.edqm.eu'}
                    index: 43
                  min: 0
                  max: 1
                SNOMED-CT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    type: Coding
                    mustSupport: true
                    binding: {strength: required, valueSet: 'https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration'}
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 44
                  min: 0
                  max: 1
          text: {mustSupport: true, index: 45}
      dose: {type: Quantity, short: verabreichte Dosis, mustSupport: true, index: 46}
      rate:
        short: Verabreichungs-Rate
        mustSupport: true
        choices: [rateQuantity]
        index: 55
        slicing:
          slices:
            rateQuantity:
              match: {}
              schema:
                short: Verabreichungs-Rate
                mustSupport: true
                choices: [rateQuantity]
                index: 55
              min: 0
              max: 1
      rateRatio:
        short: Verabreichungs-Rate (Verhältnis)
        type: Ratio
        mustSupport: true
        choiceOf: rate
        index: 51
        slicing:
          slices:
            rateRatio:
              match: {}
              schema: {short: Verabreichungs-Rate (Verhältnis), type: Ratio, mustSupport: true, choiceOf: rate, index: 51}
              min: 0
              max: 1
      rate[x]:
        elements:
          numerator: {type: Quantity, mustSupport: true, index: 52}
          denominator: {type: Quantity, mustSupport: true, index: 53}
        required: [denominator, numerator]
      rateQuantity:
        short: Verabreichungs-Rate
        type: Quantity
        mustSupport: true
        choiceOf: rate
        index: 56
        slicing:
          slices:
            rateQuantity:
              match: {}
              schema: {short: Verabreichungs-Rate, type: Quantity, mustSupport: true, choiceOf: rate, index: 56}
              min: 0
              max: 1
  medication[x]:
    elements:
      reference: {mustSupport: true, index: 13}
    required: [reference]
  medicationCodeableConcept:
    short: Medikament in codierter Form oder ggf. als Freitext
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 5
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {short: Medikament in codierter Form oder ggf. als Freitext, type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 5}
          min: 0
          max: 1
  note:
    mustSupport: true
    index: 33
    elements:
      text: {short: Freitext-Notiz, mustSupport: true, index: 34}
  effective[x]:
    elements:
      start: {mustSupport: true, index: 26}
      end: {mustSupport: true, index: 27}
  effectiveDateTime:
    short: Zeitpunkt der Verabreichung
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 22
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {short: Zeitpunkt der Verabreichung, type: dateTime, mustSupport: true, choiceOf: effective, index: 22}
          min: 0
          max: 1
  status: {short: Status der Verabreichungsinformation, mustSupport: true, index: 0}
  effective:
    short: Zeitraum der Verabreichung
    mustSupport: true
    choices: [effectivePeriod]
    index: 24
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            short: Zeitraum der Verabreichung
            mustSupport: true
            choices: [effectivePeriod]
            index: 24
          min: 0
          max: 1
  context:
    short: Referenz auf den Abteilungskontakt
    mustSupport: true
    index: 16
    elements:
      reference: {mustSupport: true, index: 17}
    required: [reference]
  medicationReference:
    short: Referenz auf das Medikament (Medication-Ressource)
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    mustSupport: true
    choiceOf: medication
    index: 12
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            short: Referenz auf das Medikament (Medication-Ressource)
            refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
            type: Reference
            mustSupport: true
            choiceOf: medication
            index: 12
          min: 0
          max: 1
  subject:
    type: Reference
    short: Referenz auf den Patienten
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 14
    elements:
      reference: {mustSupport: true, index: 15}
    required: [reference]
  performer:
    mustSupport: true
    index: 28
    elements:
      actor:
        short: Referenz auf die verabreichende Person
        mustSupport: true
        index: 29
        elements:
          reference: {mustSupport: true, index: 30}
        required: [reference]
  effectivePeriod:
    short: Zeitraum der Verabreichung
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 25
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {short: Zeitraum der Verabreichung, type: Period, mustSupport: true, choiceOf: effective, index: 25}
          min: 0
          max: 1
  medication:
    short: Referenz auf das Medikament (Medication-Ressource)
    mustSupport: true
    choices: [medicationReference]
    index: 11
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            short: Referenz auf das Medikament (Medication-Ressource)
            mustSupport: true
            choices: [medicationReference]
            index: 11
          min: 0
          max: 1
  reasonReference:
    short: Grund der Medikation (Referenz)
    mustSupport: true
    index: 31
    elements:
      reference: {mustSupport: true, index: 32}
    required: [reference]
package_version: medikation-4.0.0-rc2
class: profile
kind: resource
url: https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerabreichung
base: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
version: 4.0.0-rc2