description: Dieses Profil ermöglicht die Abbildung von Medikationsverordnungen eines Patienten in ISiK Szenarien.
package_name: de.gematik.isik
derivation: constraint
name: ISiKMedikationsVerordnung
type: MedicationRequest
elements:
  substitution:
    short: Ersatz zulässig
    mustSupport: true
    index: 154
    elements:
      allowedBoolean: {type: boolean, mustSupport: true, index: 155}
  encounter:
    short: Referenz auf den Abteilungskontakt
    mustSupport: true
    index: 23
    elements:
      reference: {mustSupport: true, index: 24}
    required: [reference]
  dispenseRequest:
    mustSupport: true
    index: 148
    elements:
      quantity:
        short: angeforderte Abgabemenge
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 149
        elements:
          value: {mustSupport: true, index: 150}
          unit: {mustSupport: true, index: 151}
          system: {mustSupport: true, index: 152}
          code: {mustSupport: true, index: 153}
        required: [value, system, code]
  medicationCodeableConcept:
    type: CodeableConcept
    short: Medikament in codierter Form oder ggf. als Freitext
    mustSupport: true
    index: 4
    elements:
      coding:
        mustSupport: true
        index: 5
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            PZN:
              match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                index: 6
                elements:
                  system: {mustSupport: true, index: 7}
                  code: {mustSupport: true, index: 8}
                  display: {mustSupport: true, index: 9}
                required: [system, code]
            ATC-DE:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
                index: 10
                elements:
                  system: {mustSupport: true, index: 11}
                  code: {mustSupport: true, index: 12}
                  display: {mustSupport: true, index: 13}
                required: [system, code]
            WG14:
              match: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
                index: 14
                elements:
                  system: {mustSupport: true, index: 15}
                  code: {mustSupport: true, index: 16}
                  display: {mustSupport: true, index: 17}
                required: [system, code]
      text: {mustSupport: true, index: 18}
  authoredOn: {short: Erstellungsdatum der Verordnung, mustSupport: true, index: 25}
  note:
    mustSupport: true
    index: 28
    elements:
      text: {short: Freitext-Notiz, mustSupport: true, index: 29}
  requester:
    short: Referenz auf die verordnende Person
    mustSupport: true
    index: 26
    elements:
      reference: {mustSupport: true, index: 27}
    required: [reference]
  status: {short: Status der Verordnungsinformation, mustSupport: true, index: 1}
  id: {short: eindeutige ID der Ressource auf dem Server, mustSupport: true, index: 0}
  dosageInstruction:
    short: Dosierungsangaben
    mustSupport: true
    index: 30
    elements:
      site:
        short: Körperstelle der Verabreichung
        mustSupport: true
        index: 70
        elements:
          coding:
            mustSupport: true
            index: 71
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                SNOMED-CT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 72
                    elements:
                      system: {mustSupport: true, index: 73}
                      code: {mustSupport: true, index: 74}
                      display: {mustSupport: true, index: 75}
                    required: [system, code]
          text: {mustSupport: true, index: 76}
      patientInstruction: {short: besondere Anweisungen für den Patienten, mustSupport: true, index: 32}
      maxDosePerAdministration:
        short: Maximaldosis pro Verabreichung
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 143
        elements:
          value: {mustSupport: true, index: 144}
          unit: {mustSupport: true, index: 145}
          system: {mustSupport: true, index: 146}
          code: {mustSupport: true, index: 147}
        required: [value, system, code]
      route:
        short: Route
        mustSupport: true
        index: 77
        elements:
          coding:
            mustSupport: true
            index: 78
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                EDQM:
                  match: {system: 'http://standardterms.edqm.eu'}
                  schema:
                    binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'}
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://standardterms.edqm.eu'}
                    index: 79
                    elements:
                      system: {mustSupport: true, index: 80}
                      code: {mustSupport: true, index: 81}
                      display: {mustSupport: true, index: 82}
                    required: [system, code]
                SNOMED-CT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    binding: {strength: required, valueSet: 'https://gematik.de/fhir/isik/v3/Medikation/ValueSet/SctRouteOfAdministration'}
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 83
                    elements:
                      system: {mustSupport: true, index: 84}
                      code: {mustSupport: true, index: 85}
                      display: {mustSupport: true, index: 86}
                    required: [system, code]
          text: {mustSupport: true, index: 87}
      asNeededBoolean: {type: boolean, short: Bedarfsmedikation, mustSupport: true, index: 69}
      timing:
        short: Angaben zum Timing
        mustSupport: true
        index: 33
        elements:
          event: {short: fester Zeitpunkt, mustSupport: true, index: 34}
          repeat:
            short: Wiederholungs-Angaben
            mustSupport: true
            index: 35
            elements:
              boundsRange:
                type: Range
                short: Bereich für die Begrenzung
                mustSupport: true
                index: 41
                elements:
                  low:
                    mustSupport: true
                    pattern:
                      type: Quantity
                      value: {system: 'http://unitsofmeasure.org'}
                    index: 42
                    elements:
                      value: {mustSupport: true, index: 43}
                      unit: {mustSupport: true, index: 44}
                      system: {mustSupport: true, index: 45}
                      code: {mustSupport: true, index: 46}
                    required: [value, system, code]
                  high:
                    mustSupport: true
                    pattern:
                      type: Quantity
                      value: {system: 'http://unitsofmeasure.org'}
                    index: 47
                    elements:
                      value: {mustSupport: true, index: 48}
                      unit: {mustSupport: true, index: 49}
                      system: {mustSupport: true, index: 50}
                      code: {mustSupport: true, index: 51}
                    required: [value, system, code]
              frequencyMax: {short: maximale Frequenz, mustSupport: true, index: 61}
              boundsPeriod:
                type: Period
                short: begrenzender Zeitraum
                mustSupport: true
                index: 52
                elements:
                  start: {mustSupport: true, index: 53}
                  end: {mustSupport: true, index: 54}
              when: {short: Tageszeitpunkt codiert, mustSupport: true, index: 67}
              offset: {short: zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt, mustSupport: true, index: 68}
              periodUnit: {short: Einheit der Zeitperiode, mustSupport: true, index: 64}
              frequency: {short: Frequenz (Anzahl der Gaben pro Periode), mustSupport: true, index: 60}
              durationMax: {short: maximale Dauer der Verabreichung, mustSupport: true, index: 58}
              duration: {short: Dauer der Verabreichung, mustSupport: true, index: 57}
              boundsDuration:
                type: Duration
                short: Begrenzung der Dauer
                mustSupport: true
                pattern:
                  type: Duration
                  value: {system: 'http://unitsofmeasure.org'}
                index: 36
                elements:
                  value: {mustSupport: true, index: 37}
                  unit: {mustSupport: true, index: 38}
                  system: {mustSupport: true, index: 39}
                  code: {mustSupport: true, index: 40}
                required: [value, system, code]
              durationUnit: {short: Einheit der Dauer, mustSupport: true, index: 59}
              dayOfWeek: {short: Wochentag, mustSupport: true, index: 65}
              count: {short: Anzahl Wiederholungen, mustSupport: true, index: 55}
              periodMax: {short: maximale Zeitperiode zur Frequenz, mustSupport: true, index: 63}
              period: {short: Zeitperiode zur Frequenz, mustSupport: true, index: 62}
              countMax: {short: maximale Anzahl Wiederholungen, mustSupport: true, index: 56}
              timeOfDay: {short: Tageszeit, mustSupport: true, index: 66}
      maxDosePerPeriod:
        short: Maximaldosis (Zähler) pro Zeitraum (Nenner)
        mustSupport: true
        index: 132
        elements:
          numerator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 133
            elements:
              value: {mustSupport: true, index: 134}
              unit: {mustSupport: true, index: 135}
              system: {mustSupport: true, index: 136}
              code: {mustSupport: true, index: 137}
            required: [value, system, code]
          denominator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 138
            elements:
              value: {mustSupport: true, index: 139}
              unit: {mustSupport: true, index: 140}
              system: {mustSupport: true, index: 141}
              code: {mustSupport: true, index: 142}
            required: [value, system, code]
      doseAndRate:
        short: Angaben zu Dosis und Rate
        mustSupport: true
        index: 88
        elements:
          doseRange:
            type: Range
            short: Dosisbereich
            mustSupport: true
            index: 89
            elements:
              low:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                index: 90
                elements:
                  value: {mustSupport: true, index: 91}
                  unit: {mustSupport: true, index: 92}
                  system: {mustSupport: true, index: 93}
                  code: {mustSupport: true, index: 94}
                required: [value, system, code]
              high:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                index: 95
                elements:
                  value: {mustSupport: true, index: 96}
                  unit: {mustSupport: true, index: 97}
                  system: {mustSupport: true, index: 98}
                  code: {mustSupport: true, index: 99}
                required: [value, system, code]
          doseQuantity:
            type: Quantity
            short: Dosis
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 100
            elements:
              value: {mustSupport: true, index: 101}
              unit: {mustSupport: true, index: 102}
              system: {mustSupport: true, index: 103}
              code: {mustSupport: true, index: 104}
            required: [value, system, code]
          rateRatio:
            type: Ratio
            short: Raten-Verhältnis
            mustSupport: true
            index: 105
            elements:
              numerator:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                index: 106
                elements:
                  value: {mustSupport: true, index: 107}
                  unit: {mustSupport: true, index: 108}
                  system: {mustSupport: true, index: 109}
                  code: {mustSupport: true, index: 110}
                required: [value, system, code]
              denominator:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                index: 111
                elements:
                  value: {mustSupport: true, index: 112}
                  unit: {mustSupport: true, index: 113}
                  system: {mustSupport: true, index: 114}
                  code: {mustSupport: true, index: 115}
                required: [value, system, code]
          rateRange:
            type: Range
            short: Raten-Bereich
            mustSupport: true
            index: 116
            elements:
              low:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                index: 117
                elements:
                  value: {mustSupport: true, index: 118}
                  unit: {mustSupport: true, index: 119}
                  system: {mustSupport: true, index: 120}
                  code: {mustSupport: true, index: 121}
                required: [value, system, code]
              high:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                index: 122
                elements:
                  value: {mustSupport: true, index: 123}
                  unit: {mustSupport: true, index: 124}
                  system: {mustSupport: true, index: 125}
                  code: {mustSupport: true, index: 126}
                required: [value, system, code]
          rateQuantity:
            type: Quantity
            short: Rate
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 127
            elements:
              value: {mustSupport: true, index: 128}
              unit: {mustSupport: true, index: 129}
              system: {mustSupport: true, index: 130}
              code: {mustSupport: true, index: 131}
            required: [value, system, code]
      text: {short: Freitext-Dosierungsanweisungen, mustSupport: true, index: 31}
  doNotPerform: {index: 3}
  intent: {short: Ziel der Verordnungsinformation, mustSupport: true, index: 2}
  medicationReference:
    short: Referenz auf das Medikament (Medication-Ressource)
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    mustSupport: true
    index: 19
    elements:
      reference: {mustSupport: true, index: 20}
    required: [reference]
  subject:
    type: Reference
    short: Referenz auf den Patienten
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 21
    elements:
      reference: {mustSupport: true, index: 22}
    required: [reference]
package_version: medikation-3.0.0
class: profile
kind: resource
url: https://gematik.de/fhir/isik/v3/Medikation/StructureDefinition/ISiKMedikationsVerordnung
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 3.0.0