{
  "description": "Defines the medication resource for the Medication Service in the ePA system.",
  "_filename": "StructureDefinition-epa-medication.json",
  "package_name": "de.gematik.epa.medication",
  "date": "2024-03-18",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "EPAMedication",
  "abstract": false,
  "type": "Medication",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "EPA Medication",
  "package_version": "1.0.0",
  "status": "active",
  "id": "1390550c-c80a-410d-9db9-1ceb46de4a99",
  "kind": "resource",
  "url": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "Medication",
      "path": "Medication",
      "constraint": [ {
        "key": "epa-med-1",
        "human": "Medication code, name, or ingredients must be specified",
        "source": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication",
        "severity": "error",
        "expression": "code.exists() or ingredient.exists()"
      } ]
    }, {
      "id": "Medication.extension",
      "path": "Medication.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.extension:rxPrescriptionProcessIdentifier",
      "max": "1",
      "min": 0,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension" ]
      } ],
      "sliceName": "rxPrescriptionProcessIdentifier"
    }, {
      "id": "Medication.identifier",
      "path": "Medication.identifier",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Medication.identifier:EPAMedicationUniqueIdentifier",
      "max": "1",
      "min": 0,
      "path": "Medication.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-unique-identifier" ]
      } ],
      "sliceName": "EPAMedicationUniqueIdentifier",
      "patternIdentifier": {
        "system": "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"
      }
    }, {
      "id": "Medication.identifier:RxOriginatorProcessIdentifier",
      "max": "1",
      "min": 0,
      "path": "Medication.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier" ]
      } ],
      "sliceName": "RxOriginatorProcessIdentifier",
      "patternIdentifier": {
        "system": "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"
      }
    }, {
      "id": "Medication.code",
      "path": "Medication.code",
      "short": "Medication in coded form or as free text if necessary",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding",
      "path": "Medication.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:pzn",
      "max": "1",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "pzn",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "Medication.code.coding:pzn.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:pzn.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:pzn.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atc-de",
      "max": "*",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "atc-de",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "Medication.code.coding:atc-de.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atc-de.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atc-de.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ask",
      "max": "*",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "ask",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ask"
      }
    }, {
      "id": "Medication.code.coding:ask.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ask.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ask.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:wg14",
      "max": "*",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "wg14",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/abdata/wg14"
      }
    }, {
      "id": "Medication.code.coding:wg14.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:wg14.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:wg14.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:snomed",
      "max": "*",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "snomed",
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Medication.code.coding:snomed.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:snomed.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:snomed.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.text",
      "path": "Medication.code.text",
      "mustSupport": true
    }, {
      "id": "Medication.status",
      "path": "Medication.status",
      "short": "Status of Medication Information",
      "mustSupport": true
    }, {
      "id": "Medication.manufacturer",
      "path": "Medication.manufacturer",
      "short": "Manufacturer of the Medication",
      "comment": "Here, the actual manufacturer of the medication can be named, primarily in the case of active ingredient mixtures (compounding prescriptions), such as the hospital pharmacy. It is important to note that the licensing organization, as mentioned in the PZN (Pharmaceutical Central Number) data, is not considered the manufacturer.",
      "mustSupport": true
    }, {
      "id": "Medication.manufacturer.display",
      "min": 1,
      "path": "Medication.manufacturer.display",
      "mustSupport": true
    }, {
      "id": "Medication.form",
      "path": "Medication.form",
      "short": "Form of Dispensing",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding",
      "path": "Medication.form.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:edqm",
      "max": "*",
      "min": 0,
      "path": "Medication.form.coding",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
      },
      "sliceName": "edqm",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://standardterms.edqm.eu"
      }
    }, {
      "id": "Medication.form.coding:edqm.system",
      "min": 1,
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:edqm.code",
      "min": 1,
      "path": "Medication.form.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:edqm.display",
      "path": "Medication.form.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:snomed",
      "max": "*",
      "min": 0,
      "path": "Medication.form.coding",
      "sliceName": "snomed",
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Medication.form.coding:snomed.system",
      "min": 1,
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:snomed.code",
      "min": 1,
      "path": "Medication.form.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:snomed.display",
      "path": "Medication.form.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform",
      "max": "*",
      "min": 0,
      "path": "Medication.form.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM"
      },
      "sliceName": "kbvDarreichungsform",
      "mustSupport": true,
      "patternCoding": {
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"
      }
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.system",
      "min": 1,
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.code",
      "min": 1,
      "path": "Medication.form.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.display",
      "path": "Medication.form.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.amount",
      "path": "Medication.amount",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator",
      "path": "Medication.amount.numerator",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units"
      },
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.value",
      "path": "Medication.amount.numerator.value",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.unit",
      "path": "Medication.amount.numerator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.system",
      "path": "Medication.amount.numerator.system",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.code",
      "path": "Medication.amount.numerator.code",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator",
      "path": "Medication.amount.denominator",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units"
      },
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.value",
      "path": "Medication.amount.denominator.value",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.unit",
      "path": "Medication.amount.denominator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.system",
      "path": "Medication.amount.denominator.system",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.code",
      "path": "Medication.amount.denominator.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient",
      "path": "Medication.ingredient",
      "short": "Information on Components (Rezeptur)",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Component in coded form or, if necessary, as free text",
      "sliceName": "itemCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
      "path": "Medication.ingredient.item[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "ask",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ask"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display",
      "path": "Medication.ingredient.item[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "atc-de",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de.display",
      "path": "Medication.ingredient.item[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "pzn",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.display",
      "path": "Medication.ingredient.item[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:wg14",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "wg14",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/abdata/wg14"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:wg14.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:wg14.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:wg14.display",
      "path": "Medication.ingredient.item[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "snomed",
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.display",
      "path": "Medication.ingredient.item[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "path": "Medication.ingredient.item[x].text",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemReference",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Substance", "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "short": "Component (reference to another medication)",
      "sliceName": "itemReference"
    }, {
      "id": "Medication.ingredient.isActive",
      "path": "Medication.ingredient.isActive",
      "short": "Is it an active ingredient?"
    }, {
      "id": "Medication.ingredient.strength",
      "path": "Medication.ingredient.strength",
      "short": "Strength",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units"
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.value",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.unit",
      "path": "Medication.ingredient.strength.numerator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.system",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.code",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "path": "Medication.ingredient.strength.denominator",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units"
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.value",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.unit",
      "path": "Medication.ingredient.strength.denominator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.system",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.code",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.code",
      "mustSupport": true
    }, {
      "id": "Medication.batch",
      "path": "Medication.batch",
      "short": "Batch Information",
      "mustSupport": true
    }, {
      "id": "Medication.batch.lotNumber",
      "path": "Medication.batch.lotNumber",
      "short": "Batch Number",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication"
}