{
  "description": null,
  "_filename": "KBV_PR_ERP_Medication_Compounding.json",
  "package_name": "kbv.ita.erp",
  "date": "2025-11-06",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_ERP_Medication_Compounding",
  "abstract": false,
  "type": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.4.0",
  "status": "active",
  "id": "40c7cce8-b0a3-4988-b0b6-105f3055b53b",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding",
  "version": "1.4.0",
  "differential": {
    "element": [ {
      "id": "Medication.id",
      "min": 1,
      "path": "Medication.id",
      "mustSupport": true
    }, {
      "id": "Medication.meta",
      "min": 1,
      "path": "Medication.meta",
      "mustSupport": true
    }, {
      "id": "Medication.meta.versionId",
      "max": "1",
      "min": 1,
      "path": "Medication.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Medication.meta.lastUpdated",
      "max": "0",
      "path": "Medication.meta.lastUpdated"
    }, {
      "id": "Medication.meta.source",
      "max": "0",
      "path": "Medication.meta.source"
    }, {
      "id": "Medication.meta.profile",
      "min": 1,
      "path": "Medication.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.meta.profile:erpProfile",
      "max": "1",
      "min": 1,
      "path": "Medication.meta.profile",
      "sliceName": "erpProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|1.4"
    }, {
      "id": "Medication.meta.security",
      "max": "0",
      "path": "Medication.meta.security"
    }, {
      "id": "Medication.meta.tag",
      "max": "0",
      "path": "Medication.meta.tag"
    }, {
      "id": "Medication.implicitRules",
      "max": "0",
      "path": "Medication.implicitRules"
    }, {
      "id": "Medication.language",
      "max": "0",
      "path": "Medication.language"
    }, {
      "id": "Medication.text",
      "max": "0",
      "path": "Medication.text"
    }, {
      "id": "Medication.contained",
      "max": "0",
      "path": "Medication.contained"
    }, {
      "id": "Medication.extension",
      "max": "5",
      "min": 3,
      "path": "Medication.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.extension:Kategorie",
      "min": 1,
      "path": "Medication.extension",
      "sliceName": "Kategorie",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]",
      "path": "Medication.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding",
      "path": "Medication.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.system",
      "path": "Medication.extension.value[x].coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.version",
      "path": "Medication.extension.value[x].coding.version",
      "fixedString": "http://snomed.info/sct/11000274103/version/20240515",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.code",
      "path": "Medication.extension.value[x].coding.code",
      "fixedCode": "1208954007",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.display",
      "path": "Medication.extension.value[x].coding.display",
      "fixedString": "Extemporaneous preparation (product)",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.userSelected",
      "max": "0",
      "path": "Medication.extension.value[x].coding.userSelected"
    }, {
      "id": "Medication.extension:Normgroesse",
      "max": "0",
      "path": "Medication.extension",
      "sliceName": "Normgroesse"
    }, {
      "id": "Medication.extension:Arzneimittelkategorie",
      "max": "1",
      "min": 1,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category" ]
      } ],
      "sliceName": "Arzneimittelkategorie",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]",
      "path": "Medication.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueCoding",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding.system",
      "path": "Medication.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding.code",
      "path": "Medication.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Impfstoff",
      "max": "1",
      "min": 1,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine" ]
      } ],
      "sliceName": "Impfstoff",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Impfstoff.value[x]",
      "path": "Medication.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Impfstoff.value[x]:valueBoolean",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Herstellungsanweisung",
      "max": "1",
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_CompoundingInstruction" ]
      } ],
      "sliceName": "Herstellungsanweisung",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Herstellungsanweisung.value[x]",
      "path": "Medication.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Herstellungsanweisung.value[x]:valueString",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Verpackung",
      "max": "1",
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Packaging" ]
      } ],
      "sliceName": "Verpackung",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Verpackung.value[x]",
      "path": "Medication.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Verpackung.value[x]:valueString",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Medication.identifier",
      "max": "0",
      "path": "Medication.identifier"
    }, {
      "id": "Medication.code",
      "path": "Medication.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding",
      "max": "1",
      "min": 1,
      "path": "Medication.code.coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.code.coding:pzn",
      "max": "0",
      "path": "Medication.code.coding",
      "sliceName": "pzn"
    }, {
      "id": "Medication.code.coding:snomed",
      "max": "0",
      "path": "Medication.code.coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.code.coding:atc",
      "max": "0",
      "path": "Medication.code.coding",
      "sliceName": "atc"
    }, {
      "id": "Medication.code.coding:verordnungskategorieCode",
      "max": "1",
      "min": 1,
      "path": "Medication.code.coding",
      "sliceName": "verordnungskategorieCode",
      "mustSupport": true,
      "patternCoding": {
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type"
      }
    }, {
      "id": "Medication.code.coding:verordnungskategorieCode.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:verordnungskategorieCode.version",
      "max": "0",
      "path": "Medication.code.coding.version"
    }, {
      "id": "Medication.code.coding:verordnungskategorieCode.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "short": "Kennzeichnung Rezepturverordnung",
      "fixedCode": "rezeptur",
      "definition": "Anhand des \"Fixed value\" kann die Medication als Rezepturverordnung identifiziert werden.",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:verordnungskategorieCode.display",
      "max": "0",
      "path": "Medication.code.coding.display"
    }, {
      "id": "Medication.code.coding:verordnungskategorieCode.userSelected",
      "max": "0",
      "path": "Medication.code.coding.userSelected"
    }, {
      "id": "Medication.code.text",
      "path": "Medication.code.text",
      "short": "Rezepturname",
      "maxLength": 70,
      "definition": "Bezeichnung der Rezeptur (z.B. gemäß deutsches Arzneibuches: Zinkpaste DAB2020)",
      "mustSupport": true
    }, {
      "id": "Medication.status",
      "max": "0",
      "path": "Medication.status"
    }, {
      "id": "Medication.manufacturer",
      "max": "0",
      "path": "Medication.manufacturer"
    }, {
      "id": "Medication.form",
      "min": 1,
      "path": "Medication.form",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding",
      "max": "0",
      "path": "Medication.form.coding"
    }, {
      "id": "Medication.form.coding:snomed",
      "max": "0",
      "path": "Medication.form.coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.form.coding:edqm",
      "max": "0",
      "path": "Medication.form.coding",
      "sliceName": "edqm"
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform",
      "max": "0",
      "path": "Medication.form.coding",
      "sliceName": "kbvDarreichungsform"
    }, {
      "id": "Medication.form.text",
      "min": 1,
      "path": "Medication.form.text",
      "short": "Darreichungsform Freitext",
      "maxLength": 30,
      "definition": "Angabe der Darreichungsform als Freitext",
      "mustSupport": true
    }, {
      "id": "Medication.amount",
      "min": 1,
      "path": "Medication.amount",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator",
      "min": 1,
      "path": "Medication.amount.numerator",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension",
      "max": "1",
      "min": 1,
      "path": "Medication.amount.numerator.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "path": "Medication.amount.numerator.extension",
      "min": 1,
      "definition": "Gesamtmenge der Rezeptur (ohne die Einheit)",
      "isModifier": false,
      "short": "Gesamtmenge der Rezeptur",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize" ]
      } ],
      "mustSupport": true,
      "sliceName": "Gesamtmenge",
      "max": "1",
      "id": "Medication.amount.numerator.extension:Gesamtmenge"
    }, {
      "id": "Medication.amount.numerator.extension:Gesamtmenge.value[x]",
      "path": "Medication.amount.numerator.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension:Gesamtmenge.value[x]:valueString",
      "path": "Medication.amount.numerator.extension.value[x]",
      "short": "Gesamtmenge der Rezeptur",
      "sliceName": "valueString",
      "definition": "Gesamtmenge der Rezeptur (ohne die Einheit)",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.value",
      "max": "0",
      "path": "Medication.amount.numerator.value"
    }, {
      "id": "Medication.amount.numerator.comparator",
      "max": "0",
      "path": "Medication.amount.numerator.comparator"
    }, {
      "id": "Medication.amount.numerator.unit",
      "min": 1,
      "path": "Medication.amount.numerator.unit",
      "short": "Einheit der Gesamtmenge",
      "maxLength": 12,
      "definition": "Einheit der Gesamtmenge einer Rezeptur",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.system",
      "max": "0",
      "path": "Medication.amount.numerator.system"
    }, {
      "id": "Medication.amount.numerator.code",
      "max": "0",
      "path": "Medication.amount.numerator.code"
    }, {
      "id": "Medication.amount.denominator",
      "min": 1,
      "path": "Medication.amount.denominator",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.value",
      "min": 1,
      "path": "Medication.amount.denominator.value",
      "mustSupport": true,
      "fixedDecimal": 1
    }, {
      "id": "Medication.amount.denominator.comparator",
      "max": "0",
      "path": "Medication.amount.denominator.comparator"
    }, {
      "id": "Medication.amount.denominator.unit",
      "max": "0",
      "path": "Medication.amount.denominator.unit"
    }, {
      "id": "Medication.amount.denominator.system",
      "max": "0",
      "path": "Medication.amount.denominator.system"
    }, {
      "id": "Medication.amount.denominator.code",
      "max": "0",
      "path": "Medication.amount.denominator.code"
    }, {
      "id": "Medication.ingredient",
      "min": 1,
      "path": "Medication.ingredient",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension",
      "max": "1",
      "path": "Medication.ingredient.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.ingredient.extension:Darreichungsform",
      "max": "1",
      "path": "Medication.ingredient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Form" ]
      } ],
      "sliceName": "Darreichungsform",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension:Darreichungsform.value[x]",
      "path": "Medication.ingredient.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension:Darreichungsform.value[x]:valueString",
      "path": "Medication.ingredient.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "itemCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
      "max": "1",
      "path": "Medication.ingredient.item[x].coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "ask"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn",
      "max": "1",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "pzn",
      "constraint": [ {
        "key": "-erp-begrenzungPznCode",
        "human": "Der PZN-Code muss aus genau 8 Zeichen bestehen.",
        "severity": "error",
        "expression": "code.length()=8"
      } ],
      "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",
      "fixedUri": "http://fhir.de/CodeSystem/ifa/pzn",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.version",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.version"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "short": "PZN des Bestandteils",
      "definition": "eindeutige Identifikation des Arzneimittels mittels PZN, das vollständig oder teilweise für die Rezeptur verwandt werden soll",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.display",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.display"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.userSelected",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.userSelected"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "min": 1,
      "path": "Medication.ingredient.item[x].text",
      "short": "Name des Bestandteils",
      "maxLength": 60,
      "definition": "Namentliche Bezeichnung des Bestandteiles der Rezeptur\r\nWenn die PZN des Bestandteils vorhanden ist, dann ist der hinter der PZN liegende Handelsname anzugeben.",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemReference",
      "max": "0",
      "path": "Medication.ingredient.item[x]",
      "sliceName": "itemReference"
    }, {
      "id": "Medication.ingredient.isActive",
      "max": "0",
      "path": "Medication.ingredient.isActive"
    }, {
      "id": "Medication.ingredient.strength",
      "min": 1,
      "path": "Medication.ingredient.strength",
      "constraint": [ {
        "key": "-erp-numeratorOderFreitext",
        "human": "Entweder ist die Menge des Bestandteils durch \"numerator\" oder als Freitext anzugeben.",
        "severity": "error",
        "expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount').exists() xor numerator.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.extension",
      "max": "1",
      "path": "Medication.ingredient.strength.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.ingredient.strength.extension:MengeFreitext",
      "max": "1",
      "path": "Medication.ingredient.strength.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount" ]
      } ],
      "sliceName": "MengeFreitext",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.extension:MengeFreitext.value[x]",
      "path": "Medication.ingredient.strength.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.extension:MengeFreitext.value[x]:valueString",
      "path": "Medication.ingredient.strength.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "path": "Medication.ingredient.strength.numerator",
      "constraint": [ {
        "key": "-erp-begrenzungValue",
        "human": "Die Menge eines Bestandteils einer Rezeptur darf aus maximal 7 Zeichen bestehen.",
        "severity": "error",
        "expression": "value.toString().length() <= 7"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.value",
      "short": "Menge des Bestandteils",
      "definition": "Verordnete Menge des Bestandteils z.B. 100",
      "mustSupport": true
    }, {
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      "max": "0",
      "path": "Medication.ingredient.strength.numerator.comparator"
    }, {
      "id": "Medication.ingredient.strength.numerator.unit",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.unit",
      "short": "Einheit des Bestandteils",
      "maxLength": 12,
      "definition": "Verordnete Einheit des Bestandteils z. B. mg",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.system",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.system"
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      "max": "0",
      "path": "Medication.ingredient.strength.numerator.code"
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "path": "Medication.ingredient.strength.denominator",
      "mustSupport": true
    }, {
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      "path": "Medication.ingredient.strength.denominator.value",
      "mustSupport": true,
      "fixedDecimal": 1
    }, {
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      "max": "0",
      "path": "Medication.ingredient.strength.denominator.comparator"
    }, {
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      "max": "0",
      "path": "Medication.ingredient.strength.denominator.unit"
    }, {
      "id": "Medication.ingredient.strength.denominator.system",
      "max": "0",
      "path": "Medication.ingredient.strength.denominator.system"
    }, {
      "id": "Medication.ingredient.strength.denominator.code",
      "max": "0",
      "path": "Medication.ingredient.strength.denominator.code"
    } ]
  },
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Medication|1.7.0"
}