description: Dieses Profil ermöglicht die Abbildung von Informationen zur Medikation eines Patienten in ISiK Szenarien.
package_name: de.gematik.isik-medikation
derivation: constraint
name: ISiKMedikationsInformation
type: MedicationStatement
elements:
  dosage:
    short: Dosierungsangaben
    mustSupport: true
    index: 59
    elements:
      site:
        short: Körperstelle der Verabreichung
        mustSupport: true
        index: 111
        elements:
          coding:
            mustSupport: true
            index: 112
            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: 113
                  min: 0
                  max: 1
          text: {mustSupport: true, index: 114}
      asNeeded:
        choices: []
        index: 107
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            asNeededBoolean:
              match: {}
              schema:
                short: Bedarfsmedikation
                mustSupport: true
                choices: [asNeededBoolean]
                index: 109
              min: 0
              max: 1
      patientInstruction: {short: besondere Anweisungen für den Patienten, mustSupport: true, index: 61}
      maxDosePerAdministration: {type: Quantity, short: Maximaldosis pro Verabreichung, mustSupport: true, index: 149}
      route:
        short: Route
        mustSupport: true
        index: 115
        elements:
          coding:
            mustSupport: true
            index: 116
            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: 117
                  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: 118
                  min: 0
                  max: 1
          text: {mustSupport: true, index: 119}
      asNeededBoolean:
        short: Bedarfsmedikation
        type: boolean
        mustSupport: true
        choiceOf: asNeeded
        index: 110
        slicing:
          slices:
            asNeededBoolean:
              match: {}
              schema: {short: Bedarfsmedikation, type: boolean, mustSupport: true, choiceOf: asNeeded, index: 110}
              min: 0
              max: 1
      timing:
        short: Angaben zum Timing
        mustSupport: true
        index: 62
        elements:
          event: {short: fester Zeitpunkt, mustSupport: true, index: 63}
          repeat:
            short: Wiederholungs-Angaben
            mustSupport: true
            index: 64
            elements:
              boundsRange:
                short: Bereich für die Begrenzung
                type: Range
                mustSupport: true
                choiceOf: bounds
                index: 76
                slicing:
                  slices:
                    boundsRange:
                      match: {}
                      schema: {short: Bereich für die Begrenzung, type: Range, mustSupport: true, choiceOf: bounds, index: 76}
                      min: 0
                      max: 1
              frequencyMax: {short: maximale Frequenz, mustSupport: true, index: 98}
              boundsPeriod:
                short: begrenzender Zeitraum
                type: Period
                mustSupport: true
                choiceOf: bounds
                index: 89
                slicing:
                  slices:
                    boundsPeriod:
                      match: {}
                      schema: {short: begrenzender Zeitraum, type: Period, mustSupport: true, choiceOf: bounds, index: 89}
                      min: 0
                      max: 1
              when: {short: Tageszeitpunkt codiert, mustSupport: true, index: 104}
              offset: {short: zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt, mustSupport: true, index: 105}
              periodUnit: {short: Einheit der Zeitperiode, mustSupport: true, index: 101}
              frequency: {short: Frequenz (Anzahl der Gaben pro Periode), mustSupport: true, index: 97}
              durationMax: {short: maximale Dauer der Verabreichung, mustSupport: true, index: 95}
              duration: {short: Dauer der Verabreichung, mustSupport: true, index: 94}
              bounds:
                short: begrenzender Zeitraum
                mustSupport: true
                choices: [boundsPeriod]
                index: 88
                slicing:
                  slices:
                    boundsPeriod:
                      match: {}
                      schema:
                        short: begrenzender Zeitraum
                        mustSupport: true
                        choices: [boundsPeriod]
                        index: 88
                      min: 0
                      max: 1
              boundsDuration:
                short: Begrenzung der Dauer
                type: Duration
                mustSupport: true
                pattern:
                  type: Duration
                  value: {system: 'http://unitsofmeasure.org'}
                choiceOf: bounds
                index: 69
                slicing:
                  slices:
                    boundsDuration:
                      match: {}
                      schema:
                        short: Begrenzung der Dauer
                        type: Duration
                        mustSupport: true
                        pattern:
                          type: Duration
                          value: {system: 'http://unitsofmeasure.org'}
                        choiceOf: bounds
                        index: 69
                      min: 0
                      max: 1
              durationUnit: {short: Einheit der Dauer, mustSupport: true, index: 96}
              dayOfWeek: {short: Wochentag, mustSupport: true, index: 102}
              count: {short: Anzahl Wiederholungen, mustSupport: true, index: 92}
              bounds[x]:
                elements:
                  start: {mustSupport: true, index: 90}
                  end: {mustSupport: true, index: 91}
              periodMax: {short: maximale Zeitperiode zur Frequenz, mustSupport: true, index: 100}
              period: {short: Zeitperiode zur Frequenz, mustSupport: true, index: 99}
              countMax: {short: maximale Anzahl Wiederholungen, mustSupport: true, index: 93}
              timeOfDay: {short: Tageszeit, mustSupport: true, index: 103}
      maxDosePerPeriod:
        short: Maximaldosis (Zähler) pro Zeitraum (Nenner)
        mustSupport: true
        index: 146
        elements:
          numerator: {type: Quantity, mustSupport: true, index: 147}
          denominator: {type: Quantity, mustSupport: true, index: 148}
      doseAndRate:
        short: Angaben zu Dosis und Rate
        mustSupport: true
        index: 120
        elements:
          dose[x]:
            elements:
              low: {type: Quantity, mustSupport: true, index: 126}
              high: {type: Quantity, mustSupport: true, index: 127}
          rate[x]:
            elements:
              low: {type: Quantity, mustSupport: true, index: 141}
              high: {type: Quantity, mustSupport: true, index: 142}
          doseRange:
            short: Dosisbereich
            type: Range
            mustSupport: true
            choiceOf: dose
            index: 125
            slicing:
              slices:
                doseRange:
                  match: {}
                  schema: {short: Dosisbereich, type: Range, mustSupport: true, choiceOf: dose, index: 125}
                  min: 0
                  max: 1
          rateRange:
            short: Raten-Bereich
            type: Range
            mustSupport: true
            choiceOf: rate
            index: 140
            slicing:
              slices:
                rateRange:
                  match: {}
                  schema: {short: Raten-Bereich, type: Range, mustSupport: true, choiceOf: rate, index: 140}
                  min: 0
                  max: 1
          doseQuantity:
            short: Dosis
            type: Quantity
            mustSupport: true
            choiceOf: dose
            index: 130
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema: {short: Dosis, type: Quantity, mustSupport: true, choiceOf: dose, index: 130}
                  min: 0
                  max: 1
          dose:
            short: Dosis
            mustSupport: true
            choices: [doseQuantity]
            index: 129
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema:
                    short: Dosis
                    mustSupport: true
                    choices: [doseQuantity]
                    index: 129
                  min: 0
                  max: 1
          rate:
            short: Rate
            mustSupport: true
            choices: [rateQuantity]
            index: 144
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema:
                    short: Rate
                    mustSupport: true
                    choices: [rateQuantity]
                    index: 144
                  min: 0
                  max: 1
          rateRatio:
            short: Raten-Verhältnis
            type: Ratio
            mustSupport: true
            choiceOf: rate
            index: 135
            slicing:
              slices:
                rateRatio:
                  match: {}
                  schema: {short: Raten-Verhältnis, type: Ratio, mustSupport: true, choiceOf: rate, index: 135}
                  min: 0
                  max: 1
          rateQuantity:
            short: Rate
            type: Quantity
            mustSupport: true
            choiceOf: rate
            index: 145
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema: {short: Rate, type: Quantity, mustSupport: true, choiceOf: rate, index: 145}
                  min: 0
                  max: 1
      text: {short: Freitext-Dosierungsanweisungen, mustSupport: true, index: 60}
  medication[x]:
    elements:
      reference: {mustSupport: true, index: 33}
    required: [reference]
  reasonCode:
    short: Grund der Medikation (codiert)
    mustSupport: true
    index: 49
    elements:
      coding:
        mustSupport: true
        index: 50
        elements:
          system: {mustSupport: true, index: 51}
          code: {mustSupport: true, index: 52}
          display: {mustSupport: true, index: 53}
        required: [system, code]
      text: {mustSupport: true, index: 54}
  medicationCodeableConcept:
    short: Medikament in codierter Form oder ggf. als Freitext
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 24
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {short: Medikament in codierter Form oder ggf. als Freitext, type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 24}
          min: 0
          max: 1
  note:
    mustSupport: true
    index: 57
    elements:
      text: {short: Freitext-Notiz, mustSupport: true, index: 58}
  effective[x]:
    elements:
      start: {mustSupport: true, index: 46}
      end: {mustSupport: true, index: 47}
  extension:
    mustSupport: true
    index: 0
    slicing:
      slices:
        acceptedRisk:
          match: {}
          schema:
            short: akzeptiertes (in Kauf genommenes) Risiko
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
            index: 1
            elements:
              value:
                mustSupport: true
                choices: []
                index: 3
        medikationsart:
          match: {}
          schema:
            short: Therapieart der Medikation
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
            index: 4
            elements:
              value[x]:
                elements:
                  system: {mustSupport: true, index: 5}
                  code: {mustSupport: true, index: 6}
                  display: {mustSupport: true, index: 7}
        selbstmedikation:
          match: {}
          schema:
            short: Selbstmedikation
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
            index: 8
            elements:
              value:
                mustSupport: true
                choices: []
                index: 10
        behandlungsziel:
          match: {}
          schema:
            short: Behandlungsziel (textuell)
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
            index: 11
            elements:
              value:
                mustSupport: true
                choices: []
                index: 13
        medicationStatementReplaces:
          match: {}
          schema:
            short: Welche Medikationsinformation wird ersetzt?
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
            index: 14
            elements:
              value:
                mustSupport: true
                choices: []
                index: 16
              value[x]:
                elements:
                  reference: {mustSupport: true, index: 17}
  effectiveDateTime:
    short: Zeitpunkt
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 42
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {short: Zeitpunkt, type: dateTime, mustSupport: true, choiceOf: effective, index: 42}
          min: 0
          max: 1
  status: {short: Status der Medikationsinformation, mustSupport: true, index: 19}
  effective:
    short: Zeitraum
    mustSupport: true
    choices: [effectivePeriod]
    index: 44
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            short: Zeitraum
            mustSupport: true
            choices: [effectivePeriod]
            index: 44
          min: 0
          max: 1
  context:
    short: Referenz auf den Abteilungskontakt
    mustSupport: true
    index: 36
    elements:
      reference: {mustSupport: true, index: 37}
    required: [reference]
  dateAsserted: {short: Datum der Feststellung/des Bekanntwerdens der MedikationsInformation, mustSupport: true, index: 48}
  medicationReference:
    short: Referenz auf das Medikament (Medication-Ressource)
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    mustSupport: true
    choiceOf: medication
    index: 32
    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: 32
          min: 0
          max: 1
  partOf: {short: 'Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist', index: 18}
  subject:
    type: Reference
    short: Referenz auf den Patienten
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 34
    elements:
      reference: {mustSupport: true, index: 35}
    required: [reference]
  effectivePeriod:
    short: Zeitraum
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 45
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {short: Zeitraum, type: Period, mustSupport: true, choiceOf: effective, index: 45}
          min: 0
          max: 1
  medication:
    short: Referenz auf das Medikament (Medication-Ressource)
    mustSupport: true
    choices: [medicationReference]
    index: 31
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            short: Referenz auf das Medikament (Medication-Ressource)
            mustSupport: true
            choices: [medicationReference]
            index: 31
          min: 0
          max: 1
  reasonReference:
    short: Grund der Medikation (Referenz)
    mustSupport: true
    index: 55
    elements:
      reference: {mustSupport: true, index: 56}
    required: [reference]
package_version: 4.0.0
extensions:
  acceptedRisk:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
    short: akzeptiertes (in Kauf genommenes) Risiko
    type: Extension
    mustSupport: true
    index: 1
    elements:
      value:
        mustSupport: true
        choices: []
        index: 3
  medikationsart:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
    short: Therapieart der Medikation
    type: Extension
    mustSupport: true
    index: 4
    elements:
      value[x]:
        elements:
          system: {mustSupport: true, index: 5}
          code: {mustSupport: true, index: 6}
          display: {mustSupport: true, index: 7}
  selbstmedikation:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
    short: Selbstmedikation
    type: Extension
    mustSupport: true
    index: 8
    elements:
      value:
        mustSupport: true
        choices: []
        index: 10
  behandlungsziel:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
    short: Behandlungsziel (textuell)
    type: Extension
    mustSupport: true
    index: 11
    elements:
      value:
        mustSupport: true
        choices: []
        index: 13
  medicationStatementReplaces:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
    short: Welche Medikationsinformation wird ersetzt?
    type: Extension
    mustSupport: true
    index: 14
    elements:
      value:
        mustSupport: true
        choices: []
        index: 16
      value[x]:
        elements:
          reference: {mustSupport: true, index: 17}
class: profile
kind: resource
url: https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsInformation
base: http://hl7.org/fhir/StructureDefinition/MedicationStatement
version: 4.0.0
required: [effective]