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: 183
    elements:
      allowed:
        choices: []
        index: 185
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            allowedBoolean:
              match: {}
              schema:
                mustSupport: true
                choices: [allowedBoolean]
                index: 187
              min: 0
              max: 1
      allowedBoolean:
        type: boolean
        mustSupport: true
        choiceOf: allowed
        index: 188
        slicing:
          slices:
            allowedBoolean:
              match: {}
              schema: {type: boolean, mustSupport: true, choiceOf: allowed, index: 188}
              min: 0
              max: 1
  encounter:
    short: Referenz auf den Abteilungskontakt
    mustSupport: true
    index: 35
    elements:
      reference: {mustSupport: true, index: 36}
    required: [reference]
  medication[x]:
    elements:
      reference: {mustSupport: true, index: 32}
    required: [reference]
  dispenseRequest:
    mustSupport: true
    index: 177
    elements:
      quantity:
        short: angeforderte Abgabemenge
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 178
        elements:
          value: {mustSupport: true, index: 179}
          unit: {mustSupport: true, index: 180}
          system: {mustSupport: true, index: 181}
          code: {mustSupport: true, index: 182}
        required: [value, system, code]
  medicationCodeableConcept:
    short: Medikament in codierter Form oder ggf. als Freitext
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 23
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {short: Medikament in codierter Form oder ggf. als Freitext, type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 23}
          min: 0
          max: 1
  authoredOn: {short: Erstellungsdatum der Verordnung, mustSupport: true, index: 37}
  note:
    mustSupport: true
    index: 40
    elements:
      text: {short: Freitext-Notiz, mustSupport: true, index: 41}
  extension:
    mustSupport: true
    index: 1
    slicing:
      slices:
        acceptedRisk:
          match: {}
          schema:
            short: akzeptiertes (in Kauf genommenes) Risiko
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
            index: 2
            elements:
              value:
                mustSupport: true
                choices: []
                index: 4
        medikationsart:
          match: {}
          schema:
            short: Therapieart der Medikation
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
            index: 5
            elements:
              value[x]:
                elements:
                  system: {mustSupport: true, index: 6}
                  code: {mustSupport: true, index: 7}
                  display: {mustSupport: true, index: 8}
        behandlungsziel:
          match: {}
          schema:
            short: Behandlungsziel (textuell)
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
            index: 9
            elements:
              value:
                mustSupport: true
                choices: []
                index: 11
        medicationRequestReplaces:
          match: {}
          schema:
            short: Welche Medikationsverordnung wird ersetzt?
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
            index: 12
            elements:
              value:
                mustSupport: true
                choices: []
                index: 14
              value[x]:
                elements:
                  reference: {mustSupport: true, index: 15}
  requester:
    short: Referenz auf die verordnende Person
    mustSupport: true
    index: 38
    elements:
      reference: {mustSupport: true, index: 39}
    required: [reference]
  status: {short: Status der Verordnungsinformation, mustSupport: true, index: 16}
  id: {short: eindeutige ID der Ressource auf dem Server, mustSupport: true, index: 0}
  dosageInstruction:
    short: Dosierungsangaben
    mustSupport: true
    index: 42
    elements:
      site:
        short: Körperstelle der Verabreichung
        mustSupport: true
        index: 94
        elements:
          coding:
            mustSupport: true
            index: 95
            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: 96
                  min: 0
                  max: 1
          text: {mustSupport: true, index: 97}
      asNeeded:
        choices: []
        index: 90
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            asNeededBoolean:
              match: {}
              schema:
                short: Bedarfsmedikation
                mustSupport: true
                choices: [asNeededBoolean]
                index: 92
              min: 0
              max: 1
      patientInstruction: {short: besondere Anweisungen für den Patienten, mustSupport: true, index: 44}
      maxDosePerAdministration:
        short: Maximaldosis pro Verabreichung
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 172
        elements:
          value: {mustSupport: true, index: 173}
          unit: {mustSupport: true, index: 174}
          system: {mustSupport: true, index: 175}
          code: {mustSupport: true, index: 176}
        required: [value, system, code]
      route:
        short: Route
        mustSupport: true
        index: 98
        elements:
          coding:
            mustSupport: true
            index: 99
            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: 100
                  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: 101
                  min: 0
                  max: 1
          text: {mustSupport: true, index: 102}
      asNeededBoolean:
        short: Bedarfsmedikation
        type: boolean
        mustSupport: true
        choiceOf: asNeeded
        index: 93
        slicing:
          slices:
            asNeededBoolean:
              match: {}
              schema: {short: Bedarfsmedikation, type: boolean, mustSupport: true, choiceOf: asNeeded, index: 93}
              min: 0
              max: 1
      timing:
        short: Angaben zum Timing
        mustSupport: true
        index: 45
        elements:
          event: {short: fester Zeitpunkt, mustSupport: true, index: 46}
          repeat:
            short: Wiederholungs-Angaben
            mustSupport: true
            index: 47
            elements:
              boundsRange:
                short: Bereich für die Begrenzung
                type: Range
                mustSupport: true
                choiceOf: bounds
                index: 59
                slicing:
                  slices:
                    boundsRange:
                      match: {}
                      schema: {short: Bereich für die Begrenzung, type: Range, mustSupport: true, choiceOf: bounds, index: 59}
                      min: 0
                      max: 1
              frequencyMax: {short: maximale Frequenz, mustSupport: true, index: 81}
              boundsPeriod:
                short: begrenzender Zeitraum
                type: Period
                mustSupport: true
                choiceOf: bounds
                index: 72
                slicing:
                  slices:
                    boundsPeriod:
                      match: {}
                      schema: {short: begrenzender Zeitraum, type: Period, mustSupport: true, choiceOf: bounds, index: 72}
                      min: 0
                      max: 1
              when: {short: Tageszeitpunkt codiert, mustSupport: true, index: 87}
              offset: {short: zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt, mustSupport: true, index: 88}
              periodUnit: {short: Einheit der Zeitperiode, mustSupport: true, index: 84}
              frequency: {short: Frequenz (Anzahl der Gaben pro Periode), mustSupport: true, index: 80}
              durationMax: {short: maximale Dauer der Verabreichung, mustSupport: true, index: 78}
              duration: {short: Dauer der Verabreichung, mustSupport: true, index: 77}
              bounds:
                short: begrenzender Zeitraum
                mustSupport: true
                choices: [boundsPeriod]
                index: 71
                slicing:
                  slices:
                    boundsPeriod:
                      match: {}
                      schema:
                        short: begrenzender Zeitraum
                        mustSupport: true
                        choices: [boundsPeriod]
                        index: 71
                      min: 0
                      max: 1
              boundsDuration:
                short: Begrenzung der Dauer
                type: Duration
                mustSupport: true
                pattern:
                  type: Duration
                  value: {system: 'http://unitsofmeasure.org'}
                choiceOf: bounds
                index: 52
                slicing:
                  slices:
                    boundsDuration:
                      match: {}
                      schema:
                        short: Begrenzung der Dauer
                        type: Duration
                        mustSupport: true
                        pattern:
                          type: Duration
                          value: {system: 'http://unitsofmeasure.org'}
                        choiceOf: bounds
                        index: 52
                      min: 0
                      max: 1
              durationUnit: {short: Einheit der Dauer, mustSupport: true, index: 79}
              dayOfWeek: {short: Wochentag, mustSupport: true, index: 85}
              count: {short: Anzahl Wiederholungen, mustSupport: true, index: 75}
              bounds[x]:
                elements:
                  start: {mustSupport: true, index: 73}
                  end: {mustSupport: true, index: 74}
              periodMax: {short: maximale Zeitperiode zur Frequenz, mustSupport: true, index: 83}
              period: {short: Zeitperiode zur Frequenz, mustSupport: true, index: 82}
              countMax: {short: maximale Anzahl Wiederholungen, mustSupport: true, index: 76}
              timeOfDay: {short: Tageszeit, mustSupport: true, index: 86}
      maxDosePerPeriod:
        short: Maximaldosis (Zähler) pro Zeitraum (Nenner)
        mustSupport: true
        index: 161
        elements:
          numerator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 162
            elements:
              value: {mustSupport: true, index: 163}
              unit: {mustSupport: true, index: 164}
              system: {mustSupport: true, index: 165}
              code: {mustSupport: true, index: 166}
            required: [value, system, code]
          denominator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 167
            elements:
              value: {mustSupport: true, index: 168}
              unit: {mustSupport: true, index: 169}
              system: {mustSupport: true, index: 170}
              code: {mustSupport: true, index: 171}
            required: [value, system, code]
      doseAndRate:
        short: Angaben zu Dosis und Rate
        mustSupport: true
        index: 103
        elements:
          dose[x]:
            elements:
              value: {mustSupport: true, index: 122}
              unit: {mustSupport: true, index: 123}
              system: {mustSupport: true, index: 124}
              code: {mustSupport: true, index: 125}
            required: [value, system, code]
          rate[x]:
            elements:
              value: {mustSupport: true, index: 157}
              unit: {mustSupport: true, index: 158}
              system: {mustSupport: true, index: 159}
              code: {mustSupport: true, index: 160}
            required: [value, system, code]
          doseRange:
            short: Dosisbereich
            type: Range
            mustSupport: true
            choiceOf: dose
            index: 108
            slicing:
              slices:
                doseRange:
                  match: {}
                  schema: {short: Dosisbereich, type: Range, mustSupport: true, choiceOf: dose, index: 108}
                  min: 0
                  max: 1
          rateRange:
            short: Raten-Bereich
            type: Range
            mustSupport: true
            choiceOf: rate
            index: 143
            slicing:
              slices:
                rateRange:
                  match: {}
                  schema: {short: Raten-Bereich, type: Range, mustSupport: true, choiceOf: rate, index: 143}
                  min: 0
                  max: 1
          doseQuantity:
            short: Dosis
            type: Quantity
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            choiceOf: dose
            index: 121
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema:
                    short: Dosis
                    type: Quantity
                    mustSupport: true
                    pattern:
                      type: Quantity
                      value: {system: 'http://unitsofmeasure.org'}
                    choiceOf: dose
                    index: 121
                  min: 0
                  max: 1
          dose:
            short: Dosis
            mustSupport: true
            choices: [doseQuantity]
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 120
            slicing:
              slices:
                doseQuantity:
                  match: {}
                  schema:
                    short: Dosis
                    mustSupport: true
                    choices: [doseQuantity]
                    pattern:
                      type: Quantity
                      value: {system: 'http://unitsofmeasure.org'}
                    index: 120
                  min: 0
                  max: 1
          rate:
            short: Rate
            mustSupport: true
            choices: [rateQuantity]
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 155
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema:
                    short: Rate
                    mustSupport: true
                    choices: [rateQuantity]
                    pattern:
                      type: Quantity
                      value: {system: 'http://unitsofmeasure.org'}
                    index: 155
                  min: 0
                  max: 1
          rateRatio:
            short: Raten-Verhältnis
            type: Ratio
            mustSupport: true
            choiceOf: rate
            index: 130
            slicing:
              slices:
                rateRatio:
                  match: {}
                  schema: {short: Raten-Verhältnis, type: Ratio, mustSupport: true, choiceOf: rate, index: 130}
                  min: 0
                  max: 1
          rateQuantity:
            short: Rate
            type: Quantity
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            choiceOf: rate
            index: 156
            slicing:
              slices:
                rateQuantity:
                  match: {}
                  schema:
                    short: Rate
                    type: Quantity
                    mustSupport: true
                    pattern:
                      type: Quantity
                      value: {system: 'http://unitsofmeasure.org'}
                    choiceOf: rate
                    index: 156
                  min: 0
                  max: 1
      text: {short: Freitext-Dosierungsanweisungen, mustSupport: true, index: 43}
  doNotPerform: {index: 18}
  intent: {short: Ziel der Verordnungsinformation, mustSupport: true, index: 17}
  medicationReference:
    short: Referenz auf das Medikament (Medication-Ressource)
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    mustSupport: true
    choiceOf: medication
    index: 31
    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: 31
          min: 0
          max: 1
  subject:
    type: Reference
    short: Referenz auf den Patienten
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 33
    elements:
      reference: {mustSupport: true, index: 34}
    required: [reference]
  medication:
    short: Referenz auf das Medikament (Medication-Ressource)
    mustSupport: true
    choices: [medicationReference]
    index: 30
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            short: Referenz auf das Medikament (Medication-Ressource)
            mustSupport: true
            choices: [medicationReference]
            index: 30
          min: 0
          max: 1
package_version: medikation-4.0.0-rc
extensions:
  acceptedRisk:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
    short: akzeptiertes (in Kauf genommenes) Risiko
    type: Extension
    mustSupport: true
    index: 2
    elements:
      value:
        mustSupport: true
        choices: []
        index: 4
  medikationsart:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
    short: Therapieart der Medikation
    type: Extension
    mustSupport: true
    index: 5
    elements:
      value[x]:
        elements:
          system: {mustSupport: true, index: 6}
          code: {mustSupport: true, index: 7}
          display: {mustSupport: true, index: 8}
  behandlungsziel:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
    short: Behandlungsziel (textuell)
    type: Extension
    mustSupport: true
    index: 9
    elements:
      value:
        mustSupport: true
        choices: []
        index: 11
  medicationRequestReplaces:
    url: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
    short: Welche Medikationsverordnung wird ersetzt?
    type: Extension
    mustSupport: true
    index: 12
    elements:
      value:
        mustSupport: true
        choices: []
        index: 14
      value[x]:
        elements:
          reference: {mustSupport: true, index: 15}
class: profile
kind: resource
url: https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerordnung
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 4.0.0-rc