{
  "description": null,
  "_filename": "KBV_PR_ERP_Medication_Ingredient.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_Ingredient",
  "abstract": false,
  "type": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.4.0",
  "status": "active",
  "id": "63536124-2462-42cc-8990-42c5492931ee",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient",
  "version": "1.4.0",
  "differential": {
    "element": [ {
      "id": "Medication",
      "path": "Medication",
      "constraint": [ {
        "key": "-erp-angabeNormgroesseOderMenge",
        "human": "Packungsgröße oder Normgröße (Wert N1 oder N2 oder N3) müssen angegeben sein.",
        "severity": "error",
        "expression": "(extension('http://fhir.de/StructureDefinition/normgroesse').exists() and extension('http://fhir.de/StructureDefinition/normgroesse').all(($this.value as code)='N1' or ($this.value as code)='N2' or ($this.value as code)='N3')) or amount.exists()"
      } ]
    }, {
      "id": "Medication.id",
      "min": 1,
      "path": "Medication.id",
      "mustSupport": true
    }, {
      "id": "Medication.meta",
      "min": 1,
      "path": "Medication.meta",
      "mustSupport": true
    }, {
      "id": "Medication.meta.versionId",
      "max": "1",
      "min": 1,
      "path": "Medication.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Medication.meta.lastUpdated",
      "max": "0",
      "path": "Medication.meta.lastUpdated"
    }, {
      "id": "Medication.meta.source",
      "max": "0",
      "path": "Medication.meta.source"
    }, {
      "id": "Medication.meta.profile",
      "min": 1,
      "path": "Medication.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$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_Ingredient|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": "3",
      "min": 2,
      "path": "Medication.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.extension:Kategorie",
      "max": "0",
      "path": "Medication.extension",
      "sliceName": "Kategorie"
    }, {
      "id": "Medication.extension:Normgroesse",
      "path": "Medication.extension",
      "sliceName": "Normgroesse",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Normgroesse.value[x]",
      "min": 1,
      "path": "Medication.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.extension:Normgroesse.value[x]:valueCode",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueCode",
      "mustSupport": true
    }, {
      "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.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 Wirkstoffverordnung",
      "fixedCode": "wirkstoff",
      "definition": "Anhand des \"Fixed value\" kann die Medication als Wirkstoffverordnung 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",
      "max": "0",
      "path": "Medication.code.text"
    }, {
      "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",
      "path": "Medication.amount",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator",
      "min": 1,
      "path": "Medication.amount.numerator",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension",
      "min": 1,
      "path": "Medication.amount.numerator.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.amount.numerator.extension:Packungsgroesse",
      "max": "1",
      "min": 1,
      "path": "Medication.amount.numerator.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize" ]
      } ],
      "sliceName": "Packungsgroesse",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension:Packungsgroesse.value[x]",
      "path": "Medication.amount.numerator.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension:Packungsgroesse.value[x]:valueString",
      "path": "Medication.amount.numerator.extension.value[x]",
      "sliceName": "valueString",
      "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",
      "maxLength": 12,
      "definition": "Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St.",
      "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.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": "1",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "ask",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system",
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.version",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.version"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code",
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.display"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.userSelected",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.userSelected"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "min": 1,
      "path": "Medication.ingredient.item[x].text",
      "short": "Wirkstoffname",
      "maxLength": 80,
      "definition": "Wirkstoff- bzw. sonstiges Fertigarzneimittel oder Produkt nicht nach § 131 Abs. 4 SGB V gelistet",
      "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",
      "short": "Wirkstärke",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator",
      "short": "Wirkstoffmenge",
      "constraint": [ {
        "key": "-erp-begrenzungValue",
        "human": "Der Zahlenwert der Wirkstoffmenge darf aus maximal 15 Zeichen bestehen",
        "severity": "error",
        "expression": "value.toString().length()<=15"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.value",
      "short": "Zahlenwert der Wirkstoffmenge",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.comparator",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.comparator"
    }, {
      "id": "Medication.ingredient.strength.numerator.unit",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.unit",
      "short": "Einheit der Wirkstoffmenge",
      "maxLength": 15,
      "definition": "Einheit der Wirkstoffmenge (bspw. mg)",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.system",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.system"
    }, {
      "id": "Medication.ingredient.strength.numerator.code",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.code"
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator",
      "short": "Bezugsmenge",
      "constraint": [ {
        "key": "-erp-begrenzungValue",
        "human": "Der Zahlenwert der Bezugsmenge darf aus maximal 15 Zeichen bestehen",
        "severity": "error",
        "expression": "value.toString().length()<=15"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.value",
      "short": "Zahlenwert der Bezugsmenge",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.comparator",
      "max": "0",
      "path": "Medication.ingredient.strength.denominator.comparator"
    }, {
      "id": "Medication.ingredient.strength.denominator.unit",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.unit",
      "short": "Einheit der Bezugsmenge",
      "maxLength": 15,
      "definition": "Einheit der Bezugsmenge (bspw. ml)",
      "mustSupport": true
    }, {
      "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"
}