{
"description": "Das MedicationStatement kann anzeigen, dass der Patient ein Medikament zur Zeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.",
"_filename": "StructureDefinition-mii-pr-medikation-medication-statement.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.medikation",
"date": "2024-10-16",
"derivation": "constraint",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_PR_Medikation_MedicationStatement",
"abstract": false,
"copyright": "This specification is licensed under Creative Commons \"No Rights Reserved\" (CC0).",
"type": "MedicationStatement",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII PR Medikation MedicationStatement",
"_description": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ein Bericht oder Dokumentation über den Konsum einer Medikation."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "A record of a medication that is being consumed by a patient."
} ]
} ]
},
"package_version": "2025.0.0-alpha2",
"status": "active",
"id": "6ae6142c-dde7-4898-b903-61ed06b076a7",
"kind": "resource",
"_name": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "MII_PR_Medikation_MedicationStatement"
} ]
} ]
},
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement",
"_title": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Medikationseintrag"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Medication statement"
} ]
} ]
},
"version": "2025.0.0",
"differential": {
"element": [ {
"id": "MedicationStatement.id",
"path": "MedicationStatement.id",
"mustSupport": true
}, {
"id": "MedicationStatement.meta",
"path": "MedicationStatement.meta",
"mustSupport": true
}, {
"id": "MedicationStatement.meta.source",
"path": "MedicationStatement.meta.source",
"mustSupport": true
}, {
"id": "MedicationStatement.meta.profile",
"path": "MedicationStatement.meta.profile",
"mustSupport": true
}, {
"id": "MedicationStatement.identifier",
"path": "MedicationStatement.identifier",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Identifikator"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Identifier"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ein Identifikator für den Medikationseintrag"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "An identifier for this medication statement"
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.basedOn",
"path": "MedicationStatement.basedOn",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Basiert auf"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Based on"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ein Plan oder eine Anforderung, die durch den Medikationseintrag erfüllt wird."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "A plan, proposal or order that is fulfilled in whole or in part by this event."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.partOf",
"path": "MedicationStatement.partOf",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Teil von"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Part of"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "A larger event of which this particular event is a component or step."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.status",
"path": "MedicationStatement.status",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Status"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Status"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken"
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.category",
"path": "MedicationStatement.category",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Kategorie"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Category"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Eine Kategorie, die dem Medikationseintrag zugeordnet ist."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "A category assigned to the medication statement."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.category.coding",
"path": "MedicationStatement.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
}
}, {
"id": "MedicationStatement.category.coding:usageCategory",
"max": "*",
"min": 0,
"path": "MedicationStatement.category.coding",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/medication-statement-category"
},
"sliceName": "usageCategory",
"patternCoding": {
"system": "http://terminology.hl7.org/CodeSystem/medication-statement-category"
}
}, {
"id": "MedicationStatement.category.coding:contextCode",
"max": "1",
"min": 0,
"path": "MedicationStatement.category.coding",
"binding": {
"strength": "required",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext"
},
"sliceName": "contextCode",
"patternCoding": {
"system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung"
}
}, {
"id": "MedicationStatement.medication[x]",
"path": "MedicationStatement.medication[x]",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Medikation"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Medication"
} ]
} ]
},
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Medikation, die eingenommen oder verarbreicht wurde. Code oder Referenz auf Medication-Objekt."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The medication that was taken. Code or a reference to a Medication resource."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationReference",
"max": "1",
"min": 0,
"path": "MedicationStatement.medication[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ]
} ],
"sliceName": "medicationReference",
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept",
"max": "1",
"min": 0,
"path": "MedicationStatement.medication[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "medicationCodeableConcept",
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
"path": "MedicationStatement.medication[x].coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer",
"max": "*",
"min": 0,
"path": "MedicationStatement.medication[x].coding",
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/ifa/pzn"
},
"sliceName": "Pharmazentralnummer",
"mustSupport": true,
"patternCoding": {
"system": "http://fhir.de/CodeSystem/ifa/pzn"
}
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system",
"min": 1,
"path": "MedicationStatement.medication[x].coding.system",
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code",
"min": 1,
"path": "MedicationStatement.medication[x].coding.code",
"mustSupport": true
}, {
"path": "MedicationStatement.medication[x].coding",
"min": 0,
"definition": "ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten",
"short": "ATC Klassifikation deutsche Version",
"mustSupport": true,
"sliceName": "atcClassDe",
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/bfarm/atc"
},
"max": "*",
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/bfarm/atc"
}
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system",
"min": 1,
"path": "MedicationStatement.medication[x].coding.system",
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code",
"min": 1,
"path": "MedicationStatement.medication[x].coding.code",
"mustSupport": true
}, {
"path": "MedicationStatement.medication[x].coding",
"min": 0,
"definition": "ATC Classification International WHO Version",
"short": "Anatomical Therapeutic Chemical Classification System",
"mustSupport": true,
"sliceName": "atcClassEn",
"max": "*",
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn",
"patternCoding": {
"system": "http://www.whocc.no/atc"
}
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system",
"min": 1,
"path": "MedicationStatement.medication[x].coding.system",
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code",
"min": 1,
"path": "MedicationStatement.medication[x].coding.code",
"mustSupport": true
}, {
"id": "MedicationStatement.medication[x]:medicationCodeableConcept.text",
"path": "MedicationStatement.medication[x].text",
"mustSupport": true
}, {
"id": "MedicationStatement.subject",
"path": "MedicationStatement.subject",
"mustSupport": true
}, {
"id": "MedicationStatement.context",
"path": "MedicationStatement.context",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Kontext"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Context"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Fall oder Kontakt in Verbindung mit dem Medikationseintrag"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Encounter / Episode associated with MedicationStatement"
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.effective[x]",
"min": 1,
"path": "MedicationStatement.effective[x]",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Zeitpunkt oder Zeitraum"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Date or period"
} ]
} ]
},
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The interval of time during which it is being asserted that the patient is/was/will be taking the medication."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.effective[x]:effectiveDateTime",
"max": "1",
"min": 0,
"path": "MedicationStatement.effective[x]",
"type": [ {
"code": "dateTime"
} ],
"sliceName": "effectiveDateTime",
"mustSupport": true
}, {
"id": "MedicationStatement.effective[x]:effectivePeriod",
"max": "1",
"min": 0,
"path": "MedicationStatement.effective[x]",
"type": [ {
"code": "Period"
} ],
"sliceName": "effectivePeriod",
"mustSupport": true
}, {
"id": "MedicationStatement.dateAsserted",
"path": "MedicationStatement.dateAsserted",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Datum Bestätigung"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Date asserted"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Das Datum, an dem der Medikationseintrag von der Informationsquelle bestätigt wurde."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The date when the medication statement was asserted by the information source."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.informationSource",
"path": "MedicationStatement.informationSource",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Informationsquelle"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Information source"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Die Person oder Organisation, die die Information über die Einnahme dieses Medikaments bereitgestellt hat."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The person or organization that provided the information about the taking of this medication."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.reasonCode",
"path": "MedicationStatement.reasonCode",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Grund Code"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Reason code"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Grund für den Medikationseintrag als Code."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Reason for the medication statement as a code."
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.reasonReference",
"path": "MedicationStatement.reasonReference",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Grund Referenz"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Reason reference"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Grund für den Medikationseintrag als Referenz auf Condition- oder Observation-Objekt."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Condition or observation that supports why the medication is being/was taken"
} ]
} ]
},
"mustSupport": true
}, {
"id": "MedicationStatement.note",
"path": "MedicationStatement.note",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Hinweis"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Note"
} ]
} ]
},
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