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. package_name: de.medizininformatikinitiative.kerndatensatz.medikation derivation: constraint name: MII_PR_Medikation_MedicationStatement type: MedicationStatement elements: 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 index: 8 elements: coding: index: 9 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: usageCategory: match: {system: 'http://terminology.hl7.org/CodeSystem/medication-statement-category'} schema: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medication-statement-category'} pattern: type: Coding value: {system: 'http://terminology.hl7.org/CodeSystem/medication-statement-category'} array: true index: 10 min: 0 contextCode: match: {system: 'http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung'} schema: binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext'} pattern: type: Coding value: {system: 'http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung'} index: 11 min: 0 max: 1 meta: mustSupport: true index: 1 elements: source: {mustSupport: true, index: 2} profile: {mustSupport: true, index: 3} dosage: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dosierung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Dosage} constraint: dsg-1: {human: 'If present, dosage must include free text or structured data', source: 'https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement', severity: error, expression: text.exists() or doseAndRate.exists()} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Gibt an, wie das Medikament vom Patienten eingenommen wird/wurde oder werden sollte.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Indicates how the medication is/was or should be taken by the patient.} mustSupport: true index: 46 elements: site: mustSupport: true index: 101 elements: coding: mustSupport: true index: 102 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: SNOMED: match: {system: 'http://snomed.info/sct'} schema: binding: {strength: example, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips'} mustSupport: true pattern: type: Coding value: {system: 'http://snomed.info/sct'} array: true index: 103 elements: system: {mustSupport: true, index: 104} code: {mustSupport: true, index: 105} required: [system, code] asNeeded: mustSupport: true choices: [asNeededCodeableConcept] index: 99 slicing: slices: asNeededCodeableConcept: match: {} schema: mustSupport: true choices: [asNeededCodeableConcept] index: 99 min: 0 max: 1 maxDosePerAdministration: mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} index: 183 elements: value: {mustSupport: true, index: 184} unit: {mustSupport: true, index: 185} system: {mustSupport: true, index: 186} code: {mustSupport: true, index: 187} required: [value, system, code] route: mustSupport: true index: 106 elements: coding: mustSupport: true index: 107 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: EDQM: match: {system: 'http://standardterms.edqm.eu'} schema: binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'} mustSupport: true pattern: type: Coding value: {system: 'http://standardterms.edqm.eu'} index: 108 elements: system: {mustSupport: true, index: 109} code: {mustSupport: true, index: 110} required: [system, code] SNOMED: match: {system: 'http://snomed.info/sct'} schema: mustSupport: true pattern: type: Coding value: {system: 'http://snomed.info/sct'} index: 111 elements: system: {mustSupport: true, index: 112} code: {mustSupport: true, index: 113} required: [system, code] asNeededBoolean: type: boolean mustSupport: true choiceOf: asNeeded index: 97 slicing: slices: asNeededBoolean: match: {} schema: {type: boolean, mustSupport: true, choiceOf: asNeeded, index: 97} min: 0 max: 1 timing: mustSupport: true index: 49 elements: event: {mustSupport: true, index: 50} repeat: mustSupport: true index: 51 elements: boundsRange: type: Range mustSupport: true choiceOf: bounds index: 63 slicing: slices: boundsRange: match: {} schema: {type: Range, mustSupport: true, choiceOf: bounds, index: 63} min: 0 max: 1 frequencyMax: {mustSupport: true, index: 85} boundsPeriod: type: Period mustSupport: true choiceOf: bounds index: 76 slicing: slices: boundsPeriod: match: {} schema: {type: Period, mustSupport: true, choiceOf: bounds, index: 76} min: 0 max: 1 when: {mustSupport: true, index: 91} offset: {mustSupport: true, index: 92} periodUnit: {mustSupport: true, index: 88} frequency: {mustSupport: true, index: 84} durationMax: {mustSupport: true, index: 82} duration: {mustSupport: true, index: 81} bounds: mustSupport: true choices: [boundsPeriod] index: 75 slicing: slices: boundsPeriod: match: {} schema: mustSupport: true choices: [boundsPeriod] index: 75 min: 0 max: 1 boundsDuration: type: Duration mustSupport: true pattern: type: Duration value: {system: 'http://unitsofmeasure.org'} choiceOf: bounds index: 56 slicing: slices: boundsDuration: match: {} schema: type: Duration mustSupport: true pattern: type: Duration value: {system: 'http://unitsofmeasure.org'} choiceOf: bounds index: 56 min: 0 max: 1 durationUnit: {mustSupport: true, index: 83} dayOfWeek: {mustSupport: true, index: 89} count: {mustSupport: true, index: 79} bounds[x]: elements: start: {mustSupport: true, index: 77} end: {mustSupport: true, index: 78} periodMax: {mustSupport: true, index: 87} period: {mustSupport: true, index: 86} countMax: {mustSupport: true, index: 80} timeOfDay: {mustSupport: true, index: 90} sequence: {mustSupport: true, index: 47} maxDosePerPeriod: mustSupport: true index: 172 elements: numerator: mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} index: 173 elements: value: {mustSupport: true, index: 174} unit: {mustSupport: true, index: 175} system: {mustSupport: true, index: 176} code: {mustSupport: true, index: 177} required: [value, system, code] denominator: 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] doseAndRate: mustSupport: true index: 114 elements: dose[x]: elements: value: {mustSupport: true, index: 133} unit: {mustSupport: true, index: 134} system: {mustSupport: true, index: 135} code: {mustSupport: true, index: 136} required: [value, system, code] rate[x]: 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] doseRange: type: Range mustSupport: true choiceOf: dose index: 119 slicing: slices: doseRange: match: {} schema: {type: Range, mustSupport: true, choiceOf: dose, index: 119} min: 0 max: 1 rateRange: type: Range mustSupport: true choiceOf: rate index: 154 slicing: slices: rateRange: match: {} schema: {type: Range, mustSupport: true, choiceOf: rate, index: 154} min: 0 max: 1 doseQuantity: type: Quantity mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choiceOf: dose index: 132 slicing: slices: doseQuantity: match: {} schema: type: Quantity mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choiceOf: dose index: 132 min: 0 max: 1 dose: mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choices: [doseQuantity] index: 131 slicing: slices: doseQuantity: match: {} schema: mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choices: [doseQuantity] index: 131 min: 0 max: 1 rate: mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choices: [rateQuantity] index: 166 slicing: slices: rateQuantity: match: {} schema: mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choices: [rateQuantity] index: 166 min: 0 max: 1 rateRatio: type: Ratio mustSupport: true choiceOf: rate index: 141 slicing: slices: rateRatio: match: {} schema: {type: Ratio, mustSupport: true, choiceOf: rate, index: 141} min: 0 max: 1 rateQuantity: type: Quantity mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choiceOf: rate index: 167 slicing: slices: rateQuantity: match: {} schema: type: Quantity mustSupport: true pattern: type: Quantity value: {system: 'http://unitsofmeasure.org'} choiceOf: rate index: 167 min: 0 max: 1 asNeededCodeableConcept: type: CodeableConcept mustSupport: true choiceOf: asNeeded index: 100 slicing: slices: asNeededCodeableConcept: match: {} schema: {type: CodeableConcept, mustSupport: true, choiceOf: asNeeded, index: 100} min: 0 max: 1 text: {mustSupport: true, index: 48} medication[x]: elements: coding: mustSupport: true index: 20 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: Pharmazentralnummer: match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'} schema: binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/ifa/pzn'} mustSupport: true pattern: type: Coding value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'} array: true index: 21 elements: system: {mustSupport: true, index: 22} code: {mustSupport: true, index: 23} required: [system, code] atcClassDe: match: {system: 'http://fhir.de/CodeSystem/bfarm/atc'} schema: short: ATC Klassifikation deutsche Version mustSupport: true array: true binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/atc'} pattern: type: Coding value: {system: 'http://fhir.de/CodeSystem/bfarm/atc'} index: 24 elements: system: {mustSupport: true, index: 25} code: {mustSupport: true, index: 26} required: [system, code] atcClassEn: match: {system: 'http://www.whocc.no/atc'} schema: short: Anatomical Therapeutic Chemical Classification System mustSupport: true array: true pattern: type: Coding value: {system: 'http://www.whocc.no/atc'} index: 27 elements: system: {mustSupport: true, index: 28} code: {mustSupport: true, index: 29} required: [system, code] text: {mustSupport: true, index: 30} 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 index: 43 medicationCodeableConcept: type: CodeableConcept mustSupport: true choiceOf: medication index: 19 slicing: slices: medicationCodeableConcept: match: {} schema: {type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 19} min: 0 max: 1 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} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zusätzliche Informationen zum Medikationseintrag als Freitext.} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Additional information about the medication statement as free text.} mustSupport: true index: 45 effectiveDateTime: type: dateTime mustSupport: true choiceOf: effective index: 37 slicing: slices: effectiveDateTime: match: {} schema: {type: dateTime, mustSupport: true, choiceOf: effective, index: 37} min: 0 max: 1 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 index: 7 effective: mustSupport: true choices: [effectivePeriod] index: 39 slicing: slices: effectivePeriod: match: {} schema: mustSupport: true choices: [effectivePeriod] index: 39 min: 0 max: 1 id: {mustSupport: true, index: 0} 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 index: 4 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 index: 32 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 index: 41 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 index: 5 medicationReference: refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication'] type: Reference mustSupport: true choiceOf: medication index: 16 slicing: slices: medicationReference: match: {} schema: refers: ['https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication'] type: Reference mustSupport: true choiceOf: medication index: 16 min: 0 max: 1 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 index: 6 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 index: 42 subject: {mustSupport: true, index: 31} effectivePeriod: type: Period mustSupport: true choiceOf: effective index: 40 slicing: slices: effectivePeriod: match: {} schema: {type: Period, mustSupport: true, choiceOf: effective, index: 40} min: 0 max: 1 medication: mustSupport: true choices: [medicationCodeableConcept] index: 18 slicing: slices: medicationCodeableConcept: match: {} schema: mustSupport: true choices: [medicationCodeableConcept] index: 18 min: 0 max: 1 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 index: 44 package_version: 2025.0.0-alpha2 class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement base: http://hl7.org/fhir/StructureDefinition/MedicationStatement version: 2025.0.0 required: [effective]