description: Dieses Profil ermöglicht die Abbildung der Verabreichung von Medikamenten für einen Patienten in ISiK Szenarien.
package_name: de.gematik.isik
derivation: constraint
name: ISiKMedikationsVerabreichung
type: MedicationAdministration
elements:
  dosage:
    short: Dosierungsangaben
    mustSupport: true
    index: 34
    elements:
      text: {short: Freitext-Dosierungsangabe, mustSupport: true, index: 35}
      site:
        short: Körperstelle der Verabreichung
        mustSupport: true
        index: 36
        elements:
          coding:
            mustSupport: true
            index: 37
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                SNOMED-CT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 38
                    elements:
                      system: {mustSupport: true, index: 39}
                      code: {mustSupport: true, index: 40}
                      display: {mustSupport: true, index: 41}
                    required: [system, code]
          text: {mustSupport: true, index: 42}
      route:
        short: Route
        mustSupport: true
        index: 43
        elements:
          coding:
            mustSupport: true
            index: 44
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                EDQM:
                  match: {system: 'http://standardterms.edqm.eu'}
                  schema:
                    binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'}
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://standardterms.edqm.eu'}
                    index: 45
                    elements:
                      system: {mustSupport: true, index: 46}
                      code: {mustSupport: true, index: 47}
                      display: {mustSupport: true, index: 48}
                    required: [system, code]
                SNOMED-CT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    binding: {strength: required, valueSet: 'https://gematik.de/fhir/isik/v3/Medikation/ValueSet/SctRouteOfAdministration'}
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 49
                    elements:
                      system: {mustSupport: true, index: 50}
                      code: {mustSupport: true, index: 51}
                      display: {mustSupport: true, index: 52}
                    required: [system, code]
          text: {mustSupport: true, index: 53}
      dose:
        short: verabreichte Dosis
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 54
        elements:
          value: {mustSupport: true, index: 55}
          unit: {mustSupport: true, index: 56}
          system: {mustSupport: true, index: 57}
          code: {mustSupport: true, index: 58}
        required: [value, system, code]
      rateRatio:
        type: Ratio
        short: Verabreichungs-Rate (Verhältnis)
        mustSupport: true
        index: 59
        elements:
          numerator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 60
            elements:
              value: {mustSupport: true, index: 61}
              unit: {mustSupport: true, index: 62}
              system: {mustSupport: true, index: 63}
              code: {mustSupport: true, index: 64}
            required: [value, system, code]
          denominator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            index: 65
            elements:
              value: {mustSupport: true, index: 66}
              unit: {mustSupport: true, index: 67}
              system: {mustSupport: true, index: 68}
              code: {mustSupport: true, index: 69}
            required: [value, system, code]
      rateQuantity:
        type: Quantity
        short: Verabreichungs-Rate
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 70
        elements:
          value: {mustSupport: true, index: 71}
          unit: {mustSupport: true, index: 72}
          system: {mustSupport: true, index: 73}
          code: {mustSupport: true, index: 74}
        required: [value, system, code]
  medicationCodeableConcept:
    type: CodeableConcept
    short: Medikament in codierter Form oder ggf. als Freitext
    mustSupport: true
    index: 2
    elements:
      coding:
        mustSupport: true
        index: 3
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            PZN:
              match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                index: 4
                elements:
                  system: {mustSupport: true, index: 5}
                  code: {mustSupport: true, index: 6}
                  display: {mustSupport: true, index: 7}
                required: [system, code]
            ATC-DE:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
                index: 8
                elements:
                  system: {mustSupport: true, index: 9}
                  code: {mustSupport: true, index: 10}
                  display: {mustSupport: true, index: 11}
                required: [system, code]
            WG14:
              match: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
                index: 12
                elements:
                  system: {mustSupport: true, index: 13}
                  code: {mustSupport: true, index: 14}
                  display: {mustSupport: true, index: 15}
                required: [system, code]
      text: {mustSupport: true, index: 16}
  note:
    mustSupport: true
    index: 32
    elements:
      text: {short: Freitext-Notiz, mustSupport: true, index: 33}
  effectiveDateTime: {type: dateTime, short: Zeitpunkt der Verabreichung, mustSupport: true, index: 23}
  status: {short: Status der Verabreichungsinformation, mustSupport: true, index: 1}
  id: {short: eindeutige ID der Ressource auf dem Server, mustSupport: true, index: 0}
  context:
    short: Referenz auf den Abteilungskontakt
    mustSupport: true
    index: 21
    elements:
      reference: {mustSupport: true, index: 22}
    required: [reference]
  medicationReference:
    short: Referenz auf das Medikament (Medication-Ressource)
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    mustSupport: true
    index: 17
    elements:
      reference: {mustSupport: true, index: 18}
    required: [reference]
  subject:
    type: Reference
    short: Referenz auf den Patienten
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 19
    elements:
      reference: {mustSupport: true, index: 20}
    required: [reference]
  performer:
    mustSupport: true
    index: 27
    elements:
      actor:
        short: Referenz auf die verabreichende Person
        mustSupport: true
        index: 28
        elements:
          reference: {mustSupport: true, index: 29}
        required: [reference]
  effectivePeriod:
    type: Period
    short: Zeitraum der Verabreichung
    mustSupport: true
    index: 24
    elements:
      start: {mustSupport: true, index: 25}
      end: {mustSupport: true, index: 26}
  reasonReference:
    short: Grund der Medikation (Referenz)
    mustSupport: true
    index: 30
    elements:
      reference: {mustSupport: true, index: 31}
    required: [reference]
package_version: medikation-3.0.0
class: profile
kind: resource
url: https://gematik.de/fhir/isik/v3/Medikation/StructureDefinition/ISiKMedikationsVerabreichung
base: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
version: 3.0.0