{
  "description": null,
  "_filename": "KBV_PR_ERP_Prescription.json",
  "package_name": "kbv.ita.erp",
  "date": "2025-11-06",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_ERP_Prescription",
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.4.0",
  "status": "active",
  "id": "81819c65-4e3f-44f3-afbe-4649144b96f4",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription",
  "version": "1.4.0",
  "differential": {
    "element": [ {
      "id": "MedicationRequest",
      "path": "MedicationRequest",
      "constraint": [ {
        "key": "-erp-begrenzungDate",
        "human": "Begrenzung der Datumsangabe auf 10 Zeichen JJJJ-MM-TT",
        "severity": "error",
        "expression": "authoredOn.toString().length()=10"
      }, {
        "key": "-erp-unfalltagDatum",
        "human": "Die Ressource vom Typ MedicationRequest enthält einen Unfalltag, dieser darf nicht nach dem Ausstellungsdatum liegen.",
        "severity": "error",
        "expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident').extension('Unfalltag').exists() implies (extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident').extension('Unfalltag').value as date) <= authoredOn"
      }, {
        "key": "-erp-angabeDosierungKennzeichenTrue",
        "human": "Wenn das Dosierungskennzeichen true ist, muss eine Dosieranweisung vorhanden sein.",
        "severity": "error",
        "expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').exists().not() or ((extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').value as boolean)=true implies dosageInstruction.exists())"
      }, {
        "key": "-erp-angabeDosierungKennzeichenFalse",
        "human": "Wenn das Dosierungskennzeichen false ist, darf keine Dosieranweisung vorhanden sein.",
        "severity": "error",
        "expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').exists().not() or ((extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').value as boolean)=false implies dosageInstruction.exists().not())"
      }, {
        "key": "-erp-dosieranweisungFreitextGenerierterTextPflicht",
        "human": "Auch bei einer freitextlichen Angabe der Dosieranweisung, müssen die Extensions für den generierten Text sowie für die Metadaten zum Textgenerierungsalgorithmus angegeben werden.",
        "severity": "error",
        "expression": "dosageInstruction.text.exists() implies extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction').exists() and extension('http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta').exists()"
      } ]
    }, {
      "id": "MedicationRequest.id",
      "min": 1,
      "path": "MedicationRequest.id",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.meta",
      "min": 1,
      "path": "MedicationRequest.meta",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.meta.versionId",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.meta.versionId",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.meta.lastUpdated",
      "max": "0",
      "path": "MedicationRequest.meta.lastUpdated"
    }, {
      "id": "MedicationRequest.meta.source",
      "max": "0",
      "path": "MedicationRequest.meta.source"
    }, {
      "id": "MedicationRequest.meta.profile",
      "min": 1,
      "path": "MedicationRequest.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationRequest.meta.profile:erpProfile",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.meta.profile",
      "sliceName": "erpProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.4"
    }, {
      "id": "MedicationRequest.meta.security",
      "max": "0",
      "path": "MedicationRequest.meta.security"
    }, {
      "id": "MedicationRequest.meta.tag",
      "max": "0",
      "path": "MedicationRequest.meta.tag"
    }, {
      "id": "MedicationRequest.implicitRules",
      "max": "0",
      "path": "MedicationRequest.implicitRules"
    }, {
      "id": "MedicationRequest.language",
      "max": "0",
      "path": "MedicationRequest.language"
    }, {
      "id": "MedicationRequest.text",
      "max": "0",
      "path": "MedicationRequest.text"
    }, {
      "id": "MedicationRequest.contained",
      "max": "0",
      "path": "MedicationRequest.contained"
    }, {
      "id": "MedicationRequest.extension",
      "max": "12",
      "min": 3,
      "path": "MedicationRequest.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationRequest.extension:Zuzahlungsstatus",
      "max": "1",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment" ]
      } ],
      "sliceName": "Zuzahlungsstatus",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding",
      "path": "MedicationRequest.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_ERP_StatusCoPayment"
      },
      "sliceName": "valueCoding",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding.system",
      "path": "MedicationRequest.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding.code",
      "path": "MedicationRequest.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Notdienstgebuehr",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee" ]
      } ],
      "sliceName": "Notdienstgebuehr",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Notdienstgebuehr.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Notdienstgebuehr.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:SER",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER" ]
      } ],
      "sliceName": "SER",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:SER.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:SER.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen",
      "max": "1",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident" ]
      } ],
      "sliceName": "Unfallinformationen",
      "constraint": [ {
        "key": "-erp-angabeUnfallbetriebPflicht",
        "human": "Die Ressource vom Typ MedicationRequest enthält keinen Namen des Unfallbetriebs, dieser ist aber Pflicht falls ein Unfallkennzeichen mit dem Wert \"2\" (Arbeitsunfall) angegeben ist.",
        "severity": "error",
        "expression": "(extension('Unfallkennzeichen').value as Coding).code = '2' implies extension('Unfallbetrieb').exists()"
      }, {
        "key": "-erp-angabeUnfallbetriebVerbot",
        "human": "Die Ressource vom Typ MedicationRequest enthält einen Namen des Unfallbetriebs, dieser darf aber nicht angegeben werden, falls ein Unfallkennzeichen mit dem Wert ungleich \"2\" (Arbeitsunfall) angegeben ist.",
        "severity": "error",
        "expression": "(extension('Unfallkennzeichen').value as Coding).code != '2' implies extension('Unfallbetrieb').exists().not()"
      }, {
        "key": "-erp-angabeUnfalltagPflicht",
        "human": "Die Ressource vom Typ MedicationRequest enthält keinen Unfalltag, dieser ist aber Pflicht falls ein Unfallkennzeichen mit dem Wert \"1\" (Unfall) oder \"2\" (Arbeitsunfall) angegeben ist.",
        "severity": "error",
        "expression": "((extension('Unfallkennzeichen').value as Coding).code = '1' or (extension('Unfallkennzeichen').value as Coding).code = '2') implies extension('Unfalltag').exists()"
      }, {
        "key": "-erp-angabeUnfalltagVerbot",
        "human": "Die Ressource vom Typ MedicationRequest enthält einen Unfalltag, dieser darf aber nicht angegeben werden, falls ein Unfallkennzeichen mit dem Wert ungleich \"1\" (Unfall) oder ungleich \"2\" (Arbeitsunfall) angegeben ist.",
        "severity": "error",
        "expression": "(extension('Unfallkennzeichen').value as Coding).code != '1' and (extension('Unfallkennzeichen').value as Coding).code != '2' implies extension('Unfalltag').exists().not()"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Unfallkennzeichen",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding",
      "path": "MedicationRequest.extension.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_ERP_Accident_Type"
      },
      "sliceName": "valueCoding",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.system",
      "path": "MedicationRequest.extension.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.code",
      "path": "MedicationRequest.extension.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Unfallbetrieb",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]:valueString",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfalltag",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Unfalltag",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfalltag.value[x]",
      "min": 1,
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfalltag.value[x]:valueDate",
      "min": 1,
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueDate",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription" ]
      } ],
      "sliceName": "Mehrfachverordnung",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Kennzeichen",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Kennzeichen",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Kennzeichen.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Kennzeichen.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Nummerierung",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueRatio",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.numerator",
      "path": "MedicationRequest.extension.extension.value[x].numerator",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.numerator.value",
      "path": "MedicationRequest.extension.extension.value[x].numerator.value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.denominator",
      "path": "MedicationRequest.extension.extension.value[x].denominator",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.denominator.value",
      "path": "MedicationRequest.extension.extension.value[x].denominator.value",
      "definition": "Das Feld dient der Kennzeichnung der Länge der Serie einer Mehrfachverordnung. Beispiel: \"4\" in \"2 von 4\"",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Zeitraum",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]:valuePeriod",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valuePeriod",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]:valuePeriod.start",
      "path": "MedicationRequest.extension.extension.value[x].start",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]:valuePeriod.end",
      "path": "MedicationRequest.extension.extension.value[x].end",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "ID",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]:valueIdentifier",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueIdentifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]:valueIdentifier.system",
      "path": "MedicationRequest.extension.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]:valueIdentifier.value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:VerschreiberID",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Prescriber_ID" ]
      } ],
      "sliceName": "VerschreiberID",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:VerschreiberID.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:VerschreiberID.value[x]:valueIdentifier",
      "path": "MedicationRequest.extension.value[x]",
      "sliceName": "valueIdentifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:VerschreiberID.value[x]:valueIdentifier.value",
      "path": "MedicationRequest.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:PatientenID",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Patient_ID" ]
      } ],
      "sliceName": "PatientenID",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:PatientenID.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:PatientenID.value[x]:valueIdentifier",
      "path": "MedicationRequest.extension.value[x]",
      "sliceName": "valueIdentifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:PatientenID.value[x]:valueIdentifier.value",
      "path": "MedicationRequest.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel",
      "max": "1",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Narcotic" ]
      } ],
      "sliceName": "Betaeubungsmittel",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "BtM-Sonderkennzeichen",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]:valueCoding",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueCoding",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.system",
      "path": "MedicationRequest.extension.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.code",
      "path": "MedicationRequest.extension.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:ErgaenzendeAngabenSubstitutionsmittel",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "ErgaenzendeAngabenSubstitutionsmittel",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:ErgaenzendeAngabenSubstitutionsmittel.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Betaeubungsmittel.extension:ErgaenzendeAngabenSubstitutionsmittel.value[x]:valueString",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "path": "MedicationRequest.extension",
      "definition": "Abbildung der Angaben zur Verordnung eines teratogenen Arzneimittels (T-Rezept)",
      "isModifier": false,
      "short": "T-Rezept",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic" ]
      } ],
      "mustSupport": true,
      "sliceName": "T-Rezept",
      "max": "1",
      "id": "MedicationRequest.extension:T-Rezept"
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:Off-Label",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "Off-Label",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:Off-Label.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:Off-Label.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:Off-Label.value[x]:valueBoolean.value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "GebaerfaehigeFrau",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau.value[x]:valueBoolean.value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "EinhaltungSicherheitsmassnahmen",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen.value[x]:valueBoolean.value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "AushaendigungInformationsmaterialien",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien.value[x]:valueBoolean.value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "ErklaerungSachkenntnis",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis.value[x]:valueBoolean.value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Dosierungskennzeichen",
      "max": "1",
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag" ]
      } ],
      "short": "Dosierkennzeichen",
      "sliceName": "Dosierungskennzeichen",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Dosierungskennzeichen.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Dosierungskennzeichen.value[x]:valueBoolean",
      "path": "MedicationRequest.extension.value[x]",
      "sliceName": "valueBoolean",
      "definition": "Abbildung, ob eine Dosierungsanweisung in der Verordung angegeben ist true - Dosierung gemäß Angaben in dieser Verordnung (dosageInstruction.text) false - Dosieranweisung/Medikationsplan mitgegeben",
      "mustSupport": true
    }, {
      "path": "MedicationRequest.extension",
      "min": 0,
      "definition": "Diese R5-Backport-Extension enthält die gerenderten Dosierungsanweisungen für den Patienten, um eine klare und verständliche Einnahmeanweisung bereitzustellen.",
      "short": "Dosierungsanweisung",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction" ]
      } ],
      "mustSupport": true,
      "sliceName": "renderedDosageInstruction",
      "max": "1",
      "id": "MedicationRequest.extension:renderedDosageInstruction"
    }, {
      "id": "MedicationRequest.extension:renderedDosageInstruction.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "short": "Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.",
      "definition": "Abweichend von FHIR R5 (Typ Markdown) darf in der ersten Ausbaustufe des dgMP ausschließlich Klartext ohne Markdown-Formatierungen (z. B. Überschriften, Listen, Links) geliefert werden."
    }, {
      "path": "MedicationRequest.extension",
      "min": 0,
      "definition": "Diese Extension enthält zusätzliche Metadaten zu den automatisch generierten Dosierungsanweisungen, wie z.B. Informationen zur Generierung oder zum Ursprung der Daten.",
      "short": "Metadaten zu den generierten Dosierungsanweisungen",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta" ]
      } ],
      "mustSupport": true,
      "sliceName": "generatedDosageInstructionsMeta",
      "max": "1",
      "id": "MedicationRequest.extension:generatedDosageInstructionsMeta"
    }, {
      "id": "MedicationRequest.identifier",
      "max": "0",
      "path": "MedicationRequest.identifier"
    }, {
      "id": "MedicationRequest.status",
      "path": "MedicationRequest.status",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.statusReason",
      "max": "0",
      "path": "MedicationRequest.statusReason"
    }, {
      "id": "MedicationRequest.intent",
      "path": "MedicationRequest.intent",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.category",
      "max": "0",
      "path": "MedicationRequest.category"
    }, {
      "id": "MedicationRequest.priority",
      "max": "0",
      "path": "MedicationRequest.priority"
    }, {
      "id": "MedicationRequest.doNotPerform",
      "max": "0",
      "path": "MedicationRequest.doNotPerform"
    }, {
      "id": "MedicationRequest.reported[x]",
      "max": "0",
      "path": "MedicationRequest.reported[x]"
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText|1.4", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|1.4", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.4", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.4" ]
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationRequest.medication[x]:medicationReference",
      "min": 1,
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText|1.4", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|1.4", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.4", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.4" ]
      } ],
      "sliceName": "medicationReference",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.medication[x]:medicationReference.reference",
      "min": 1,
      "path": "MedicationRequest.medication[x].reference",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.medication[x]:medicationReference.type",
      "max": "0",
      "path": "MedicationRequest.medication[x].type"
    }, {
      "id": "MedicationRequest.medication[x]:medicationReference.identifier",
      "max": "0",
      "path": "MedicationRequest.medication[x].identifier"
    }, {
      "id": "MedicationRequest.medication[x]:medicationReference.display",
      "max": "0",
      "path": "MedicationRequest.medication[x].display"
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.subject.reference",
      "min": 1,
      "path": "MedicationRequest.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.subject.type",
      "max": "0",
      "path": "MedicationRequest.subject.type"
    }, {
      "id": "MedicationRequest.subject.identifier",
      "max": "0",
      "path": "MedicationRequest.subject.identifier"
    }, {
      "id": "MedicationRequest.subject.display",
      "max": "0",
      "path": "MedicationRequest.subject.display"
    }, {
      "id": "MedicationRequest.encounter",
      "max": "0",
      "path": "MedicationRequest.encounter"
    }, {
      "id": "MedicationRequest.supportingInformation",
      "max": "0",
      "path": "MedicationRequest.supportingInformation"
    }, {
      "id": "MedicationRequest.authoredOn",
      "min": 1,
      "path": "MedicationRequest.authoredOn",
      "definition": "Ausstellungsdatum der Verordnung",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester",
      "min": 1,
      "path": "MedicationRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester.reference",
      "min": 1,
      "path": "MedicationRequest.requester.reference",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester.type",
      "max": "0",
      "path": "MedicationRequest.requester.type"
    }, {
      "id": "MedicationRequest.requester.identifier",
      "max": "0",
      "path": "MedicationRequest.requester.identifier"
    }, {
      "id": "MedicationRequest.requester.display",
      "max": "0",
      "path": "MedicationRequest.requester.display"
    }, {
      "id": "MedicationRequest.performer",
      "max": "0",
      "path": "MedicationRequest.performer"
    }, {
      "id": "MedicationRequest.performerType",
      "max": "0",
      "path": "MedicationRequest.performerType"
    }, {
      "id": "MedicationRequest.recorder",
      "max": "0",
      "path": "MedicationRequest.recorder"
    }, {
      "id": "MedicationRequest.reasonCode",
      "max": "0",
      "path": "MedicationRequest.reasonCode"
    }, {
      "id": "MedicationRequest.reasonReference",
      "max": "0",
      "path": "MedicationRequest.reasonReference"
    }, {
      "id": "MedicationRequest.instantiatesCanonical",
      "max": "0",
      "path": "MedicationRequest.instantiatesCanonical"
    }, {
      "id": "MedicationRequest.instantiatesUri",
      "max": "0",
      "path": "MedicationRequest.instantiatesUri"
    }, {
      "id": "MedicationRequest.basedOn",
      "max": "1",
      "path": "MedicationRequest.basedOn",
      "short": "eMP-Identifier",
      "definition": "Identifikator des Eintrags im eMP (elektronischer Medikationsplan) des Versicherten, der dieser Verordnung zugrunde liegt.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.basedOn.reference",
      "max": "0",
      "path": "MedicationRequest.basedOn.reference"
    }, {
      "id": "MedicationRequest.basedOn.type",
      "max": "0",
      "path": "MedicationRequest.basedOn.type"
    }, {
      "id": "MedicationRequest.basedOn.identifier",
      "min": 1,
      "path": "MedicationRequest.basedOn.identifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.basedOn.identifier.use",
      "max": "0",
      "path": "MedicationRequest.basedOn.identifier.use"
    }, {
      "id": "MedicationRequest.basedOn.identifier.type",
      "max": "0",
      "path": "MedicationRequest.basedOn.identifier.type"
    }, {
      "id": "MedicationRequest.basedOn.identifier.system",
      "min": 1,
      "path": "MedicationRequest.basedOn.identifier.system",
      "fixedUri": "https://gematik.de/fhir/sid/emp-identifier",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.basedOn.identifier.value",
      "min": 1,
      "path": "MedicationRequest.basedOn.identifier.value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.basedOn.identifier.period",
      "max": "0",
      "path": "MedicationRequest.basedOn.identifier.period"
    }, {
      "id": "MedicationRequest.basedOn.identifier.assigner",
      "max": "0",
      "path": "MedicationRequest.basedOn.identifier.assigner"
    }, {
      "id": "MedicationRequest.basedOn.display",
      "max": "0",
      "path": "MedicationRequest.basedOn.display"
    }, {
      "id": "MedicationRequest.groupIdentifier",
      "max": "0",
      "path": "MedicationRequest.groupIdentifier"
    }, {
      "id": "MedicationRequest.courseOfTherapyType",
      "max": "0",
      "path": "MedicationRequest.courseOfTherapyType"
    }, {
      "id": "MedicationRequest.insurance",
      "max": "1",
      "min": 1,
      "path": "MedicationRequest.insurance",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.3" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.insurance.reference",
      "min": 1,
      "path": "MedicationRequest.insurance.reference",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.insurance.type",
      "max": "0",
      "path": "MedicationRequest.insurance.type"
    }, {
      "id": "MedicationRequest.insurance.identifier",
      "max": "0",
      "path": "MedicationRequest.insurance.identifier"
    }, {
      "id": "MedicationRequest.insurance.display",
      "max": "0",
      "path": "MedicationRequest.insurance.display"
    }, {
      "id": "MedicationRequest.note",
      "max": "1",
      "path": "MedicationRequest.note",
      "constraint": [ {
        "key": "-erp-begrenzungText",
        "human": "Der Abgabehinweise darf aus maximal 500 Zeichen bestehen.",
        "severity": "error",
        "expression": "text.toString().length() <= 500"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.note.author[x]",
      "max": "0",
      "path": "MedicationRequest.note.author[x]"
    }, {
      "id": "MedicationRequest.note.time",
      "max": "0",
      "path": "MedicationRequest.note.time"
    }, {
      "id": "MedicationRequest.note.text",
      "path": "MedicationRequest.note.text",
      "definition": "Über die Dosierung hinausgehende Abgabehinweise an die Apotheke",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dosageInstruction",
      "path": "MedicationRequest.dosageInstruction",
      "type": [ {
        "code": "Dosage",
        "profile": [ "http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.initialFill",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.initialFill"
    }, {
      "id": "MedicationRequest.dispenseRequest.dispenseInterval",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.dispenseInterval"
    }, {
      "id": "MedicationRequest.dispenseRequest.validityPeriod",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.validityPeriod"
    }, {
      "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity",
      "constraint": [ {
        "key": "-erp-begrenzungValue",
        "human": "Die Anzahl der verordneten Packungen darf aus maximal 6 Zeichen bestehen.",
        "severity": "error",
        "expression": "value.toString().length() <= 6"
      }, {
        "key": "-erp-begrenzungIntegerValue",
        "human": "Die Anzahl der verordneten Packungen darf nur aus ganzen Zahlen bestehen und muss größer als 0 sein.",
        "severity": "error",
        "expression": "value.toString().matches('^[1-9][0-9]*$')"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.value",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity.value",
      "definition": "Anzahl der verordneten Packungen",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.unit",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity.unit",
      "fixedString": "Packung",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.system",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.quantity.system"
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.code",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.quantity.code"
    }, {
      "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
      "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
      "short": "Reichdauer",
      "definition": "In diesem Feld kann bei Betäubungsmitteln die Reichdauer des Substitutionsmittels in Tagen bzw. bei teratogenen Arzneimitteln die Reichdauer in Wochen angegeben werden.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.value",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator"
    }, {
      "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.unit",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.unit",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system"
    }, {
      "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code"
    }, {
      "id": "MedicationRequest.dispenseRequest.performer",
      "max": "0",
      "path": "MedicationRequest.dispenseRequest.performer"
    }, {
      "id": "MedicationRequest.substitution",
      "path": "MedicationRequest.substitution",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution.allowed[x]",
      "path": "MedicationRequest.substitution.allowed[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "slicing": {
        "rules": "closed",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution.allowed[x]:allowedBoolean",
      "min": 1,
      "path": "MedicationRequest.substitution.allowed[x]",
      "sliceName": "allowedBoolean",
      "definition": "In diesem Feld wird angegeben ob das Arzneimittel austauschbar ist oder nicht\r\n\r\ntrue:  aut idem möglich (austauschbar)\r\nfalse: aut idem ausgeschlossen (nicht austauschbar)",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution.reason",
      "max": "0",
      "path": "MedicationRequest.substitution.reason"
    }, {
      "id": "MedicationRequest.priorPrescription",
      "max": "0",
      "path": "MedicationRequest.priorPrescription"
    }, {
      "id": "MedicationRequest.detectedIssue",
      "max": "0",
      "path": "MedicationRequest.detectedIssue"
    }, {
      "id": "MedicationRequest.eventHistory",
      "max": "0",
      "path": "MedicationRequest.eventHistory"
    } ]
  },
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_MedicationRequest|1.7.0"
}