{
  "description": "Handles information about the dispensed DiGA",
  "_filename": "StructureDefinition-GEM-ERP-PR-MedicationDispense-DiGA.json",
  "package_name": "de.gematik.erezept-workflow.r4",
  "date": "2024-07-15",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "GEM_ERP_PR_MedicationDispense_DiGA",
  "abstract": false,
  "type": "MedicationDispense",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Dispensation of a DiGA-Prescription",
  "package_version": "1.4.1",
  "status": "active",
  "id": "8279c21b-9ce3-4e61-9045-d00ec15be4c1",
  "kind": "resource",
  "url": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
  "version": "1.4",
  "differential": {
    "element": [ {
      "id": "MedicationDispense",
      "path": "MedicationDispense",
      "constraint": [ {
        "key": "workflow-medicationdispense-redeemcode-1",
        "human": "A note was not found, but is mandatory if no redeem code is provided.",
        "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
        "severity": "error",
        "expression": "extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode').empty() implies note.exists()"
      }, {
        "key": "workflow-medicationdispense-redeemcode-2",
        "human": "The data absent reason was not found, but is mandatory if no redeem code is provided.",
        "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
        "severity": "error",
        "expression": "extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode').empty() implies medicationReference.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()"
      }, {
        "key": "workflow-medicationdispense-redeemcode-3",
        "human": "Name and identifier of the DiGA was not found, but is mandatory if a redeem code is provided.",
        "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
        "severity": "error",
        "expression": "extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode').exists() implies (medicationReference.display.exists() and medicationReference.identifier.exists())"
      } ]
    }, {
      "id": "MedicationDispense.meta",
      "min": 1,
      "path": "MedicationDispense.meta"
    }, {
      "id": "MedicationDispense.meta.profile",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.meta.profile",
      "fixedCanonical": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA|1.4"
    }, {
      "id": "MedicationDispense.extension:redeemCode",
      "max": "1",
      "min": 0,
      "path": "MedicationDispense.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode" ]
      } ],
      "sliceName": "redeemCode"
    }, {
      "id": "MedicationDispense.extension:deepLink",
      "max": "1",
      "min": 0,
      "path": "MedicationDispense.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_DeepLink" ]
      } ],
      "sliceName": "deepLink"
    }, {
      "id": "MedicationDispense.identifier",
      "min": 1,
      "path": "MedicationDispense.identifier",
      "short": "ePrescription identifier"
    }, {
      "id": "MedicationDispense.identifier:prescriptionID",
      "max": "1",
      "min": 1,
      "path": "MedicationDispense.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_PrescriptionId" ]
      } ],
      "sliceName": "prescriptionID",
      "patternIdentifier": {
        "system": "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"
      }
    }, {
      "id": "MedicationDispense.status",
      "path": "MedicationDispense.status",
      "short": "completed",
      "fixedCode": "completed"
    }, {
      "id": "MedicationDispense.medication[x]",
      "path": "MedicationDispense.medication[x]",
      "definition": "Information about the medication that is being dispensed. To include are name and the PZN-identifier of a DiGA prescription unit."
    }, {
      "id": "MedicationDispense.medication[x].extension:data-absent-reason",
      "max": "1",
      "min": 0,
      "path": "MedicationDispense.medication[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "sliceName": "data-absent-reason"
    }, {
      "id": "MedicationDispense.medication[x].extension:data-absent-reason.value[x]",
      "path": "MedicationDispense.medication[x].extension.value[x]",
      "patternCode": "asked-declined"
    }, {
      "id": "MedicationDispense.medication[x].identifier",
      "path": "MedicationDispense.medication[x].identifier",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x].identifier.system",
      "min": 1,
      "path": "MedicationDispense.medication[x].identifier.system",
      "fixedUri": "http://fhir.de/CodeSystem/ifa/pzn",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x].identifier.value",
      "min": 1,
      "path": "MedicationDispense.medication[x].identifier.value",
      "short": "Unique identification number for a prescription unit of a DiGA (PZN).",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.medication[x].display",
      "path": "MedicationDispense.medication[x].display",
      "short": "Name of the DiGA prescription unit.",
      "mustSupport": true
    }, {
      "id": "MedicationDispense.subject.identifier",
      "min": 1,
      "path": "MedicationDispense.subject.identifier",
      "short": "The patients KVNR",
      "comment": "There is no PKV identifier available since it is not in the scope for DiGA prescriptions."
    }, {
      "id": "MedicationDispense.performer.actor.identifier",
      "min": 1,
      "path": "MedicationDispense.performer.actor.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-telematik-id" ]
      } ]
    }, {
      "id": "MedicationDispense.whenHandedOver",
      "path": "MedicationDispense.whenHandedOver",
      "short": "Date of dispensation",
      "constraint": [ {
        "key": "workflow-abgabeDatumsFormat",
        "human": "Wert muss ein Datum in der Form: YYYY-MM-DD sein.",
        "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
        "severity": "error",
        "expression": "toString().length()=10"
      } ]
    }, {
      "id": "MedicationDispense.substitution",
      "max": "0",
      "path": "MedicationDispense.substitution",
      "comment": "According to BAS the substitution for DiGAs is not allowed"
    } ]
  },
  "baseDefinition": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"
}