{
  "description": "Dieses Profil ermöglicht die Abbildung der Verabreichung von Medikamenten für einen Patienten in ISiK Szenarien.",
  "_filename": "StructureDefinition-ISiKMedikationsVerabreichung.json",
  "package_name": "de.gematik.isik-medikation",
  "date": "2023-01-31",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKMedikationsVerabreichung",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://www.w3.org/ns/prov",
    "name": "W3C PROV",
    "identity": "w3c.prov"
  } ],
  "abstract": false,
  "type": "MedicationAdministration",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "2.0.2",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
    "valueString": "Clinical.Medications"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode": "patient"
  } ],
  "status": "active",
  "id": "96cc4537-7c18-4ed8-8909-586d63ada654",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/v2/Medikation/StructureDefinition/ISiKMedikationsVerabreichung",
  "version": "2.0.2",
  "differential": {
    "element": [ {
      "id": "MedicationAdministration.id",
      "path": "MedicationAdministration.id",
      "short": "eindeutige ID der Ressource auf dem Server",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.status",
      "path": "MedicationAdministration.status",
      "short": "Status der Verabreichungsinformation",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medicationCodeableConcept",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Medikament in codierter Form oder ggf. als Freitext",
      "comment": "kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren.",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding",
      "path": "MedicationAdministration.medicationCodeableConcept.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:PZN",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medicationCodeableConcept.coding",
      "sliceName": "PZN",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:PZN.system",
      "min": 1,
      "path": "MedicationAdministration.medicationCodeableConcept.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:PZN.code",
      "min": 1,
      "path": "MedicationAdministration.medicationCodeableConcept.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:PZN.display",
      "path": "MedicationAdministration.medicationCodeableConcept.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:ATC-DE",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medicationCodeableConcept.coding",
      "sliceName": "ATC-DE",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:ATC-DE.system",
      "min": 1,
      "path": "MedicationAdministration.medicationCodeableConcept.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:ATC-DE.code",
      "min": 1,
      "path": "MedicationAdministration.medicationCodeableConcept.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:ATC-DE.display",
      "path": "MedicationAdministration.medicationCodeableConcept.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:WG14",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medicationCodeableConcept.coding",
      "sliceName": "WG14",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/abdata/wg14"
      }
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:WG14.system",
      "min": 1,
      "path": "MedicationAdministration.medicationCodeableConcept.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:WG14.code",
      "min": 1,
      "path": "MedicationAdministration.medicationCodeableConcept.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.coding:WG14.display",
      "path": "MedicationAdministration.medicationCodeableConcept.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationCodeableConcept.text",
      "path": "MedicationAdministration.medicationCodeableConcept.text",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationReference",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medicationReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "short": "Referenz auf das Medikament (Medication-Ressource)",
      "comment": "wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medicationReference.reference",
      "min": 1,
      "path": "MedicationAdministration.medicationReference.reference",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.subject",
      "path": "MedicationAdministration.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Referenz auf den Patienten",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.subject.reference",
      "min": 1,
      "path": "MedicationAdministration.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.context",
      "path": "MedicationAdministration.context",
      "short": "Referenz auf den Abteilungskontakt",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.context.reference",
      "min": 1,
      "path": "MedicationAdministration.context.reference",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effectiveDateTime",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.effectiveDateTime",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Verabreichung",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effectivePeriod",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.effectivePeriod",
      "type": [ {
        "code": "Period"
      } ],
      "short": "Zeitraum der Verabreichung",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effectivePeriod.start",
      "path": "MedicationAdministration.effectivePeriod.start",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effectivePeriod.end",
      "path": "MedicationAdministration.effectivePeriod.end",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.performer",
      "path": "MedicationAdministration.performer",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.performer.actor",
      "path": "MedicationAdministration.performer.actor",
      "short": "Referenz auf die verabreichende Person",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.performer.actor.reference",
      "min": 1,
      "path": "MedicationAdministration.performer.actor.reference",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.reasonReference",
      "path": "MedicationAdministration.reasonReference",
      "short": "Grund der Medikation (Referenz)",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.reasonReference.reference",
      "min": 1,
      "path": "MedicationAdministration.reasonReference.reference",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.note",
      "path": "MedicationAdministration.note",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.note.text",
      "path": "MedicationAdministration.note.text",
      "short": "Freitext-Notiz",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage",
      "path": "MedicationAdministration.dosage",
      "short": "Dosierungsangaben",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.text",
      "path": "MedicationAdministration.dosage.text",
      "short": "Freitext-Dosierungsangabe",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.site",
      "path": "MedicationAdministration.dosage.site",
      "short": "Körperstelle der Verabreichung",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.site.coding",
      "path": "MedicationAdministration.dosage.site.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.site.coding:SNOMED-CT",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.dosage.site.coding",
      "sliceName": "SNOMED-CT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationAdministration.dosage.site.coding:SNOMED-CT.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.site.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.site.coding:SNOMED-CT.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.site.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.site.coding:SNOMED-CT.display",
      "path": "MedicationAdministration.dosage.site.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.site.text",
      "path": "MedicationAdministration.dosage.site.text",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route",
      "path": "MedicationAdministration.dosage.route",
      "short": "Route",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding",
      "path": "MedicationAdministration.dosage.route.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding:EDQM",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.dosage.route.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration"
      },
      "sliceName": "EDQM",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://standardterms.edqm.eu"
      }
    }, {
      "id": "MedicationAdministration.dosage.route.coding:EDQM.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.route.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding:EDQM.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.route.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding:EDQM.display",
      "path": "MedicationAdministration.dosage.route.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding:SNOMED-CT",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.dosage.route.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/v2/Medikation/ValueSet/SctRouteOfAdministration"
      },
      "sliceName": "SNOMED-CT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationAdministration.dosage.route.coding:SNOMED-CT.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.route.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding:SNOMED-CT.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.route.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.coding:SNOMED-CT.display",
      "path": "MedicationAdministration.dosage.route.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.route.text",
      "path": "MedicationAdministration.dosage.route.text",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.dose",
      "path": "MedicationAdministration.dosage.dose",
      "short": "verabreichte Dosis",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationAdministration.dosage.dose.value",
      "min": 1,
      "path": "MedicationAdministration.dosage.dose.value",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.dose.unit",
      "path": "MedicationAdministration.dosage.dose.unit",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.dose.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.dose.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.dose.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.dose.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.dosage.rateRatio",
      "type": [ {
        "code": "Ratio"
      } ],
      "short": "Verabreichungs-Rate (Verhältnis)",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.numerator",
      "path": "MedicationAdministration.dosage.rateRatio.numerator",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.numerator.value",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateRatio.numerator.value",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.numerator.unit",
      "path": "MedicationAdministration.dosage.rateRatio.numerator.unit",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.numerator.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateRatio.numerator.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.numerator.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateRatio.numerator.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.denominator",
      "path": "MedicationAdministration.dosage.rateRatio.denominator",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.denominator.value",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateRatio.denominator.value",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.denominator.unit",
      "path": "MedicationAdministration.dosage.rateRatio.denominator.unit",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.denominator.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateRatio.denominator.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateRatio.denominator.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateRatio.denominator.code",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateQuantity",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.dosage.rateQuantity",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Verabreichungs-Rate",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationAdministration.dosage.rateQuantity.value",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateQuantity.value",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateQuantity.unit",
      "path": "MedicationAdministration.dosage.rateQuantity.unit",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateQuantity.system",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateQuantity.system",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rateQuantity.code",
      "min": 1,
      "path": "MedicationAdministration.dosage.rateQuantity.code",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
}