{
  "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.",
  "_filename": "StructureDefinition-mii-pr-medikation-medication-statement.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.medikation",
  "date": "2022-07-13",
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Medikation_MedicationStatement",
  "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"
  } ],
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Medikation MedicationStatement",
  "_description": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "A record of a medication that is being consumed by a patient."
      } ]
    } ]
  },
  "package_version": "2.0.0",
  "status": "active",
  "id": "98c74a27-5672-49a3-9356-0957bf4737e1",
  "kind": "resource",
  "_name": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII_PR_Medikation_MedicationStatement"
      } ]
    } ]
  },
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement",
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII PR Medikation MedicationStatement"
      } ]
    } ]
  },
  "version": "2.0.0",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.id",
      "path": "MedicationStatement.id",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.meta",
      "path": "MedicationStatement.meta",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.meta.source",
      "path": "MedicationStatement.meta.source",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.meta.profile",
      "path": "MedicationStatement.meta.profile",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.identifier",
      "path": "MedicationStatement.identifier",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.basedOn",
      "path": "MedicationStatement.basedOn",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.partOf",
      "path": "MedicationStatement.partOf",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.status",
      "path": "MedicationStatement.status",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.category",
      "path": "MedicationStatement.category",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.category.coding",
      "path": "MedicationStatement.category.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "MedicationStatement.category.coding:usageCategory",
      "max": "*",
      "min": 0,
      "path": "MedicationStatement.category.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/medication-statement-category"
      },
      "sliceName": "usageCategory",
      "patternCoding": {
        "system": "http://terminology.hl7.org/CodeSystem/medication-statement-category"
      }
    }, {
      "id": "MedicationStatement.category.coding:contextCode",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.category.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext"
      },
      "sliceName": "contextCode",
      "patternCoding": {
        "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung"
      }
    }, {
      "id": "MedicationStatement.medication[x]",
      "path": "MedicationStatement.medication[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationReference",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.medication[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "sliceName": "medicationReference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "medicationCodeableConcept",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
      "path": "MedicationStatement.medication[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer",
      "max": "*",
      "min": 0,
      "path": "MedicationStatement.medication[x].coding",
      "sliceName": "Pharmazentralnummer",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "path": "MedicationStatement.medication[x].coding",
      "min": 0,
      "definition": "ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten",
      "short": "ATC Klassifikation deutsche Version",
      "mustSupport": true,
      "sliceName": "atcClassDe",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/bfarm/atc"
      },
      "max": "*",
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "path": "MedicationStatement.medication[x].coding",
      "min": 0,
      "definition": "ATC Classification International WHO Version",
      "short": "Anatomical Therapeutic Chemical Classification System",
      "mustSupport": true,
      "sliceName": "atcClassEn",
      "max": "*",
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn",
      "patternCoding": {
        "system": "http://www.whocc.no/atc"
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.text",
      "path": "MedicationStatement.medication[x].text",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ],
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.context",
      "path": "MedicationStatement.context",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]",
      "min": 1,
      "path": "MedicationStatement.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectiveDateTime",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "effectivePeriod",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dateAsserted",
      "path": "MedicationStatement.dateAsserted",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.informationSource",
      "path": "MedicationStatement.informationSource",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode",
      "path": "MedicationStatement.reasonCode",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonReference",
      "path": "MedicationStatement.reasonReference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.note",
      "path": "MedicationStatement.note",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage",
      "path": "MedicationStatement.dosage",
      "constraint": [ {
        "key": "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()"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.sequence",
      "path": "MedicationStatement.dosage.sequence",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.text",
      "path": "MedicationStatement.dosage.text",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing",
      "path": "MedicationStatement.dosage.timing",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.event",
      "path": "MedicationStatement.dosage.timing.event",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat",
      "path": "MedicationStatement.dosage.timing.repeat",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
      "type": [ {
        "code": "Duration"
      } ],
      "sliceName": "boundsDuration",
      "mustSupport": true,
      "patternDuration": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].unit",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
      "type": [ {
        "code": "Range"
      } ],
      "sliceName": "boundsRange",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.value",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.unit",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.value",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.unit",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code",
      "min": 1,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "boundsPeriod",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].start",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end",
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x].end",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.count",
      "path": "MedicationStatement.dosage.timing.repeat.count",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.countMax",
      "path": "MedicationStatement.dosage.timing.repeat.countMax",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.duration",
      "path": "MedicationStatement.dosage.timing.repeat.duration",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.durationMax",
      "path": "MedicationStatement.dosage.timing.repeat.durationMax",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.durationUnit",
      "path": "MedicationStatement.dosage.timing.repeat.durationUnit",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.frequency",
      "path": "MedicationStatement.dosage.timing.repeat.frequency",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.frequencyMax",
      "path": "MedicationStatement.dosage.timing.repeat.frequencyMax",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.period",
      "path": "MedicationStatement.dosage.timing.repeat.period",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.periodMax",
      "path": "MedicationStatement.dosage.timing.repeat.periodMax",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.periodUnit",
      "path": "MedicationStatement.dosage.timing.repeat.periodUnit",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
      "path": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.timeOfDay",
      "path": "MedicationStatement.dosage.timing.repeat.timeOfDay",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.when",
      "path": "MedicationStatement.dosage.timing.repeat.when",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.offset",
      "path": "MedicationStatement.dosage.timing.repeat.offset",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.asNeeded[x]",
      "path": "MedicationStatement.dosage.asNeeded[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.asNeeded[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "sliceName": "asNeededBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.asNeeded[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "asNeededCodeableConcept",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site",
      "path": "MedicationStatement.dosage.site",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding",
      "path": "MedicationStatement.dosage.site.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED",
      "max": "*",
      "min": 0,
      "path": "MedicationStatement.dosage.site.coding",
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips",
        "description": "target site IPS"
      },
      "sliceName": "SNOMED",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED.system",
      "min": 1,
      "path": "MedicationStatement.dosage.site.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED.code",
      "min": 1,
      "path": "MedicationStatement.dosage.site.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route",
      "path": "MedicationStatement.dosage.route",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding",
      "path": "MedicationStatement.dosage.route.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding:EDQM",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.route.coding",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration",
        "description": "EDQM Standard Terms"
      },
      "sliceName": "EDQM",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://standardterms.edqm.eu"
      }
    }, {
      "id": "MedicationStatement.dosage.route.coding:EDQM.system",
      "min": 1,
      "path": "MedicationStatement.dosage.route.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding:EDQM.code",
      "min": 1,
      "path": "MedicationStatement.dosage.route.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding:SNOMED",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.route.coding",
      "sliceName": "SNOMED",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationStatement.dosage.route.coding:SNOMED.system",
      "min": 1,
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