{
  "description": "Dieses Profil ermöglicht die Abbildung von patientenunabhängigen Informationen zu Medikamenten in ISiK Szenarien.",
  "_filename": "StructureDefinition-ISiKMedikament.json",
  "package_name": "de.gematik.isik-medikation",
  "date": "2024-04-04",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKMedikament",
  "abstract": false,
  "type": "Medication",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "4.0.0-rc",
  "status": "active",
  "id": "bbf6ebd4-27ee-4304-ab31-77885fc0d1a3",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikament",
  "version": "4.0.0-rc",
  "differential": {
    "element": [ {
      "id": "Medication",
      "path": "Medication",
      "constraint": [ {
        "key": "isik-med-1",
        "human": "Medikamenten-Code, -Bezeichnung oder Inhaltsstoffe müssen angegeben werden.",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikament",
        "severity": "error",
        "expression": "code.exists() or ingredient.exists()"
      } ]
    }, {
      "id": "Medication.id",
      "path": "Medication.id",
      "short": "eindeutige ID der Ressource auf dem Server",
      "mustSupport": true
    }, {
      "id": "Medication.code",
      "path": "Medication.code",
      "short": "Medikament in codierter Form oder ggf. als Freitext",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding",
      "path": "Medication.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:PZN",
      "max": "1",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "PZN",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "Medication.code.coding:PZN.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:PZN.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:PZN.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ATC-DE",
      "max": "1",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "ATC-DE",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "Medication.code.coding:ATC-DE.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ATC-DE.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:ATC-DE.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:WG14",
      "max": "1",
      "min": 0,
      "path": "Medication.code.coding",
      "sliceName": "WG14",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/abdata/wg14"
      }
    }, {
      "id": "Medication.code.coding:WG14.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:WG14.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:WG14.display",
      "path": "Medication.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Medication.code.text",
      "path": "Medication.code.text",
      "mustSupport": true
    }, {
      "id": "Medication.status",
      "min": 1,
      "path": "Medication.status",
      "short": "Status der Medikamenteninformation",
      "mustSupport": true
    }, {
      "id": "Medication.manufacturer",
      "path": "Medication.manufacturer",
      "short": "Hersteller des Medikaments",
      "comment": "Hier kann der tatsächliche Hersteller des Medikaments benannt werden, vornehmlich im Fall von Wirkstoffmischungen (Rezepturen), beispielsweise die Krankenhausapotheke. Zu beachten ist, dass die zulassende Organisation, wie sie z.B. in den Daten zur PZN benannt ist, nicht als Hersteller gilt.",
      "mustSupport": true
    }, {
      "id": "Medication.manufacturer.display",
      "min": 1,
      "path": "Medication.manufacturer.display",
      "mustSupport": true
    }, {
      "id": "Medication.form",
      "path": "Medication.form",
      "short": "Abgabeform",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding",
      "path": "Medication.form.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:EDQM",
      "max": "1",
      "min": 0,
      "path": "Medication.form.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding" ]
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
      },
      "sliceName": "EDQM",
      "mustSupport": true
    }, {
      "id": "Medication.amount",
      "path": "Medication.amount",
      "short": "Menge",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator",
      "min": 1,
      "path": "Medication.amount.numerator",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Medication.amount.numerator.value",
      "min": 1,
      "path": "Medication.amount.numerator.value",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.unit",
      "path": "Medication.amount.numerator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.system",
      "min": 1,
      "path": "Medication.amount.numerator.system",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.code",
      "min": 1,
      "path": "Medication.amount.numerator.code",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator",
      "path": "Medication.amount.denominator",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Medication.amount.denominator.value",
      "min": 1,
      "path": "Medication.amount.denominator.value",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.unit",
      "path": "Medication.amount.denominator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.system",
      "min": 1,
      "path": "Medication.amount.denominator.system",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.code",
      "min": 1,
      "path": "Medication.amount.denominator.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient",
      "path": "Medication.ingredient",
      "short": "Informationen zu Bestandteilen (Rezeptur)",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension",
      "path": "Medication.ingredient.extension",
      "short": "Wirkstofftyp",
      "comment": "Handelt es sich um eine Angabe zum Wirkstoff oder zum exakter Inhaltsstoff (z.B. Salze)?",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension:wirkstofftyp",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/WirkstofftypEX" ]
      } ],
      "sliceName": "wirkstofftyp",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Bestandteil in codierter Form oder ggf. als Freitext",
      "sliceName": "itemCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
      "path": "Medication.ingredient.item[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKASKCoding" ]
      } ],
      "sliceName": "ASK",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ask"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ATC-DE",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding" ]
      } ],
      "sliceName": "ATC-DE",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:PZN",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding" ]
      } ],
      "sliceName": "PZN",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:WG14",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKWG14Coding" ]
      } ],
      "sliceName": "WG14",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/abdata/wg14"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "path": "Medication.ingredient.item[x].text",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemReference",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Substance", "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "short": "Bestandteil (Referenz auf ein anderes Medikament)",
      "sliceName": "itemReference",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemReference.reference",
      "min": 1,
      "path": "Medication.ingredient.item[x].reference",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.isActive",
      "path": "Medication.ingredient.isActive",
      "short": "handelt es sich um einen aktiven Bestandteil?",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength",
      "path": "Medication.ingredient.strength",
      "short": "Stärke",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Medication.ingredient.strength.numerator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.value",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.unit",
      "path": "Medication.ingredient.strength.numerator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.system",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.code",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "path": "Medication.ingredient.strength.denominator",
      "mustSupport": true,
      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Medication.ingredient.strength.denominator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.value",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.unit",
      "path": "Medication.ingredient.strength.denominator.unit",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.system",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.code",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.code",
      "mustSupport": true
    }, {
      "id": "Medication.batch",
      "path": "Medication.batch",
      "short": "Angaben zur Charge",
      "comment": "Bitte beachten Sie gegebenenfalls die Regelungen der zwischen GKV-SV und DAV: https://www.gkv-datenaustausch.de/leistungserbringer/apotheken/apotheken.jsp . Insbesondere den Technischen Anhang 7 (TA7) zur Arzneimittelabrechnungsvereinbarung gemäß § 300 Absatz 3 SGB V in der aktuellsten Fassung.",
      "mustSupport": true
    }, {
      "id": "Medication.batch.lotNumber",
      "path": "Medication.batch.lotNumber",
      "short": "Chargennummer",
      "comment": "Gemäß Anlage 1 der TA7 kann hier übergangsweise bis zum 30. Juni 2025 eine Musterchargennummer (\"STELLEN\") eingetragen werden. Wenn die Übermittlung der Chargenbezeichnung beim Stellen von Arzneimitteln technisch nicht möglich ist, z.B. beim Verblistern, wird von der Verpflichtung zur Chargendokumentation abgesehen. Dementsprechend kann anstatt der tatsächlichen Chargenbezeichnungen \"STELLEN\" in das hierbeschirebene Datenfeld eingetragen werden.",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication"
}