{
  "description": "Dieses Profil beschreibt die Medikation, die angesetzt, geplant oder verabreicht wird. Es kann sich um ein Fertigarzneimittel oder eine Rezeptur handeln. Auch die Angabe nur des Wirkstoffes ist möglich. Die Angabe mindestens eines Wirkstoffes wird verlangt.",
  "_filename": "StructureDefinition-mii-pr-medikation-medication.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.medikation",
  "date": "2024-05-29",
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Medikation_Medication",
  "abstract": false,
  "copyright": "This specification is licensed under Creative Commons \"No Rights Reserved\" (CC0).",
  "type": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Medikation Medication",
  "_description": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "The profile describes a prepackaged drug or formulation."
      } ]
    } ]
  },
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "d63c9221-aa38-4f90-b871-48b6826f705f",
  "kind": "resource",
  "_name": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII_PR_Medikation_Medication"
      } ]
    } ]
  },
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication",
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII PR Medikation Medication"
      } ]
    } ]
  },
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Medication",
      "path": "Medication",
      "comment": "MI-I Medikation"
    }, {
      "id": "Medication.id",
      "path": "Medication.id",
      "mustSupport": true
    }, {
      "id": "Medication.meta",
      "path": "Medication.meta",
      "mustSupport": true
    }, {
      "id": "Medication.meta.source",
      "path": "Medication.meta.source",
      "mustSupport": true
    }, {
      "id": "Medication.meta.profile",
      "path": "Medication.meta.profile",
      "mustSupport": true
    }, {
      "id": "Medication.code",
      "path": "Medication.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding",
      "path": "Medication.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:Pharmazentralnummer",
      "max": "*",
      "min": 0,
      "path": "Medication.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/ifa/pzn"
      },
      "sliceName": "Pharmazentralnummer",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "Medication.code.coding:Pharmazentralnummer.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:Pharmazentralnummer.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "path": "Medication.code.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": "Medication.code.coding:atcClassDe",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "Medication.code.coding:atcClassDe.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atcClassDe.version",
      "min": 1,
      "path": "Medication.code.coding.version",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atcClassDe.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "path": "Medication.code.coding",
      "min": 0,
      "definition": "ATC Classification International WHO Version",
      "short": "Anatomical Therapeutic Chemical Classification System",
      "mustSupport": true,
      "sliceName": "atcClassEn",
      "max": "*",
      "id": "Medication.code.coding:atcClassEn",
      "patternCoding": {
        "system": "http://www.whocc.no/atc"
      }
    }, {
      "id": "Medication.code.coding:atcClassEn.system",
      "min": 1,
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atcClassEn.version",
      "min": 1,
      "path": "Medication.code.coding.version",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:atcClassEn.code",
      "min": 1,
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.text",
      "path": "Medication.code.text",
      "mustSupport": true
    }, {
      "id": "Medication.form",
      "path": "Medication.form",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
      },
      "mustSupport": true
    }, {
      "id": "Medication.form.coding",
      "path": "Medication.form.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "definition": "EDQM pharmaceutical dose forms sind bevorzugt zu verwenden. SNOMED CT und IFA Codes sind Alternativen.",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:EDQM",
      "max": "*",
      "min": 0,
      "path": "Medication.form.coding",
      "sliceName": "EDQM",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://standardterms.edqm.eu"
      }
    }, {
      "id": "Medication.form.coding:EDQM.system",
      "min": 1,
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:EDQM.code",
      "min": 1,
      "path": "Medication.form.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient",
      "min": 1,
      "path": "Medication.ingredient",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension",
      "path": "Medication.ingredient.extension",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension:Wirkstofftyp",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp" ]
      } ],
      "sliceName": "Wirkstofftyp",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.extension:Wirkstoffrelation",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation" ]
      } ],
      "sliceName": "Wirkstoffrelation",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemReference",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Substance", "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "sliceName": "itemReference",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "itemCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Medication.ingredient.item[x].coding",
      "min": 0,
      "short": "Arzneistoffkatalog(ASK)-Nummer",
      "mustSupport": true,
      "sliceName": "ASK",
      "binding": {
        "strength": "example",
        "valueSet": "http://fhir.de/ValueSet/ask"
      },
      "max": "*",
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ask"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "short": "Unique Ingredient Identifier",
      "sliceName": "UNII",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fdasis.nlm.nih.gov"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "short": "Chemical abstract codes",
      "sliceName": "CAS",
      "mustSupport": true,
      "patternCoding": {
        "system": "urn:oid:2.16.840.1.113883.6.61"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED",
      "max": "*",
      "min": 0,
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "SNOMED",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code",
      "min": 1,
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "path": "Medication.ingredient.item[x].text",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength",
      "path": "Medication.ingredient.strength",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "path": "Medication.ingredient.strength.numerator",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "path": "Medication.ingredient.strength.denominator",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication"
}