{
  "description": "Dieses Profil ermöglicht die Abbildung von Informationen zur Medikation eines Patienten in ISiK Szenarien.",
  "_filename": "StructureDefinition-ISiKMedikationsInformation.json",
  "package_name": "de.gematik.isik-medikation",
  "date": "2024-11-20",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKMedikationsInformation",
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "3.0.4",
  "status": "active",
  "id": "d77c80d6-d930-4011-a264-1f61f4ba422d",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/v3/Medikation/StructureDefinition/ISiKMedikationsInformation",
  "version": "3.0.4",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.status",
      "path": "MedicationStatement.status",
      "short": "Status der Medikationsinformation",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]",
      "path": "MedicationStatement.medication[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "MedicationStatement.medication[x]",
      "min": 0,
      "short": "Medikament in codierter Form oder ggf. als Freitext",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "sliceName": "medicationCodeableConcept",
      "max": "1",
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
      "comment": "kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren."
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
      "path": "MedicationStatement.medication[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.medication[x].coding",
      "sliceName": "PZN",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/ifa/pzn"
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN.display",
      "path": "MedicationStatement.medication[x].coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.medication[x].coding",
      "sliceName": "ATC-DE",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/atc"
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE.display",
      "path": "MedicationStatement.medication[x].coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.medication[x].coding",
      "sliceName": "WG14",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/abdata/wg14"
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14.display",
      "path": "MedicationStatement.medication[x].coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.text",
      "path": "MedicationStatement.medication[x].text",
      "mustSupport": true
    }, {
      "path": "MedicationStatement.medication[x]",
      "min": 0,
      "short": "Referenz auf das Medikament (Medication-Ressource)",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "mustSupport": true,
      "sliceName": "medicationReference",
      "max": "1",
      "id": "MedicationStatement.medication[x]:medicationReference",
      "comment": "wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen"
    }, {
      "id": "MedicationStatement.medication[x]:medicationReference.reference",
      "min": 1,
      "path": "MedicationStatement.medication[x].reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Referenz auf den Patienten",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject.reference",
      "min": 1,
      "path": "MedicationStatement.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.context",
      "path": "MedicationStatement.context",
      "short": "Referenz auf den Abteilungskontakt",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.context.reference",
      "min": 1,
      "path": "MedicationStatement.context.reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]",
      "min": 1,
      "path": "MedicationStatement.effective[x]",
      "short": "Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt",
      "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"
      } ],
      "short": "Zeitpunkt",
      "sliceName": "effectiveDateTime",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "short": "Zeitraum",
      "sliceName": "effectivePeriod",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod.start",
      "path": "MedicationStatement.effective[x].start",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod.end",
      "path": "MedicationStatement.effective[x].end",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dateAsserted",
      "path": "MedicationStatement.dateAsserted",
      "short": "Datum der Feststellung/des Bekanntwerdens der MedikationsInformation",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode",
      "path": "MedicationStatement.reasonCode",
      "short": "Grund der Medikation (codiert)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode.coding",
      "path": "MedicationStatement.reasonCode.coding",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode.coding.system",
      "min": 1,
      "path": "MedicationStatement.reasonCode.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode.coding.code",
      "min": 1,
      "path": "MedicationStatement.reasonCode.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode.coding.display",
      "path": "MedicationStatement.reasonCode.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode.text",
      "path": "MedicationStatement.reasonCode.text",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonReference",
      "path": "MedicationStatement.reasonReference",
      "short": "Grund der Medikation (Referenz)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonReference.reference",
      "min": 1,
      "path": "MedicationStatement.reasonReference.reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.note",
      "path": "MedicationStatement.note",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.note.text",
      "path": "MedicationStatement.note.text",
      "short": "Freitext-Notiz",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage",
      "path": "MedicationStatement.dosage",
      "short": "Dosierungsangaben",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.text",
      "path": "MedicationStatement.dosage.text",
      "short": "Freitext-Dosierungsanweisungen",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.patientInstruction",
      "path": "MedicationStatement.dosage.patientInstruction",
      "short": "besondere Anweisungen für den Patienten",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing",
      "path": "MedicationStatement.dosage.timing",
      "short": "Angaben zum Timing",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.event",
      "path": "MedicationStatement.dosage.timing.event",
      "short": "fester Zeitpunkt",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat",
      "path": "MedicationStatement.dosage.timing.repeat",
      "short": "Wiederholungs-Angaben",
      "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"
        } ]
      }
    }, {
      "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
      "min": 0,
      "short": "Begrenzung der Dauer",
      "type": [ {
        "code": "Duration"
      } ],
      "mustSupport": true,
      "sliceName": "boundsDuration",
      "patternDuration": {
        "system": "http://unitsofmeasure.org"
      },
      "max": "1",
      "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration"
    }, {
      "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"
      } ],
      "short": "Bereich für die Begrenzung",
      "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"
      } ],
      "short": "begrenzender Zeitraum",
      "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",
      "short": "Anzahl Wiederholungen",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.countMax",
      "path": "MedicationStatement.dosage.timing.repeat.countMax",
      "short": "maximale Anzahl Wiederholungen",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.duration",
      "path": "MedicationStatement.dosage.timing.repeat.duration",
      "short": "Dauer der Verabreichung",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.durationMax",
      "path": "MedicationStatement.dosage.timing.repeat.durationMax",
      "short": "maximale Dauer der Verabreichung",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.durationUnit",
      "path": "MedicationStatement.dosage.timing.repeat.durationUnit",
      "short": "Einheit der Dauer",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.frequency",
      "path": "MedicationStatement.dosage.timing.repeat.frequency",
      "short": "Frequenz (Anzahl der Gaben pro Periode)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.frequencyMax",
      "path": "MedicationStatement.dosage.timing.repeat.frequencyMax",
      "short": "maximale Frequenz",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.period",
      "path": "MedicationStatement.dosage.timing.repeat.period",
      "short": "Zeitperiode zur Frequenz",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.periodMax",
      "path": "MedicationStatement.dosage.timing.repeat.periodMax",
      "short": "maximale Zeitperiode zur Frequenz",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.periodUnit",
      "path": "MedicationStatement.dosage.timing.repeat.periodUnit",
      "short": "Einheit der Zeitperiode",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
      "path": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
      "short": "Wochentag",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.timeOfDay",
      "path": "MedicationStatement.dosage.timing.repeat.timeOfDay",
      "short": "Tageszeit",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.when",
      "path": "MedicationStatement.dosage.timing.repeat.when",
      "short": "Tageszeitpunkt codiert",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.offset",
      "path": "MedicationStatement.dosage.timing.repeat.offset",
      "short": "zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.asNeeded[x]",
      "path": "MedicationStatement.dosage.asNeeded[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.asNeeded[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "short": "Bedarfsmedikation",
      "sliceName": "asNeededBoolean",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site",
      "path": "MedicationStatement.dosage.site",
      "short": "Körperstelle der Verabreichung",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding",
      "path": "MedicationStatement.dosage.site.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED-CT",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.site.coding",
      "sliceName": "SNOMED-CT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED-CT.system",
      "min": 1,
      "path": "MedicationStatement.dosage.site.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED-CT.code",
      "min": 1,
      "path": "MedicationStatement.dosage.site.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.coding:SNOMED-CT.display",
      "path": "MedicationStatement.dosage.site.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site.text",
      "path": "MedicationStatement.dosage.site.text",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route",
      "path": "MedicationStatement.dosage.route",
      "short": "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": "required",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration"
      },
      "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:EDQM.display",
      "path": "MedicationStatement.dosage.route.coding.display",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding:SNOMED-CT",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.route.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/v3/Medikation/ValueSet/SctRouteOfAdministration"
      },
      "sliceName": "SNOMED-CT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationStatement.dosage.route.coding:SNOMED-CT.system",
      "min": 1,
      "path": "MedicationStatement.dosage.route.coding.system",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding:SNOMED-CT.code",
      "min": 1,
      "path": "MedicationStatement.dosage.route.coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route.coding:SNOMED-CT.display",
      "path": "MedicationStatement.dosage.route.coding.display",
      "mustSupport": true
    }, {
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