{
  "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": "2024-10-15",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKMedikationsVerabreichung",
  "abstract": false,
  "type": "MedicationAdministration",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "4.0.0",
  "status": "active",
  "id": "d91c80eb-b60f-41eb-b495-8c8328c313ff",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerabreichung",
  "version": "4.0.0",
  "differential": {
    "element": [ {
      "id": "MedicationAdministration.status",
      "path": "MedicationAdministration.status",
      "short": "Status der Verabreichungsinformation",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medication[x]",
      "path": "MedicationAdministration.medication[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "path": "MedicationAdministration.medication[x]",
      "min": 0,
      "short": "Medikament in codierter Form oder ggf. als Freitext",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "sliceName": "medicationCodeableConcept",
      "max": "1",
      "id": "MedicationAdministration.medication[x]:medicationCodeableConcept",
      "comment": "kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren."
    }, {
      "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding",
      "path": "MedicationAdministration.medication[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medication[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": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC-DE",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medication[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": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:SCT",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.medication[x].coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding" ]
      } ],
      "sliceName": "SCT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "path": "MedicationAdministration.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": "MedicationAdministration.medication[x]:medicationReference",
      "comment": "wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen"
    }, {
      "id": "MedicationAdministration.medication[x]:medicationReference.reference",
      "min": 1,
      "path": "MedicationAdministration.medication[x].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.effective[x]",
      "path": "MedicationAdministration.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "MedicationAdministration.effective[x]:effectiveDateTime",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Verabreichung",
      "sliceName": "effectiveDateTime",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effective[x]:effectivePeriod",
      "max": "1",
      "min": 0,
      "path": "MedicationAdministration.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "short": "Zeitraum der Verabreichung",
      "sliceName": "effectivePeriod",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effective[x]:effectivePeriod.start",
      "path": "MedicationAdministration.effective[x].start",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.effective[x]:effectivePeriod.end",
      "path": "MedicationAdministration.effective[x].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",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding" ]
      } ],
      "sliceName": "SNOMED-CT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "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
    }, {
      "path": "MedicationAdministration.dosage.route.coding",
      "min": 0,
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding" ]
      } ],
      "mustSupport": true,
      "sliceName": "EDQM",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration"
      },
      "max": "1",
      "id": "MedicationAdministration.dosage.route.coding:EDQM",
      "patternCoding": {
        "system": "http://standardterms.edqm.eu"
      }
    }, {
      "path": "MedicationAdministration.dosage.route.coding",
      "min": 0,
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding" ]
      } ],
      "mustSupport": true,
      "sliceName": "SNOMED-CT",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration"
      },
      "max": "1",
      "id": "MedicationAdministration.dosage.route.coding:SNOMED-CT",
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "MedicationAdministration.dosage.route.text",
      "path": "MedicationAdministration.dosage.route.text",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.dose",
      "path": "MedicationAdministration.dosage.dose",
      "type": [ {
        "code": "Quantity",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity" ]
      } ],
      "short": "verabreichte Dosis",
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rate[x]",
      "path": "MedicationAdministration.dosage.rate[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "path": "MedicationAdministration.dosage.rate[x]",
      "min": 0,
      "short": "Verabreichungs-Rate (Verhältnis)",
      "type": [ {
        "code": "Ratio"
      } ],
      "mustSupport": true,
      "sliceName": "rateRatio",
      "max": "1",
      "id": "MedicationAdministration.dosage.rate[x]:rateRatio",
      "comment": "Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können."
    }, {
      "id": "MedicationAdministration.dosage.rate[x]:rateRatio.numerator",
      "min": 1,
      "path": "MedicationAdministration.dosage.rate[x].numerator",
      "type": [ {
        "code": "Quantity",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationAdministration.dosage.rate[x]:rateRatio.denominator",
      "min": 1,
      "path": "MedicationAdministration.dosage.rate[x].denominator",
      "type": [ {
        "code": "Quantity",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity" ]
      } ],
      "mustSupport": true
    }, {
      "path": "MedicationAdministration.dosage.rate[x]",
      "min": 0,
      "short": "Verabreichungs-Rate",
      "type": [ {
        "code": "Quantity",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity" ]
      } ],
      "mustSupport": true,
      "sliceName": "rateQuantity",
      "max": "1",
      "id": "MedicationAdministration.dosage.rate[x]:rateQuantity",
      "comment": "Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können."
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
}