{
  "description": "In diesem Profil kann ein übergreifender Hinweis zum Medikationsplan dokumentiert werden.",
  "_filename": "StructureDefinition-epa-observation-medication-management-note.json",
  "package_name": "de.gematik.epa.medication",
  "date": "2024-07-15",
  "derivation": "constraint",
  "publisher": "mio42 GmbH",
  "fhirVersion": "4.0.1",
  "name": "EPAObservationMedicationManagementNote",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Medication Management Note Observation Profile",
  "package_version": "1.1.0-rc1",
  "status": "active",
  "id": "da0d738f-31dc-46b3-a649-71b939dd552e",
  "kind": "resource",
  "url": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-observation-medication-management-note",
  "version": "1.1.0-rc1",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "constraint": [ {
        "key": "obs-epa-1",
        "human": "At least year, month and day are needed",
        "source": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-observation-medication-management-note",
        "severity": "error",
        "expression": "(effective as dateTime).toString().length() >= 10"
      }, {
        "key": "obs-epa-2",
        "human": "If it is a valid Observation it must have a value otherwise it must not have a value",
        "source": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-observation-medication-management-note",
        "severity": "error",
        "expression": "(Observation.value.exists() implies (Observation.status in ('final' | 'amended' | 'corrected' | 'preliminary')))"
      } ],
      "definition": "In diesem Profil kann ein übergreifender Hinweis zum Medikationsplan dokumentiert werden."
    }, {
      "id": "Observation.meta",
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.meta.versionId",
      "path": "Observation.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Observation.meta.lastUpdated",
      "path": "Observation.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "Observation.text",
      "path": "Observation.text",
      "definition": "In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind."
    }, {
      "id": "Observation.text.status",
      "path": "Observation.text.status",
      "patternCode": "extensions"
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "definition": "Hier wird ein Code aus dem FHIR ValueSet http://hl7.org/fhir/ValueSet/observation-status angegeben.",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "definition": "Dieses Element stellt das Konzept Übergreifender Hinweis als Code dar.",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-management-note-vs"
      },
      "sliceName": "loinc",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "patternUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.version",
      "min": 1,
      "path": "Observation.code.coding.version",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.subject.identifier",
      "min": 1,
      "path": "Observation.subject.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "max": "1",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime",
      "definition": "Hier wird der Zeitpunkt der Erstellung des übergreifenden Hinweises abgebildet.",
      "mustSupport": true
    }, {
      "id": "Observation.performer",
      "max": "1",
      "min": 1,
      "path": "Observation.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
      } ],
      "comment": "EPAOrganization|1.0.0, EPAPractitionerRole|1.0.0, EPAPractitioner|1.0.0",
      "definition": "Hier wird die behandelnde Person/Einrichtung referenziert, die die Beobachtung durchgeführt hat.",
      "mustSupport": true
    }, {
      "id": "Observation.performer.reference",
      "path": "Observation.performer.reference",
      "mustSupport": true
    }, {
      "id": "Observation.performer.identifier",
      "path": "Observation.performer.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-telematik-id" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "definition": "Hier wird der Inhalt des übergreifenden Hinweis als Freitext abgebildet.",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}