{
  "description": "Medication Statement zur MTB-Systemtherapie mit Wirkstoff und Dosis",
  "_filename": "StructureDefinition-mii-pr-mtb-systemtherapie-medication-statement.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Systemische_Therapie_Medication_Statement",
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Systemtherapie Medication Statement",
  "package_version": "2025.0.0-ballot-alpha.1",
  "status": "draft",
  "id": "dac9c9e3-ff98-4eee-b5e9-c0f136c7b9c6",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemtherapie-medication-statement",
  "version": "2024.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.meta",
      "path": "MedicationStatement.meta",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.basedOn",
      "max": "1",
      "path": "MedicationStatement.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung", "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ]
      } ],
      "short": "Therapieempfehlung",
      "definition": "Referenz auf Therapieempfehlung in MTB-Therapieplan",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.partOf",
      "max": "1",
      "min": 1,
      "path": "MedicationStatement.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-therapie", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/MedicationStatement" ]
      } ],
      "short": "Systemische Therapie",
      "definition": "Dazugehörige MTB Systemische Therapie",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.status",
      "path": "MedicationStatement.status",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]",
      "path": "MedicationStatement.medication[x]",
      "short": "Wirkstoffe",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "MedicationStatement.medication[x]",
      "min": 0,
      "definition": "Code für das Medikament, welches Gegenstand des Eintrags ist.",
      "short": "Medikation Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "sliceName": "medicationCodeableConcept",
      "max": "1",
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept"
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
      "path": "MedicationStatement.medication[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer",
      "max": "*",
      "min": 0,
      "path": "MedicationStatement.medication[x].coding",
      "short": "PZN Code",
      "sliceName": "Pharmazentralnummer",
      "definition": "Ein Verweis auf einen von der Pharmazentralnummer (PZN) definierten Code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "patternUri": "http://fhir.de/CodeSystem/ifa/pzn",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "path": "MedicationStatement.medication[x].coding",
      "min": 0,
      "definition": "ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten",
      "short": "ATC Klassifikation deutsche Version",
      "mustSupport": true,
      "sliceName": "atcClassDe",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/mii-vs-medikation-atc"
      },
      "max": "*",
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe"
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.system",
      "patternUri": "http://fhir.de/CodeSystem/bfarm/atc",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn",
      "max": "*",
      "min": 0,
      "path": "MedicationStatement.medication[x].coding",
      "short": "Anatomical Therapeutic Chemical Classification System",
      "sliceName": "atcClassEn",
      "definition": "ATC Classification International WHO Version",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system",
      "path": "MedicationStatement.medication[x].coding.system",
      "patternUri": "http://www.whocc.no/atc",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.text",
      "path": "MedicationStatement.medication[x].text",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]",
      "min": 1,
      "path": "MedicationStatement.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "effectivePeriod",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod.start",
      "min": 1,
      "path": "MedicationStatement.effective[x].start",
      "short": "Startdatum",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod.end",
      "min": 1,
      "path": "MedicationStatement.effective[x].end",
      "short": "Enddatum",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.note",
      "path": "MedicationStatement.note",
      "short": "Bemerkungen",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage",
      "path": "MedicationStatement.dosage",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für das Ermöglichen der Angabe der Dosisdichte",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage:Dosisdichte",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage",
      "sliceName": "Dosisdichte",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage:Dosisdichte.doseAndRate.dose[x]",
      "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "MedicationStatement.dosage:Dosisdichte.doseAndRate.dose[x]:doseQuantity",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "sliceName": "doseQuantity"
    }, {
      "id": "MedicationStatement.dosage:Dosisdichte.doseAndRate.dose[x]:doseQuantity.system",
      "path": "MedicationStatement.dosage.doseAndRate.dose[x].system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-dosisdichte"
    }, {
      "id": "MedicationStatement.dosage:Dosisdichte.doseAndRate.dose[x]:doseQuantity.code",
      "path": "MedicationStatement.dosage.doseAndRate.dose[x].code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-dosisdichte"
      }
    }, {
      "id": "MedicationStatement.dosage:Dosis",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.dosage",
      "sliceName": "Dosis",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
}