{
"description": "Medikationsplan - MedicationStatementList für das elektronische Medikations-Datenaustauschformat (eMDAF)",
"_filename": "EMDAF_PR_MedicationStatementList.json",
"package_name": "de.gevko.emdaf",
"date": "2022-11-17",
"derivation": "constraint",
"publisher": "gevko GmbH",
"fhirVersion": "4.0.1",
"name": "EMDAF_PR_MedicationStatementList",
"abstract": false,
"type": "List",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "eMDAF Medikationsplan - Liste für MedicationStatement",
"package_version": "1.3.0",
"status": "active",
"id": "ec3e305c-6143-44ed-8a6d-ec1622e757be",
"kind": "resource",
"url": "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_MedicationStatementList",
"version": "1.3",
"differential": {
"element": [ {
"id": "List",
"path": "List",
"constraint": [ {
"key": "title-1",
"human": "Es darf entweder nur das Element List.title oder nur das Element List.code gesetzt sein.",
"source": "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_MedicationStatementList",
"severity": "error",
"expression": "title.exists() implies code.exists().not()"
} ]
}, {
"id": "List.meta",
"min": 1,
"path": "List.meta",
"mustSupport": true
}, {
"id": "List.meta.profile",
"max": "1",
"min": 1,
"path": "List.meta.profile",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true,
"fixedCanonical": "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_MedicationStatementList|1.3"
}, {
"id": "List.implicitRules",
"max": "0",
"path": "List.implicitRules",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.language",
"max": "0",
"path": "List.language",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.contained",
"max": "0",
"path": "List.contained"
}, {
"id": "List.identifier",
"max": "0",
"path": "List.identifier"
}, {
"id": "List.status",
"path": "List.status",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"fixedCode": "current",
"mustSupport": true
}, {
"id": "List.mode",
"path": "List.mode",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"fixedCode": "working",
"mustSupport": true
}, {
"id": "List.title",
"path": "List.title",
"short": "Freitextliche Zwischenüberschrift",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"definition": "Freitextliche Zwischenüberschrift der Kategorie/Liste, z.B. die von der KBV vorgegebenen Texte, wie z.B. Selbstmedikation, Dauermedikation.\r\nZwischenüberschriften werden zur Gliederung von Medikationsdaten verwendet.",
"mustSupport": true
}, {
"id": "List.code",
"path": "List.code",
"short": "codierte Zwischenüberschriften",
"definition": "codierte Zwischenüberschriften, wie z.B. Selbstmedikation, Dauermedikation.\r\n\r\nGruppierung – Die Zusammenfassung mehrerer Medikationen (bzw. ihrer ID‘s) unter einem be-\r\nstimmten Begriff (z.B. Dauermedikation, Selbstmedikation) – dies ist zu unterscheiden von der The-\r\nrapieintention.",
"mustSupport": true
}, {
"id": "List.code.coding",
"max": "1",
"min": 1,
"path": "List.code.coding",
"mustSupport": true
}, {
"id": "List.code.coding.system",
"min": 1,
"path": "List.code.coding.system",
"short": "Code der Kategorie/Liste, z.B. die von der KBV vorgegebenen Texte, wie z.B. Selbstmedikation, Dauermedikation,...",
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_ZWISCHENUEBERSCHRIFT",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"definition": "Die Schlüsseltabelle enthält eine Liste kodierter Zwischenüberschriften, die im Rahmen der Spezifikation zum bundeseinheitlichen Medikationsplan nach § 31a SGB V zu verwenden sind (vgl. Tabelle 6 in Anlage 3 Vereinbarung BMP).",
"mustSupport": true
}, {
"id": "List.code.coding.version",
"max": "0",
"path": "List.code.coding.version",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.code.coding.code",
"min": 1,
"path": "List.code.coding.code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.code.coding.display",
"path": "List.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.code.coding.userSelected",
"max": "0",
"path": "List.code.coding.userSelected",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.code.text",
"max": "0",
"path": "List.code.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.subject",
"min": 1,
"path": "List.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Patient" ]
} ],
"mustSupport": true
}, {
"id": "List.subject.reference",
"min": 1,
"path": "List.subject.reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.subject.type",
"max": "0",
"path": "List.subject.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.subject.identifier",
"max": "0",
"path": "List.subject.identifier"
}, {
"id": "List.subject.display",
"max": "0",
"path": "List.subject.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.encounter",
"max": "0",
"path": "List.encounter"
}, {
"id": "List.date",
"max": "0",
"path": "List.date",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.source",
"path": "List.source",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Practitioner_Arzt", "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_PractitionerRole_Arzt", "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_PractitionerRole_Pflegearzt", "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Practitioner_Apotheker", "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_PractitionerRole_Apotheker" ]
} ],
"mustSupport": true
}, {
"id": "List.source.reference",
"min": 1,
"path": "List.source.reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.source.type",
"max": "0",
"path": "List.source.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.source.identifier",
"max": "0",
"path": "List.source.identifier"
}, {
"id": "List.source.display",
"max": "0",
"path": "List.source.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.orderedBy",
"max": "0",
"path": "List.orderedBy"
}, {
"id": "List.note",
"max": "0",
"path": "List.note"
}, {
"id": "List.entry",
"min": 1,
"path": "List.entry",
"short": "Medikationseintrag",
"mustSupport": true
}, {
"id": "List.entry.extension",
"min": 0,
"path": "List.entry.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "List.entry.extension",
"min": 0,
"definition": "Letzte Änderung des Medikamententherapie-Eintrags",
"short": "Änderungsdatum des Eintrags",
"type": [ {
"code": "Extension",
"profile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Aenderungsdatum" ]
} ],
"mustSupport": true,
"sliceName": "Aenderungsdatum",
"max": "1",
"id": "List.entry.extension:Aenderungsdatum"
}, {
"id": "List.entry.extension:Aenderungsdatum.value[x]",
"path": "List.entry.extension.value[x]",
"mustSupport": true
}, {
"id": "List.entry.flag",
"max": "0",
"path": "List.entry.flag"
}, {
"id": "List.entry.deleted",
"max": "0",
"path": "List.entry.deleted",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.entry.date",
"min": 1,
"path": "List.entry.date",
"short": "Datum des Eintrags",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.entry.item",
"path": "List.entry.item",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_MedicationStatement", "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_MedicationStatement_Freitext" ]
} ],
"mustSupport": true
}, {
"id": "List.entry.item.extension",
"min": 1,
"path": "List.entry.item.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "List.entry.item.extension",
"min": 1,
"definition": "Sequenznummer – Eine intendierte Reihenfolge, in welcher Sortierung eine Liste von Medikations-\r\neinträgen in einem System dem Nutzer angezeigt werden sollen (Reihenfolge in der Dokumenten-\r\nInstanz bzw. Reihenfolge innerhalb einer Gruppierung).",
"short": "Sequenznummer",
"type": [ {
"code": "Extension",
"profile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Sequenznummer" ]
} ],
"mustSupport": true,
"sliceName": "Sequenznummer",
"max": "1",
"id": "List.entry.item.extension:Sequenznummer"
}, {
"id": "List.entry.item.extension:Sequenznummer.value[x]",
"path": "List.entry.item.extension.value[x]",
"mustSupport": true
}, {
"id": "List.entry.item.reference",
"min": 1,
"path": "List.entry.item.reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.entry.item.type",
"max": "0",
"path": "List.entry.item.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.entry.item.identifier",
"max": "0",
"path": "List.entry.item.identifier",
"mustSupport": true
}, {
"id": "List.entry.item.identifier.use",
"max": "0",
"path": "List.entry.item.identifier.use",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.entry.item.identifier.type",
"min": 1,
"path": "List.entry.item.identifier.type",
"mustSupport": true
}, {
"id": "List.entry.item.identifier.type.coding",
"max": "1",
"min": 1,
"path": "List.entry.item.identifier.type.coding",
"mustSupport": true
}, {
"id": "List.entry.item.identifier.type.coding.system",
"min": 1,
"path": "List.entry.item.identifier.type.coding.system",
"fixedUri": "urn:oid:2.16.840.1.113883.5.4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "List.entry.item.identifier.type.coding.code",
"min": 1,
"path": "List.entry.item.identifier.type.coding.code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"fixedCode": "DRUG",
"mustSupport": true
}, {
"id": "List.entry.item.identifier.type.coding.display",
"path": "List.entry.item.identifier.type.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"fixedString": "Drug therapy",
"mustSupport": true
}, {
"id": "List.entry.item.identifier.type.coding.userSelected",
"max": "0",
"path": "List.entry.item.identifier.type.coding.userSelected",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.entry.item.identifier.system",
"max": "0",
"path": "List.entry.item.identifier.system",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.entry.item.identifier.value",
"max": "0",
"path": "List.entry.item.identifier.value",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.entry.item.identifier.period",
"max": "0",
"path": "List.entry.item.identifier.period"
}, {
"id": "List.entry.item.identifier.assigner",
"max": "0",
"path": "List.entry.item.identifier.assigner"
}, {
"id": "List.entry.item.display",
"max": "0",
"path": "List.entry.item.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "List.emptyReason",
"max": "0",
"path": "List.emptyReason"
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/List"
}