{
  "description": null,
  "_filename": "KBV_PR_ERP_Medication_PZN.json",
  "package_name": "kbv.ita.erp",
  "date": "2025-11-06",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_ERP_Medication_PZN",
  "abstract": false,
  "type": "Medication",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.4.0",
  "status": "active",
  "id": "ff378b84-451e-462f-89a6-49460424b92e",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN",
  "version": "1.4.0",
  "differential": {
    "element": [ {
      "id": "Medication",
      "path": "Medication",
      "constraint": [ {
        "key": "-erp-angabeNormgroesseOderMenge",
        "human": "Packungsgröße oder Normgröße (Wert N1 oder N2 oder N3) müssen angegeben sein",
        "severity": "error",
        "expression": "(extension('http://fhir.de/StructureDefinition/normgroesse').exists() and extension('http://fhir.de/StructureDefinition/normgroesse').all(($this.value as code)='N1' or ($this.value as code)='N2' or ($this.value as code)='N3')) or amount.exists()"
      }, {
        "key": "-erp-angabeWirkstaerkeWirkstoffUnbekannt",
        "human": "Wenn die Wirkstärke angegeben ist, darf der Wirkstoff nicht unbekannt sein.",
        "severity": "error",
        "expression": "Medication.ingredient.strength.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists().not() implies Medication.ingredient.itemCodeableConcept.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists().not()"
      } ]
    }, {
      "id": "Medication.id",
      "min": 1,
      "path": "Medication.id",
      "mustSupport": true
    }, {
      "id": "Medication.meta",
      "min": 1,
      "path": "Medication.meta",
      "mustSupport": true
    }, {
      "id": "Medication.meta.versionId",
      "max": "1",
      "min": 1,
      "path": "Medication.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Medication.meta.lastUpdated",
      "max": "0",
      "path": "Medication.meta.lastUpdated"
    }, {
      "id": "Medication.meta.source",
      "max": "0",
      "path": "Medication.meta.source"
    }, {
      "id": "Medication.meta.profile",
      "min": 1,
      "path": "Medication.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.meta.profile:erpProfile",
      "max": "1",
      "min": 1,
      "path": "Medication.meta.profile",
      "sliceName": "erpProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.4"
    }, {
      "id": "Medication.meta.security",
      "max": "0",
      "path": "Medication.meta.security"
    }, {
      "id": "Medication.meta.tag",
      "max": "0",
      "path": "Medication.meta.tag"
    }, {
      "id": "Medication.implicitRules",
      "max": "0",
      "path": "Medication.implicitRules"
    }, {
      "id": "Medication.language",
      "max": "0",
      "path": "Medication.language"
    }, {
      "id": "Medication.text",
      "max": "0",
      "path": "Medication.text"
    }, {
      "id": "Medication.contained",
      "max": "0",
      "path": "Medication.contained"
    }, {
      "id": "Medication.extension",
      "max": "4",
      "min": 3,
      "path": "Medication.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.extension:Kategorie",
      "min": 1,
      "path": "Medication.extension",
      "sliceName": "Kategorie",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]",
      "path": "Medication.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding",
      "path": "Medication.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.system",
      "path": "Medication.extension.value[x].coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.version",
      "path": "Medication.extension.value[x].coding.version",
      "fixedString": "http://snomed.info/sct/11000274103/version/20240515",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.code",
      "path": "Medication.extension.value[x].coding.code",
      "fixedCode": "763158003",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.display",
      "path": "Medication.extension.value[x].coding.display",
      "fixedString": "Medicinal product (product)",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.userSelected",
      "max": "0",
      "path": "Medication.extension.value[x].coding.userSelected"
    }, {
      "id": "Medication.extension:Normgroesse",
      "path": "Medication.extension",
      "sliceName": "Normgroesse",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Normgroesse.value[x]",
      "min": 1,
      "path": "Medication.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.extension:Normgroesse.value[x]:valueCode",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueCode",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie",
      "max": "1",
      "min": 1,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category" ]
      } ],
      "sliceName": "Arzneimittelkategorie",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]",
      "path": "Medication.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueCoding",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding.system",
      "path": "Medication.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding.code",
      "path": "Medication.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Impfstoff",
      "max": "1",
      "min": 1,
      "path": "Medication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine" ]
      } ],
      "sliceName": "Impfstoff",
      "mustSupport": true
    }, {
      "id": "Medication.extension:Impfstoff.value[x]:valueBoolean",
      "path": "Medication.extension.value[x]",
      "sliceName": "valueBoolean",
      "mustSupport": true
    }, {
      "id": "Medication.identifier",
      "max": "0",
      "path": "Medication.identifier"
    }, {
      "id": "Medication.code",
      "path": "Medication.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding",
      "max": "1",
      "min": 1,
      "path": "Medication.code.coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.code.coding:pzn",
      "min": 1,
      "path": "Medication.code.coding",
      "sliceName": "pzn",
      "constraint": [ {
        "key": "-erp-begrenzungPznCode",
        "human": "Der PZN-Code muss aus genau 8 Zeichen bestehen.",
        "severity": "error",
        "expression": "code.length()=8"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:pzn.system",
      "path": "Medication.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:pzn.version",
      "max": "0",
      "path": "Medication.code.coding.version"
    }, {
      "id": "Medication.code.coding:pzn.code",
      "path": "Medication.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.code.coding:pzn.display",
      "max": "0",
      "path": "Medication.code.coding.display"
    }, {
      "id": "Medication.code.coding:pzn.userSelected",
      "max": "0",
      "path": "Medication.code.coding.userSelected"
    }, {
      "id": "Medication.code.coding:snomed",
      "max": "0",
      "path": "Medication.code.coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.code.coding:atc",
      "max": "0",
      "path": "Medication.code.coding",
      "sliceName": "atc"
    }, {
      "id": "Medication.code.text",
      "min": 1,
      "path": "Medication.code.text",
      "short": "Handelsname",
      "maxLength": 100,
      "definition": "Handelsname des verordneten Präparates, aus der PZN abgeleitet",
      "mustSupport": true
    }, {
      "id": "Medication.status",
      "max": "0",
      "path": "Medication.status"
    }, {
      "id": "Medication.manufacturer",
      "max": "0",
      "path": "Medication.manufacturer"
    }, {
      "id": "Medication.form",
      "min": 1,
      "path": "Medication.form",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding",
      "max": "1",
      "min": 1,
      "path": "Medication.form.coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.form.coding:snomed",
      "max": "0",
      "path": "Medication.form.coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.form.coding:edqm",
      "max": "0",
      "path": "Medication.form.coding",
      "sliceName": "edqm"
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform",
      "max": "1",
      "min": 1,
      "path": "Medication.form.coding",
      "sliceName": "kbvDarreichungsform",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.system",
      "path": "Medication.form.coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.version",
      "max": "0",
      "path": "Medication.form.coding.version"
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.code",
      "path": "Medication.form.coding.code",
      "short": "Code der Darreichungsform",
      "definition": "Darreichungsform entsprechend der Daten nach § 131 Abs. 4 SGB V",
      "mustSupport": true
    }, {
      "id": "Medication.form.coding:kbvDarreichungsform.userSelected",
      "max": "0",
      "path": "Medication.form.coding.userSelected"
    }, {
      "id": "Medication.form.text",
      "max": "0",
      "path": "Medication.form.text"
    }, {
      "id": "Medication.amount",
      "path": "Medication.amount",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator",
      "min": 1,
      "path": "Medication.amount.numerator",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension",
      "min": 1,
      "path": "Medication.amount.numerator.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.amount.numerator.extension:Packungsgroesse",
      "max": "1",
      "min": 1,
      "path": "Medication.amount.numerator.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize" ]
      } ],
      "sliceName": "Packungsgroesse",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension:Packungsgroesse.value[x]",
      "path": "Medication.amount.numerator.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.extension:Packungsgroesse.value[x]:valueString",
      "path": "Medication.amount.numerator.extension.value[x]",
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.value",
      "max": "0",
      "path": "Medication.amount.numerator.value"
    }, {
      "id": "Medication.amount.numerator.comparator",
      "max": "0",
      "path": "Medication.amount.numerator.comparator"
    }, {
      "id": "Medication.amount.numerator.unit",
      "min": 1,
      "path": "Medication.amount.numerator.unit",
      "short": "Einheit",
      "maxLength": 12,
      "definition": "Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St.",
      "mustSupport": true
    }, {
      "id": "Medication.amount.numerator.system",
      "max": "0",
      "path": "Medication.amount.numerator.system"
    }, {
      "id": "Medication.amount.numerator.code",
      "max": "0",
      "path": "Medication.amount.numerator.code"
    }, {
      "id": "Medication.amount.denominator",
      "min": 1,
      "path": "Medication.amount.denominator",
      "mustSupport": true
    }, {
      "id": "Medication.amount.denominator.value",
      "min": 1,
      "path": "Medication.amount.denominator.value",
      "mustSupport": true,
      "fixedDecimal": 1
    }, {
      "id": "Medication.amount.denominator.comparator",
      "max": "0",
      "path": "Medication.amount.denominator.comparator"
    }, {
      "id": "Medication.amount.denominator.unit",
      "max": "0",
      "path": "Medication.amount.denominator.unit"
    }, {
      "id": "Medication.amount.denominator.system",
      "max": "0",
      "path": "Medication.amount.denominator.system"
    }, {
      "id": "Medication.amount.denominator.code",
      "max": "0",
      "path": "Medication.amount.denominator.code"
    }, {
      "id": "Medication.ingredient",
      "min": 1,
      "path": "Medication.ingredient",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept",
      "path": "Medication.ingredient.item[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "itemCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.extension",
      "max": "1",
      "path": "Medication.ingredient.item[x].extension",
      "slicing": {
        "rules": "closed",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.extension:data-absent-reason",
      "max": "1",
      "min": 0,
      "path": "Medication.ingredient.item[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "sliceName": "data-absent-reason",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.extension:data-absent-reason.value[x]",
      "path": "Medication.ingredient.item[x].extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.extension:data-absent-reason.value[x]:valueCode",
      "max": "1",
      "min": 1,
      "path": "Medication.ingredient.item[x].extension.value[x]",
      "type": [ {
        "code": "code"
      } ],
      "fixedCode": "unknown",
      "sliceName": "valueCode",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
      "max": "1",
      "path": "Medication.ingredient.item[x].coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask",
      "max": "1",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "ask",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system",
      "path": "Medication.ingredient.item[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.version",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.version"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code",
      "path": "Medication.ingredient.item[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.display"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.userSelected",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding.userSelected"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed",
      "max": "0",
      "path": "Medication.ingredient.item[x].coding",
      "sliceName": "snomed"
    }, {
      "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
      "path": "Medication.ingredient.item[x].text",
      "short": "Wirkstoffname",
      "maxLength": 80,
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.item[x]:itemReference",
      "max": "0",
      "path": "Medication.ingredient.item[x]",
      "sliceName": "itemReference"
    }, {
      "id": "Medication.ingredient.isActive",
      "max": "0",
      "path": "Medication.ingredient.isActive"
    }, {
      "id": "Medication.ingredient.strength",
      "min": 1,
      "path": "Medication.ingredient.strength",
      "short": "Wirkstärke",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.extension",
      "max": "1",
      "path": "Medication.ingredient.strength.extension",
      "slicing": {
        "rules": "closed",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Medication.ingredient.strength.extension:data-absent-reason",
      "path": "Medication.ingredient.strength.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "sliceName": "data-absent-reason",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.extension:data-absent-reason.value[x]",
      "path": "Medication.ingredient.strength.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.extension:data-absent-reason.value[x]:valueCode",
      "min": 1,
      "path": "Medication.ingredient.strength.extension.value[x]",
      "fixedCode": "unknown",
      "sliceName": "valueCode",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator",
      "path": "Medication.ingredient.strength.numerator",
      "short": "Wirkstoffmenge",
      "constraint": [ {
        "key": "-erp-begrenzungValue",
        "human": "Der Zahlenwert der Wirkstoffmenge darf aus maximal 15 Zeichen bestehen",
        "severity": "error",
        "expression": "value.toString().length()<=15"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.value",
      "short": "Zahlenwert der Wirkstoffmenge",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.comparator",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.comparator"
    }, {
      "id": "Medication.ingredient.strength.numerator.unit",
      "min": 1,
      "path": "Medication.ingredient.strength.numerator.unit",
      "short": "Einheit der Wirkstoffmenge",
      "maxLength": 15,
      "definition": "Einheit der Wirkstoffmenge (bspw. mg)",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.numerator.system",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.system"
    }, {
      "id": "Medication.ingredient.strength.numerator.code",
      "max": "0",
      "path": "Medication.ingredient.strength.numerator.code"
    }, {
      "id": "Medication.ingredient.strength.denominator",
      "path": "Medication.ingredient.strength.denominator",
      "short": "Bezugsmenge",
      "constraint": [ {
        "key": "-erp-begrenzungValue",
        "human": "Der Zahlenwert der Bezugsmenge darf aus maximal 15 Zeichen bestehen",
        "severity": "error",
        "expression": "value.toString().length()<=15"
      } ],
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.value",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.value",
      "short": "Zahlenwert der Bezugsmenge",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.comparator",
      "max": "0",
      "path": "Medication.ingredient.strength.denominator.comparator"
    }, {
      "id": "Medication.ingredient.strength.denominator.unit",
      "min": 1,
      "path": "Medication.ingredient.strength.denominator.unit",
      "short": "Einheit der Bezugsmenge",
      "maxLength": 15,
      "definition": "Einheit der Bezugsmenge (bspw. ml)",
      "mustSupport": true
    }, {
      "id": "Medication.ingredient.strength.denominator.system",
      "max": "0",
      "path": "Medication.ingredient.strength.denominator.system"
    }, {
      "id": "Medication.ingredient.strength.denominator.code",
      "max": "0",
      "path": "Medication.ingredient.strength.denominator.code"
    } ]
  },
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Medication|1.7.0"
}