description: Medication Statement zur MTB-Systemtherapie mit Wirkstoff und Dosis
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Systemische_Therapie_Medication_Statement
type: MedicationStatement
elements:
  meta: {mustSupport: true, index: 0}
  dosage:
    mustSupport: true
    index: 29
    slicing:
      rules: open
      ordered: false
      description: Slice für das Ermöglichen der Angabe der Dosisdichte
      discriminator:
      - {path: system, type: value}
      min: null
      slices:
        Dosisdichte:
          match: {system: null}
          schema:
            mustSupport: true
            index: 30
            elements:
              doseAndRate:
                elements:
                  dose:
                    choices: []
                    index: 32
                    slicing:
                      rules: open
                      ordered: false
                      discriminator:
                      - {path: $this, type: type}
                      min: null
                      slices:
                        doseQuantity:
                          match: {}
                          schema:
                            choices: [doseQuantity]
                            index: 34
                          min: 0
                          max: 1
                  doseQuantity:
                    type: Quantity
                    choiceOf: dose
                    index: 35
                    slicing:
                      slices:
                        doseQuantity:
                          match: {}
                          schema: {type: Quantity, choiceOf: dose, index: 35}
                          min: 0
                          max: 1
                  dose[x]:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-dosisdichte'}
                        index: 36
                      code:
                        binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-dosisdichte'}
                        index: 37
        Dosis:
          match: {system: null}
          schema: {mustSupport: true, index: 38}
          min: 0
          max: 1
  medication[x]:
    elements:
      coding:
        mustSupport: true
        index: 9
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            Pharmazentralnummer:
              match: {}
              schema:
                short: PZN Code
                mustSupport: true
                array: true
                index: 10
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://fhir.de/CodeSystem/ifa/pzn'}
                    mustSupport: true
                    index: 11
                  code: {mustSupport: true, index: 12}
                required: [system, code]
            atcClassDe:
              match: {}
              schema:
                short: ATC Klassifikation deutsche Version
                mustSupport: true
                array: true
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/mii-vs-medikation-atc'}
                index: 13
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://fhir.de/CodeSystem/bfarm/atc'}
                    mustSupport: true
                    index: 14
                  code: {mustSupport: true, index: 15}
                required: [system, code]
            atcClassEn:
              match: {}
              schema:
                short: Anatomical Therapeutic Chemical Classification System
                mustSupport: true
                array: true
                index: 16
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://www.whocc.no/atc'}
                    mustSupport: true
                    index: 17
                  code: {mustSupport: true, index: 18}
                required: [code]
      text: {mustSupport: true, index: 19}
  medicationCodeableConcept:
    short: Medikation Code
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 8
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {short: Medikation Code, type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 8}
          min: 0
          max: 1
  note: {short: Bemerkungen, mustSupport: true, index: 28}
  effective[x]:
    elements:
      start: {short: Startdatum, mustSupport: true, index: 26}
      end: {short: Enddatum, mustSupport: true, index: 27}
    required: [start, end]
  status: {mustSupport: true, index: 3}
  effective:
    mustSupport: true
    choices: []
    index: 22
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: 1
      slices:
        effectivePeriod:
          match: {}
          schema:
            mustSupport: true
            choices: [effectivePeriod]
            index: 24
          min: 0
          max: 1
  basedOn:
    type: Reference
    short: Therapieempfehlung
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung']
    index: 1
  partOf:
    short: Systemische Therapie
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationStatement', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-therapie']
    type: Reference
    mustSupport: true
    index: 2
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 20
  effectivePeriod:
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 25
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {type: Period, mustSupport: true, choiceOf: effective, index: 25}
          min: 0
          max: 1
  medication:
    short: Wirkstoffe
    mustSupport: true
    choices: []
    index: 5
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        medicationCodeableConcept:
          match: {}
          schema:
            short: Medikation Code
            mustSupport: true
            choices: [medicationCodeableConcept]
            index: 7
          min: 0
          max: 1
package_version: 2025.0.0-ballot-alpha.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemtherapie-medication-statement
base: http://hl7.org/fhir/StructureDefinition/MedicationStatement
version: 2024.0.0-ballot
required: [partOf, effective]