MII IG Medikation
2027.0.0-ballot - Germany

MII IG Medikation - Downloaded Version 2027.0.0-ballot See the Directory of published versions

Resource Profile: MII PR Medikation MedicationStatement

Official URL: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement Version: 2027.0.0-ballot
Active as of 2025-12-18 Computable Name: MII_PR_Medikation_MedicationStatement

A record of a medication that is being consumed by a patient.

Content

The MedicationStatement documents the prescription of a medicinal product or its consumption by a patient. A MedicationStatement MAY indicate that the patient is currently taking a medication, has taken it in the past, or will take it in the future. This MAY cover both prescription-only medicines and over-the-counter preparations that a patient takes on their own responsibility.

The main difference between the concrete administration of a medication (MedicationAdministration) and the MedicationStatement is that the medication administration carries complete administration information and is based on the actual information of the person who administered the medication. By comparison, the MedicationStatement has more the character of, for example, a medication plan. It is not clear whether the patient actually took these medicinal products or whether they were administered.

The administered medication should be given either as a reference to a Medication resource, as a Pharmazentralnummer (PZN) or as an ATC code. Coding the medication via the Unique Ingredient Identifier (UNII) should only be considered for medications where neither a PZN nor an ATC code is available — for example investigational medicinal products, or certain preparations used in oncology or for rare diseases. Note that the UNII codes only an active ingredient, not a medication; combination products can therefore only be modelled via a Medication.

Dosage information should follow the Dosage profile from the Medication IG DE. Further guidance on documenting dosages is available in the Medication IG DE (STU1).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Identifikator
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Basiert auf
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Teil von
... status ?!SΣ 1..1 code Status
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Kategorie Anwendungsbereich
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Kategorie Kontext
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... Slices for medication[x] SΣ 1..1 Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medikation Referenz
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medikation Code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context SΣ 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] SΣ 1..1 Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... dateAsserted SΣ 0..1 dateTime Datum Bestätigung
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Informationsquelle
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... note S 0..* Annotation Hinweis
... dosage SC 0..* DosageDE Dosierung
Constraints: dsg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... timing SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high Σ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... numerator SΣ 0..1 Quantity Numerator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... numerator SΣ 0..1 Quantity Numerator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2027.0.0-ballot This IG
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Body Site - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id S 0..1 id Logical id of this artifact
... meta S 0..1 Meta Metadata about the resource
.... source S 0..1 uri Identifies where the resource comes from
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... identifier S 0..* Identifier Identifikator
... partOf S 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Teil von
... status S 1..1 code Status
... category S 0..1 CodeableConcept Kategorie
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory 0..* Coding Kategorie Anwendungsbereich
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
..... coding:contextCode 0..1 Coding Kategorie Kontext
Binding: MII VS Medikation Fallkontext (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) Medikation
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference S 0..1 Reference(MII PR Medikation Medication) Medikation Referenz
.... medication[x]:medicationCodeableConcept S 0..1 CodeableConcept Medikation Code
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer S 0..* Coding PZN Code

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe S 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn S 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:UNII S 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code S 1..1 code Symbol in syntax defined by the system
..... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient | Group) Who is/was taking the medication
... context S 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] S 1..1 dateTime, Period Zeitpunkt oder Zeitraum
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod S 0..1 Period Zeitraum
... dateAsserted S 0..1 dateTime Datum Bestätigung
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Informationsquelle
... reasonCode S 0..* CodeableConcept Grund Code
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... note S 0..* Annotation Hinweis
... dosage SC 0..* DosageDE Dosierung
Constraints: dsg-1
.... sequence S 0..1 integer The order of the dosage instructions
.... timing
..... event S 0..* dateTime When the event occurs
..... repeat
...... Slices for bounds[x] Content/Rules for all slices
....... bounds[x]:boundsDuration 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ value 1..1 decimal Numerical value (with implicit precision)
........ system 1..1 uri UCUM-Einheit für die Dauer
........ code 1..1 code Coded form of the unit
....... bounds[x]:boundsRange S 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low S 0..1 SimpleQuantity(4.0.1) Low limit
......... value S 1..1 decimal Numerical value (with implicit precision)
......... unit S 0..1 string Unit representation
......... system S 1..1 uri System that defines coded unit form
......... code S 1..1 code Coded form of the unit
........ high S 0..1 SimpleQuantity(4.0.1) High limit
......... value S 1..1 decimal Numerical value (with implicit precision)
......... unit S 0..1 string Unit representation
......... system S 1..1 uri System that defines coded unit form
......... code S 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod S 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start S 0..1 dateTime Starting time with inclusive boundary
........ end S 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count S 0..1 positiveInt Number of times to repeat
...... countMax S 0..1 positiveInt Maximum number of times to repeat
...... duration S 0..1 decimal How long when it happens
...... durationMax S 0..1 decimal How long when it happens (Max)
...... durationUnit S 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
...... frequencyMax S 0..1 positiveInt Event occurs up to frequencyMax times per period
...... periodMax S 0..1 decimal Upper limit of period (3-4 hours)
...... offset S 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] S 0..1 boolean, CodeableConcept Take "as needed" (for x)
Slice: Unordered, Open by type:$this
..... asNeeded[x]:asNeededBoolean S 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept S 0..1 CodeableConcept Take "as needed" (for x)
.... site S 0..1 CodeableConcept Verabreichungsort
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED S 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code S 1..1 code Symbol in syntax defined by the system
.... route S 0..1 CodeableConcept Verabreichungsweg
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM S 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms
Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED S 0..1 Coding SNOMED CT Code
Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code S 1..1 code Symbol in syntax defined by the system
.... doseAndRate
..... dose[x] S 0..1 Range, SimpleQuantity(4.0.1) Amount of medication per dose
..... Slices for dose[x] Content/Rules for all slices
...... dose[x]:doseQuantity 0..1 SimpleQuantity Menge des Medikaments pro Dosis
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
...... dose[x]:doseRange S 0..1 Range Amount of medication per dose
....... low S 0..1 SimpleQuantity(4.0.1) Low limit
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
....... high
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
..... Slices for rate[x] S 0..1 Ratio, Range, SimpleQuantity(4.0.1) Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio S 0..1 Ratio Amount of medication per unit of time
....... numerator S 0..1 Quantity Numerator value
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
....... denominator S 0..1 Quantity Denominator value
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
...... rate[x]:rateRange S 0..1 Range Amount of medication per unit of time
....... low S 0..1 SimpleQuantity(4.0.1) Low limit
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
....... high S 0..1 SimpleQuantity(4.0.1) High limit
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
...... rate[x]:rateQuantity S 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
.... maxDosePerPeriod S 0..1 Ratio Upper limit on medication per unit of time
..... numerator S 0..1 Quantity Numerator value
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 0..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
..... denominator S 0..1 Quantity Denominator value
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 0..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
.... maxDosePerAdministration S 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... value S 1..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
..... system S 1..1 uri System that defines coded unit form
..... code S 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2027.0.0-ballot This IG
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot This IG
MedicationStatement.​dosage.site.coding:SNOMED Base example Body Site - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifikator
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Basiert auf
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Teil von
... status ?!SΣ 1..1 code Status
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Kategorie Anwendungsbereich
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Kategorie Kontext
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for medication[x] SΣ 1..1 Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medikation Referenz
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medikation Code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context SΣ 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] SΣ 1..1 Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... dateAsserted SΣ 0..1 dateTime Datum Bestätigung
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Informationsquelle
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... note S 0..* Annotation Hinweis
... dosage SC 0..* DosageDE Dosierung
Constraints: dsg-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high Σ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... numerator SΣ 0..1 Quantity Numerator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator SΣ 0..1 Quantity Numerator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2027.0.0-ballot This IG
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Body Site - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Summary

Mandatory: 1 element(56 nested mandatory elements)
Must-Support: 136 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.category.coding
  • The element 1 is sliced based on the value of MedicationStatement.medication[x]
  • The element 1 is sliced based on the value of MedicationStatement.medication[x].coding
  • The element 1 is sliced based on the value of MedicationStatement.effective[x]
  • The element 1 is sliced based on the value of MedicationStatement.dosage.asNeeded[x]
  • The element 1 is sliced based on the value of MedicationStatement.dosage.site.coding
  • The element 1 is sliced based on the value of MedicationStatement.dosage.route.coding
  • The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.rate[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Identifikator
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Basiert auf
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Teil von
... status ?!SΣ 1..1 code Status
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Kategorie Anwendungsbereich
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Kategorie Kontext
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... Slices for medication[x] SΣ 1..1 Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medikation Referenz
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medikation Code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context SΣ 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] SΣ 1..1 Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... dateAsserted SΣ 0..1 dateTime Datum Bestätigung
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Informationsquelle
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... note S 0..* Annotation Hinweis
... dosage SC 0..* DosageDE Dosierung
Constraints: dsg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... timing SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high Σ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... numerator SΣ 0..1 Quantity Numerator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... numerator SΣ 0..1 Quantity Numerator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2027.0.0-ballot This IG
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Body Site - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id S 0..1 id Logical id of this artifact
... meta S 0..1 Meta Metadata about the resource
.... source S 0..1 uri Identifies where the resource comes from
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... identifier S 0..* Identifier Identifikator
... partOf S 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Teil von
... status S 1..1 code Status
... category S 0..1 CodeableConcept Kategorie
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory 0..* Coding Kategorie Anwendungsbereich
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
..... coding:contextCode 0..1 Coding Kategorie Kontext
Binding: MII VS Medikation Fallkontext (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) Medikation
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference S 0..1 Reference(MII PR Medikation Medication) Medikation Referenz
.... medication[x]:medicationCodeableConcept S 0..1 CodeableConcept Medikation Code
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer S 0..* Coding PZN Code

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe S 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn S 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:UNII S 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code S 1..1 code Symbol in syntax defined by the system
..... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient | Group) Who is/was taking the medication
... context S 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] S 1..1 dateTime, Period Zeitpunkt oder Zeitraum
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod S 0..1 Period Zeitraum
... dateAsserted S 0..1 dateTime Datum Bestätigung
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Informationsquelle
... reasonCode S 0..* CodeableConcept Grund Code
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... note S 0..* Annotation Hinweis
... dosage SC 0..* DosageDE Dosierung
Constraints: dsg-1
.... sequence S 0..1 integer The order of the dosage instructions
.... timing
..... event S 0..* dateTime When the event occurs
..... repeat
...... Slices for bounds[x] Content/Rules for all slices
....... bounds[x]:boundsDuration 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ value 1..1 decimal Numerical value (with implicit precision)
........ system 1..1 uri UCUM-Einheit für die Dauer
........ code 1..1 code Coded form of the unit
....... bounds[x]:boundsRange S 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low S 0..1 SimpleQuantity(4.0.1) Low limit
......... value S 1..1 decimal Numerical value (with implicit precision)
......... unit S 0..1 string Unit representation
......... system S 1..1 uri System that defines coded unit form
......... code S 1..1 code Coded form of the unit
........ high S 0..1 SimpleQuantity(4.0.1) High limit
......... value S 1..1 decimal Numerical value (with implicit precision)
......... unit S 0..1 string Unit representation
......... system S 1..1 uri System that defines coded unit form
......... code S 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod S 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start S 0..1 dateTime Starting time with inclusive boundary
........ end S 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count S 0..1 positiveInt Number of times to repeat
...... countMax S 0..1 positiveInt Maximum number of times to repeat
...... duration S 0..1 decimal How long when it happens
...... durationMax S 0..1 decimal How long when it happens (Max)
...... durationUnit S 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
...... frequencyMax S 0..1 positiveInt Event occurs up to frequencyMax times per period
...... periodMax S 0..1 decimal Upper limit of period (3-4 hours)
...... offset S 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] S 0..1 boolean, CodeableConcept Take "as needed" (for x)
Slice: Unordered, Open by type:$this
..... asNeeded[x]:asNeededBoolean S 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept S 0..1 CodeableConcept Take "as needed" (for x)
.... site S 0..1 CodeableConcept Verabreichungsort
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED S 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code S 1..1 code Symbol in syntax defined by the system
.... route S 0..1 CodeableConcept Verabreichungsweg
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM S 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms
Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code S 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED S 0..1 Coding SNOMED CT Code
Required Pattern: At least the following
....... system S 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code S 1..1 code Symbol in syntax defined by the system
.... doseAndRate
..... dose[x] S 0..1 Range, SimpleQuantity(4.0.1) Amount of medication per dose
..... Slices for dose[x] Content/Rules for all slices
...... dose[x]:doseQuantity 0..1 SimpleQuantity Menge des Medikaments pro Dosis
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
...... dose[x]:doseRange S 0..1 Range Amount of medication per dose
....... low S 0..1 SimpleQuantity(4.0.1) Low limit
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
....... high
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
..... Slices for rate[x] S 0..1 Ratio, Range, SimpleQuantity(4.0.1) Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio S 0..1 Ratio Amount of medication per unit of time
....... numerator S 0..1 Quantity Numerator value
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
....... denominator S 0..1 Quantity Denominator value
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
...... rate[x]:rateRange S 0..1 Range Amount of medication per unit of time
....... low S 0..1 SimpleQuantity(4.0.1) Low limit
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
....... high S 0..1 SimpleQuantity(4.0.1) High limit
........ value S 1..1 decimal Numerical value (with implicit precision)
........ unit S 0..1 string Unit representation
........ system S 1..1 uri System that defines coded unit form
........ code S 1..1 code Coded form of the unit
...... rate[x]:rateQuantity S 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
.... maxDosePerPeriod S 0..1 Ratio Upper limit on medication per unit of time
..... numerator S 0..1 Quantity Numerator value
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 0..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
..... denominator S 0..1 Quantity Denominator value
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 0..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
.... maxDosePerAdministration S 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... value S 1..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
..... system S 1..1 uri System that defines coded unit form
..... code S 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2027.0.0-ballot This IG
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot This IG
MedicationStatement.​dosage.site.coding:SNOMED Base example Body Site - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifikator
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Basiert auf
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Teil von
... status ?!SΣ 1..1 code Status
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Kategorie Anwendungsbereich
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Kategorie Kontext
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for medication[x] SΣ 1..1 Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medikation Referenz
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medikation Code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context SΣ 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] SΣ 1..1 Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... dateAsserted SΣ 0..1 dateTime Datum Bestätigung
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Informationsquelle
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... note S 0..* Annotation Hinweis
... dosage SC 0..* DosageDE Dosierung
Constraints: dsg-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high Σ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... numerator SΣ 0..1 Quantity Numerator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator SΣ 0..1 Quantity Numerator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2027.0.0-ballot This IG
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Body Site - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Summary

Mandatory: 1 element(56 nested mandatory elements)
Must-Support: 136 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.category.coding
  • The element 1 is sliced based on the value of MedicationStatement.medication[x]
  • The element 1 is sliced based on the value of MedicationStatement.medication[x].coding
  • The element 1 is sliced based on the value of MedicationStatement.effective[x]
  • The element 1 is sliced based on the value of MedicationStatement.dosage.asNeeded[x]
  • The element 1 is sliced based on the value of MedicationStatement.dosage.site.coding
  • The element 1 is sliced based on the value of MedicationStatement.dosage.route.coding
  • The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.rate[x]

 

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