<status value="active" /> <date value="2022-11-17" /> <publisher value="gevko GmbH" /> <description value="Medikationsplan - MedicationStatement (Freitext) für das elektronische Medikations-Datenaustauschformat (eMDAF)" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement"> <path value="MedicationStatement" /> <short value="Medikation – Beschreibt das Arzneimittel inkl. Einnahmehinweisen" /> </element> <element id="MedicationStatement.meta"> <path value="MedicationStatement.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.meta.profile"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.meta.profile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_MedicationStatement_Freitext|1.3" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.implicitRules"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.implicitRules" /> <max value="0" /> </element> <element id="MedicationStatement.language"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.language" /> <max value="0" /> </element> <element id="MedicationStatement.contained"> <path value="MedicationStatement.contained" /> <max value="0" /> </element> <element id="MedicationStatement.extension"> <path value="MedicationStatement.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="MedicationStatement.extension:Kennzeichen_BMP"> <path value="MedicationStatement.extension" /> <sliceName value="Kennzeichen_BMP" /> <short value="Kennzeichen ob der Eintrag auf einen BMP übernommen wird." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Druckkennzeichen" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.extension:Kennzeichen_BMP.value[x]"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.extension:Freitexteintrag"> <path value="MedicationStatement.extension" /> <sliceName value="Freitexteintrag" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Freitexteintrag" /> </type> </element> <element id="MedicationStatement.extension:Medikationseintrag_historisiert"> <path value="MedicationStatement.extension" /> <sliceName value="Medikationseintrag_historisiert" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Medikationseintrag_historisiert" /> </type> </element> <element id="MedicationStatement.identifier"> <path value="MedicationStatement.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <min value="2" /> <max value="2" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID"> <path value="MedicationStatement.identifier" /> <sliceName value="Therapie_Intention_ID" /> <short value="Identifikation der Therapie-Intention" /> <definition value="Therapieintentions-ID – Eine Therapieintentions-ID dient zur Zuordnung eines Medikationsein- trags der Kategorie "Hinzugefügte Medikation" bzw. "Geänderte Medikation (inkl. Löschung)" zu einem Medikationseintrag der Kategorie "Bestand“." /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID.use"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.identifier.use" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID.type"> <path value="MedicationStatement.identifier.type" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.identifier.system" /> <min value="1" /> <fixedUri value="https://fhir.gevko.de/NamingSystem/EMDAF_NS_Therapie_Intention_ID" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID.value"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID.period"> <path value="MedicationStatement.identifier.period" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Therapie_Intention_ID.assigner"> <path value="MedicationStatement.identifier.assigner" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID"> <path value="MedicationStatement.identifier" /> <sliceName value="Medikationseintrag_ID" /> <short value="Identifikation - ID des Medikationseintrags" /> <definition value="Zeilen-ID – Die Zeilen-ID ist eine ID die eine Medikationszeile eindeutig innerhalb des Dokuments identifiziert identisch mit der Medikations-ID; kombiniert mit einer Regel aus einem Anforderungs- oder Funktionskatalog, in welchen Situationen eine neue Medikations-ID erforderlich wird." /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID.use"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.identifier.use" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID.type"> <path value="MedicationStatement.identifier.type" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.identifier.system" /> <min value="1" /> <fixedUri value="https://fhir.gevko.de/NamingSystem/EMDAF_NS_Medication_ID" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID.value"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID.period"> <path value="MedicationStatement.identifier.period" /> <max value="0" /> </element> <element id="MedicationStatement.identifier:Medikationseintrag_ID.assigner"> <path value="MedicationStatement.identifier.assigner" /> <max value="0" /> </element> <element id="MedicationStatement.basedOn"> <path value="MedicationStatement.basedOn" /> <max value="0" /> </element> <element id="MedicationStatement.partOf"> <path value="MedicationStatement.partOf" /> <max value="0" /> </element> <element id="MedicationStatement.status"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.status" /> <fixedCode value="completed" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.statusReason"> <path value="MedicationStatement.statusReason" /> <max value="0" /> </element> <element id="MedicationStatement.category"> <path value="MedicationStatement.category" /> <short value="Kategorie" /> <definition value="Kategorie des Medikationseintrags (Zeile). Die Kategorie spielt insbesondere dann eine Rolle, wenn Medikationslisten kuratiert sind, d. h. durch einen verantwortlichen Gesundheitsdienstleister wie zum Beispiel der Hausarzt gepflegt werden und andere Beteiligte Hinzufügungen, Änderungen oder Löschungen eines Medikationseintrags vorschlagen wollen." /> <max value="0" /> <mustSupport value="false" /> </element> <element id="MedicationStatement.category.coding"> <path value="MedicationStatement.category.coding" /> <max value="1" /> <mustSupport value="false" /> </element> <element id="MedicationStatement.category.coding.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.category.coding.system" /> <mustSupport value="false" /> </element> <element id="MedicationStatement.category.coding.version"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.category.coding.version" /> <max value="0" /> </element> <element id="MedicationStatement.category.coding.code"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.category.coding.code" /> <mustSupport value="false" /> </element> <element id="MedicationStatement.category.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.category.coding.display" /> <mustSupport value="false" /> </element> <element id="MedicationStatement.category.coding.userSelected"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.category.coding.userSelected" /> <max value="0" /> </element> <element id="MedicationStatement.category.text"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.category.text" /> <max value="0" /> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x].coding"> <path value="MedicationStatement.medication[x].coding" /> <min value="1" /> <max value="1" /> </element> <element id="MedicationStatement.medication[x].coding.system"> <path value="MedicationStatement.medication[x].coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> </element> <element id="MedicationStatement.medication[x].coding.version"> <path value="MedicationStatement.medication[x].coding.version" /> <fixedString value="2018-08-12" /> </element> <element id="MedicationStatement.medication[x].coding.code"> <path value="MedicationStatement.medication[x].coding.code" /> <min value="1" /> <fixedCode value="NA" /> </element> <element id="MedicationStatement.medication[x].coding.display"> <path value="MedicationStatement.medication[x].coding.display" /> <fixedString value="not applicable" /> </element> <element id="MedicationStatement.medication[x].coding.userSelected"> <path value="MedicationStatement.medication[x].coding.userSelected" /> <max value="0" /> </element> <element id="MedicationStatement.medication[x].text"> <path value="MedicationStatement.medication[x].text" /> <max value="0" /> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.subject.reference"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.subject.type"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.subject.type" /> <max value="0" /> </element> <element id="MedicationStatement.subject.identifier"> <path value="MedicationStatement.subject.identifier" /> <max value="0" /> </element> <element id="MedicationStatement.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.subject.display" /> <max value="0" /> </element> <element id="MedicationStatement.context"> <path value="MedicationStatement.context" /> <max value="0" /> </element> <element id="MedicationStatement.effective[x]"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.effective[x]" /> <short value="Einnahmezeitpunkt/-raum" /> <max value="0" /> <mustSupport value="false" /> </element> <element id="MedicationStatement.dateAsserted"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.dateAsserted" /> <max value="0" /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <short value="Verfasser des Eintrags" /> <definition value="Gesundheitsdienstleister, der den Medikationseintrag verfasst hat" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Practitioner_Arzt" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_PractitionerRole_Arzt" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_PractitionerRole_Pflegearzt" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Practitioner_Apotheker" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_PractitionerRole_Apotheker" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Patient" /> <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_RelatedPerson" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource.reference"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.informationSource.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource.type"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.informationSource.type" /> <max value="0" /> </element> <element id="MedicationStatement.informationSource.identifier"> <path value="MedicationStatement.informationSource.identifier" /> <max value="0" /> </element> <element id="MedicationStatement.informationSource.display"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="MedicationStatement.informationSource.display" /> <max value="0" /> </element> <element id="MedicationStatement.derivedFrom"> <path value="MedicationStatement.derivedFrom" /> <max value="0" /> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <max value="0" /> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <max value="0" /> </element> <element id="MedicationStatement.note"> <path value="MedicationStatement.note" /> <max value="0" /> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <short value="Dosis" /> <definition value="Medikamentenmenge pro Dosis, z. B. 100 mg, 10 ml, 2 Tabletten, 1-2 Hübe, 2-3 Dragees" /> <max value="0" /> <mustSupport value="false" /> </element> </differential> </StructureDefinition>