{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient",
  "version": "1.0.2",
  "name": "KBV_PR_ERP_Medication_Ingredient",
  "status": "active",
  "date": "2021-09-13",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "script10.6",
      "uri": "http://ncpdp.org/SCRIPT10_6",
      "name": "Mapping to NCPDP SCRIPT 10.6"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Medication",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Medication",
        "path": "Medication",
        "constraint": [
          {
            "key": "-erp-PackungOderNormgroesse",
            "severity": "error",
            "human": "Packungsgröße oder Normgröße müssen angegeben sein",
            "expression": "extension('http://fhir.de/StructureDefinition/normgroesse').exists() or amount.exists()",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient"
          }
        ]
      },
      {
        "id": "Medication.id",
        "path": "Medication.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.meta",
        "path": "Medication.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.meta.versionId",
        "path": "Medication.meta.versionId",
        "max": "0"
      },
      {
        "id": "Medication.meta.lastUpdated",
        "path": "Medication.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Medication.meta.source",
        "path": "Medication.meta.source",
        "max": "0"
      },
      {
        "id": "Medication.meta.profile",
        "path": "Medication.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.0.2",
        "mustSupport": true
      },
      {
        "id": "Medication.meta.security",
        "path": "Medication.meta.security",
        "max": "0"
      },
      {
        "id": "Medication.meta.tag",
        "path": "Medication.meta.tag",
        "max": "0"
      },
      {
        "id": "Medication.implicitRules",
        "path": "Medication.implicitRules",
        "max": "0"
      },
      {
        "id": "Medication.language",
        "path": "Medication.language",
        "max": "0"
      },
      {
        "id": "Medication.text",
        "path": "Medication.text",
        "max": "0"
      },
      {
        "id": "Medication.contained",
        "path": "Medication.contained",
        "max": "0"
      },
      {
        "id": "Medication.extension",
        "path": "Medication.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Medication.extension:kategorie",
        "path": "Medication.extension",
        "sliceName": "kategorie",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:kategorie.value[x]",
        "path": "Medication.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:kategorie.value[x]:valueCoding",
        "path": "Medication.extension.value[x]",
        "sliceName": "valueCoding",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:kategorie.value[x]:valueCoding.system",
        "path": "Medication.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:kategorie.value[x]:valueCoding.code",
        "path": "Medication.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:impfstoff",
        "path": "Medication.extension",
        "sliceName": "impfstoff",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:impfstoff.value[x]",
        "path": "Medication.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:impfstoff.value[x]:valueBoolean",
        "path": "Medication.extension.value[x]",
        "sliceName": "valueBoolean",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:normgroesse",
        "path": "Medication.extension",
        "sliceName": "normgroesse",
        "short": "Therapiegerechte Packungsgröße nach N-Bezeichnung",
        "definition": "Beschreibung der therapiegerechten Packungsgröße (z. B. N1)",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/normgroesse"
            ]
          }
        ],
        "condition": [
          "PackungOderNormgroesse"
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:normgroesse.value[x]",
        "path": "Medication.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.extension:normgroesse.value[x]:valueCode",
        "path": "Medication.extension.value[x]",
        "sliceName": "valueCode"
      },
      {
        "id": "Medication.identifier",
        "path": "Medication.identifier",
        "max": "0"
      },
      {
        "id": "Medication.code",
        "path": "Medication.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding",
        "path": "Medication.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding.system",
        "path": "Medication.code.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding.version",
        "path": "Medication.code.coding.version",
        "max": "0"
      },
      {
        "id": "Medication.code.coding.code",
        "path": "Medication.code.coding.code",
        "short": "Kennzeichnung Wirkstoffverordnung",
        "definition": "Anhand des \"Fixed value\" kann die Medication als Wirkstoffverordnung identifiziert werden.",
        "min": 1,
        "fixedCode": "wirkstoff",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding.display",
        "path": "Medication.code.coding.display",
        "max": "0"
      },
      {
        "id": "Medication.code.coding.userSelected",
        "path": "Medication.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Medication.code.text",
        "path": "Medication.code.text",
        "max": "0"
      },
      {
        "id": "Medication.status",
        "path": "Medication.status",
        "max": "0"
      },
      {
        "id": "Medication.manufacturer",
        "path": "Medication.manufacturer",
        "max": "0"
      },
      {
        "id": "Medication.form",
        "path": "Medication.form",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.form.coding",
        "path": "Medication.form.coding",
        "max": "0"
      },
      {
        "id": "Medication.form.text",
        "path": "Medication.form.text",
        "short": "Darreichungsform Freitext",
        "definition": "Angabe der Darreichungsform als Freitext",
        "min": 1,
        "maxLength": 30,
        "mustSupport": true
      },
      {
        "id": "Medication.amount",
        "path": "Medication.amount",
        "condition": [
          "PackungOderNormgroesse"
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.amount.numerator",
        "path": "Medication.amount.numerator",
        "min": 1,
        "constraint": [
          {
            "key": "-erp-begrenzungValue",
            "severity": "error",
            "human": "Die Packungsgröße darf aus maximal 7 Zeichen bestehen",
            "expression": "value.toString().length()<=7",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient"
          },
          {
            "key": "-erp-codeUndSystem",
            "severity": "error",
            "human": "Wenn ein Code eingegeben ist, muss auch das System hinterlegt sein.",
            "expression": "code.exists() implies system.exists()",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.amount.numerator.value",
        "path": "Medication.amount.numerator.value",
        "short": "Packungsgröße nach abgeteilter Menge",
        "definition": "Menge der Packungsgröße (z.B. 100). Tritt nur in Verbindung mit Angabe der Einheit auf - z.B. 100 St.",
        "min": 1,
        "condition": [
          "begrenzungValue"
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.amount.numerator.comparator",
        "path": "Medication.amount.numerator.comparator",
        "max": "0"
      },
      {
        "id": "Medication.amount.numerator.unit",
        "path": "Medication.amount.numerator.unit",
        "short": "Einheit",
        "definition": "Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St.",
        "min": 1,
        "maxLength": 12,
        "mustSupport": true
      },
      {
        "id": "Medication.amount.numerator.system",
        "path": "Medication.amount.numerator.system",
        "fixedUri": "http://unitsofmeasure.org",
        "condition": [
          "codeUndSystem"
        ],
        "mustSupport": false
      },
      {
        "id": "Medication.amount.numerator.code",
        "path": "Medication.amount.numerator.code",
        "short": "Packungseinheit (kodiert)",
        "definition": "optionale kodierte Angabe zur Einheit der Packung gemäß unitsofmeasure.org",
        "condition": [
          "codeUndSystem"
        ],
        "mustSupport": false
      },
      {
        "id": "Medication.amount.denominator",
        "path": "Medication.amount.denominator",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.amount.denominator.value",
        "path": "Medication.amount.denominator.value",
        "min": 1,
        "fixedDecimal": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.amount.denominator.comparator",
        "path": "Medication.amount.denominator.comparator",
        "max": "0"
      },
      {
        "id": "Medication.amount.denominator.unit",
        "path": "Medication.amount.denominator.unit",
        "max": "0"
      },
      {
        "id": "Medication.amount.denominator.system",
        "path": "Medication.amount.denominator.system",
        "max": "0"
      },
      {
        "id": "Medication.amount.denominator.code",
        "path": "Medication.amount.denominator.code",
        "max": "0"
      },
      {
        "id": "Medication.ingredient",
        "path": "Medication.ingredient",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.item[x]",
        "path": "Medication.ingredient.item[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept",
        "path": "Medication.ingredient.item[x]",
        "sliceName": "itemCodeableConcept",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
        "path": "Medication.ingredient.item[x].coding",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding.system",
        "path": "Medication.ingredient.item[x].coding.system",
        "min": 1,
        "fixedUri": "http://fhir.de/CodeSystem/ask",
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding.version",
        "path": "Medication.ingredient.item[x].coding.version",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding.code",
        "path": "Medication.ingredient.item[x].coding.code",
        "short": "Wirkstoffnummer",
        "definition": "ASK-Nummer wenn vorhanden",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding.display",
        "path": "Medication.ingredient.item[x].coding.display",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding.userSelected",
        "path": "Medication.ingredient.item[x].coding.userSelected",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
        "path": "Medication.ingredient.item[x].text",
        "short": "Wirkstoffname",
        "definition": "Wirkstoff- bzw. sonstiges Fertigarzneimittel oder Produkt nicht nach § 131 Abs. 4 SGB V gelistet",
        "min": 1,
        "maxLength": 80,
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.isActive",
        "path": "Medication.ingredient.isActive",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.strength",
        "path": "Medication.ingredient.strength",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.strength.numerator",
        "path": "Medication.ingredient.strength.numerator",
        "min": 1,
        "constraint": [
          {
            "key": "-erp-begrenzungValue",
            "severity": "error",
            "human": "Die Wirkstärke darf aus maximal 15 Zeichen bestehen",
            "expression": "value.toString().length()<=15",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.strength.numerator.value",
        "path": "Medication.ingredient.strength.numerator.value",
        "short": "Wirkstärke",
        "definition": "Angabe der Wirkstärke erfolgt durch Wirkstoffmenge / Bezugsgrößenmenge",
        "min": 1,
        "condition": [
          "begrenzungValue"
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.strength.numerator.comparator",
        "path": "Medication.ingredient.strength.numerator.comparator",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.strength.numerator.unit",
        "path": "Medication.ingredient.strength.numerator.unit",
        "short": "Wirkstärkeneinheit",
        "definition": "Einheit der Wirkstärke (bspw. mg/ml)",
        "min": 1,
        "maxLength": 15,
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.strength.numerator.system",
        "path": "Medication.ingredient.strength.numerator.system",
        "fixedUri": "http://unitsofmeasure.org",
        "mustSupport": false
      },
      {
        "id": "Medication.ingredient.strength.numerator.code",
        "path": "Medication.ingredient.strength.numerator.code",
        "short": "Wirkstärkeneinheit (kodiert)",
        "definition": "optionale kodierte Angabe zur Wirkstärkeneinheit gemäß unitsofmeasure.org",
        "condition": [
          "codeUndSystem"
        ],
        "mustSupport": false
      },
      {
        "id": "Medication.ingredient.strength.denominator",
        "path": "Medication.ingredient.strength.denominator",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.strength.denominator.value",
        "path": "Medication.ingredient.strength.denominator.value",
        "min": 1,
        "fixedDecimal": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.ingredient.strength.denominator.comparator",
        "path": "Medication.ingredient.strength.denominator.comparator",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.strength.denominator.unit",
        "path": "Medication.ingredient.strength.denominator.unit",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.strength.denominator.system",
        "path": "Medication.ingredient.strength.denominator.system",
        "max": "0"
      },
      {
        "id": "Medication.ingredient.strength.denominator.code",
        "path": "Medication.ingredient.strength.denominator.code",
        "max": "0"
      }
    ]
  }
}