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{
  "resourceType": "StructureDefinition",
  "id": "ISiKMedikationsInformation",
  "url": "https://gematik.de/fhir/isik/v3/Medikation/StructureDefinition/ISiKMedikationsInformation",
  "version": "3.0.5",
  "name": "ISiKMedikationsInformation",
  "status": "active",
  "experimental": false,
  "date": "2025-02-24",
  "publisher": "gematik GmbH",
  "description": "Dieses Profil ermöglicht die Abbildung von Informationen zur Medikation eines Patienten in ISiK Szenarien.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationStatement",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationStatement.status",
        "path": "MedicationStatement.status",
        "short": "Status der Medikationsinformation",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]",
        "path": "MedicationStatement.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
        "path": "MedicationStatement.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "short": "Medikament in codierter Form oder ggf. als Freitext",
        "comment": "kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
        "path": "MedicationStatement.medication[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN",
        "path": "MedicationStatement.medication[x].coding",
        "sliceName": "PZN",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/ifa/pzn"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN.system",
        "path": "MedicationStatement.medication[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN.code",
        "path": "MedicationStatement.medication[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN.display",
        "path": "MedicationStatement.medication[x].coding.display",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE",
        "path": "MedicationStatement.medication[x].coding",
        "sliceName": "ATC-DE",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/bfarm/atc"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE.system",
        "path": "MedicationStatement.medication[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE.code",
        "path": "MedicationStatement.medication[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE.display",
        "path": "MedicationStatement.medication[x].coding.display",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14",
        "path": "MedicationStatement.medication[x].coding",
        "sliceName": "WG14",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/abdata/wg14"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14.system",
        "path": "MedicationStatement.medication[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14.code",
        "path": "MedicationStatement.medication[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:WG14.display",
        "path": "MedicationStatement.medication[x].coding.display",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept.text",
        "path": "MedicationStatement.medication[x].text",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference",
        "path": "MedicationStatement.medication[x]",
        "sliceName": "medicationReference",
        "short": "Referenz auf das Medikament (Medication-Ressource)",
        "comment": "wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference.reference",
        "path": "MedicationStatement.medication[x].reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.subject",
        "path": "MedicationStatement.subject",
        "short": "Referenz auf den Patienten",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.subject.reference",
        "path": "MedicationStatement.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.context",
        "path": "MedicationStatement.context",
        "short": "Referenz auf den Abteilungskontakt",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.context.reference",
        "path": "MedicationStatement.context.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.effective[x]",
        "path": "MedicationStatement.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.effective[x]:effectiveDateTime",
        "path": "MedicationStatement.effective[x]",
        "sliceName": "effectiveDateTime",
        "short": "Zeitpunkt",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod",
        "path": "MedicationStatement.effective[x]",
        "sliceName": "effectivePeriod",
        "short": "Zeitraum",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod.start",
        "path": "MedicationStatement.effective[x].start",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod.end",
        "path": "MedicationStatement.effective[x].end",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dateAsserted",
        "path": "MedicationStatement.dateAsserted",
        "short": "Datum der Feststellung/des Bekanntwerdens der MedikationsInformation",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode",
        "path": "MedicationStatement.reasonCode",
        "short": "Grund der Medikation (codiert)",
        "comment": "Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können.\n\n  Begründung zu Must-Support: Konsolidierung mit MII.",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode.coding",
        "path": "MedicationStatement.reasonCode.coding",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode.coding.system",
        "path": "MedicationStatement.reasonCode.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode.coding.code",
        "path": "MedicationStatement.reasonCode.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode.coding.display",
        "path": "MedicationStatement.reasonCode.coding.display",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode.text",
        "path": "MedicationStatement.reasonCode.text",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonReference",
        "path": "MedicationStatement.reasonReference",
        "short": "Grund der Medikation (Referenz)",
        "comment": "Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können.\n\n  Begründung zu Must-Support: Konsolidierung mit MII.",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonReference.reference",
        "path": "MedicationStatement.reasonReference.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.note",
        "path": "MedicationStatement.note",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.note.text",
        "path": "MedicationStatement.note.text",
        "short": "Freitext-Notiz",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage",
        "path": "MedicationStatement.dosage",
        "short": "Dosierungsangaben",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.text",
        "path": "MedicationStatement.dosage.text",
        "short": "Freitext-Dosierungsanweisungen",
        "comment": "Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme  die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden.\n\n    Ein System KANN jedoch strukturierte Dosierungsinformationen in Freitext-Dosierungsinformationen umwandeln, um sie in einem Dokument oder einer Benutzeroberfläche anzuzeigen - dabei ist auf Konsistenzwahrung zu allen strukturierten Elementen zu achten.\n\n    Hinweis: Diese Festlegung folgt und spezifiziert folgende MS-Festlegung aus dem [ISiK Basismodul](https://simplifier.net/guide/isik-basis-401/Einfuehrung/UebergreifendeFestlegungen/UebergreifendeFestlegungen_Must-Support-Flags.page.md?version=current): 'Systeme KÖNNEN es darüber hinaus ermöglichen, dass die jeweiligen Informationen vom Anwender ergänzt oder editiert werden.'\n\n    Zum Beispiel könnte ein empfangendes System die Freitext-Dosierungsinformation in strukturierte Dosierungsinformation umwandeln, um sie in einer Medikationsverwaltung anzuzeigen oder später zu exponieren. Geht es zum Beispiel um eine Angabe zu Tageszeiten der Einnahme in der freitextlichen Dosierungsinformation als 'Morgens, Mittags, Abends', so könnte das empfangende System diese Angabe in strukturierte Dosierungsinformationen umwandeln, die die Einnahmezeiten in kodierter Form mit 'MORN', 'NOON', 'EVE' deklariert.",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.patientInstruction",
        "path": "MedicationStatement.dosage.patientInstruction",
        "short": "besondere Anweisungen für den Patienten",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing",
        "path": "MedicationStatement.dosage.timing",
        "short": "Angaben zum Timing",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.event",
        "path": "MedicationStatement.dosage.timing.event",
        "short": "fester Zeitpunkt",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat",
        "path": "MedicationStatement.dosage.timing.repeat",
        "short": "Wiederholungs-Angaben",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "sliceName": "boundsDuration",
        "short": "Begrenzung der Dauer",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Duration"
          }
        ],
        "patternDuration": {
          "system": "http://unitsofmeasure.org"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].unit",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "sliceName": "boundsRange",
        "short": "Bereich für die Begrenzung",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Range"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low",
        "patternQuantity": {
          "system": "http://unitsofmeasure.org"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.unit",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high",
        "patternQuantity": {
          "system": "http://unitsofmeasure.org"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.unit",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "sliceName": "boundsPeriod",
        "short": "begrenzender Zeitraum",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].start",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x].end",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.count",
        "path": "MedicationStatement.dosage.timing.repeat.count",
        "short": "Anzahl Wiederholungen",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.countMax",
        "path": "MedicationStatement.dosage.timing.repeat.countMax",
        "short": "maximale Anzahl Wiederholungen",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.duration",
        "path": "MedicationStatement.dosage.timing.repeat.duration",
        "short": "Dauer der Verabreichung",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.durationMax",
        "path": "MedicationStatement.dosage.timing.repeat.durationMax",
        "short": "maximale Dauer der Verabreichung",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.durationUnit",
        "path": "MedicationStatement.dosage.timing.repeat.durationUnit",
        "short": "Einheit der Dauer",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.frequency",
        "path": "MedicationStatement.dosage.timing.repeat.frequency",
        "short": "Frequenz (Anzahl der Gaben pro Periode)",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.frequencyMax",
        "path": "MedicationStatement.dosage.timing.repeat.frequencyMax",
        "short": "maximale Frequenz",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.period",
        "path": "MedicationStatement.dosage.timing.repeat.period",
        "short": "Zeitperiode zur Frequenz",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.periodMax",
        "path": "MedicationStatement.dosage.timing.repeat.periodMax",
        "short": "maximale Zeitperiode zur Frequenz",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.periodUnit",
        "path": "MedicationStatement.dosage.timing.repeat.periodUnit",
        "short": "Einheit der Zeitperiode",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
        "path": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
        "short": "Wochentag",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.timeOfDay",
        "path": "MedicationStatement.dosage.timing.repeat.timeOfDay",
        "short": "Tageszeit",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.when",
        "path": "MedicationStatement.dosage.timing.repeat.when",
        "short": "Tageszeitpunkt codiert",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.offset",
        "path": "MedicationStatement.dosage.timing.repeat.offset",
        "short": "zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededBoolean",
        "short": "Bedarfsmedikation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.site",
        "path": "MedicationStatement.dosage.site",
        "short": "Körperstelle der Verabreichung",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.site.coding",
        "path": "MedicationStatement.dosage.site.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.site.coding:SNOMED-CT",
        "path": "MedicationStatement.dosage.site.coding",
        "sliceName": "SNOMED-CT",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://snomed.info/sct"
        },
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.site.coding:SNOMED-CT.system",
        "path": "MedicationStatement.dosage.site.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
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}

name : ISiKMedikationsInformation

{

}