Medikationsplan - Medikation für Rezeptur
Dem Profil Medikationsplan - Medikation für Rezeptur für das elektronische Medikations-Datenaustauschformat liegt eine Medication Ressource zugrunde. Das Profil Medikationsplan - Medikation für Rezeptur bildet Informationen zum Medikament als Rezeptur ab.
Canonical URL: https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Medication_Rezeptur
Überblick:
EMDAF_PR_Medication_Rezeptur (Medication) | C | Medication | Element idMedicationShort description Rezeptur DefinitionRezeptur-Eintrag
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
meta | S Σ | 1..1 | Meta | There are no (further) constraints on this element Element idMedication.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.meta.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.meta.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedication.meta.versionIdShort description Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element idMedication.meta.lastUpdatedShort description When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | Σ | 0..1 | uri | There are no (further) constraints on this element Element idMedication.meta.sourceShort description Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element idMedication.meta.profileShort description Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Medication_Rezeptur|1.3 | ||
security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idMedication.meta.securityShort description Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedication.meta.tagShort description Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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implicitRules | Σ ?! | 0..0 | uri | There are no (further) constraints on this element Element idMedication.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedication.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idMedication.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..0 | Resource | There are no (further) constraints on this element Element idMedication.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | C | 0..* | Extension | Element idMedication.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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kategorie | C | 0..1 | Extension(Coding) | Element idMedication.extension:kategorieShort description Kennzeichnung der Verordnungskategorie Alternate namesextensions, user content DefinitionExtension zur Kennzeichnung der Kategorie einer Verordnung There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.extension:kategorie.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.extension:kategorie.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedication.extension:kategorie.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_CategoryMappings
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value[x] | 1..1 | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]Short description Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). Unordered, Closed, by $this(Type) Constraints
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valueCoding | 1..1 | CodingBinding | Element idMedication.extension:kategorie.value[x]:valueCodingShort description Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). Die Kennzeichnung der Verordnungskategorie muss aus dem ValueSet 'https://fhir.kbv.de/ValueSet/KBV_VS_ERP_Medication_Category' gewählt werden. (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.codeShort description Kategorie DefinitionKennzeichnung der Verordnungskategorie Need to refer to a particular code in the system.
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display | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.extension:kategorie.value[x]:valueCoding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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impfstoff | C | 0..1 | Extension(boolean) | Element idMedication.extension:impfstoffShort description Kennzeichnung Impfstoff Alternate namesextensions, user content DefinitionExtension zur Kennzeichnung einer Verordnung als Impfstoff There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Medication_Vaccine ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.extension:impfstoff.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.extension:impfstoff.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedication.extension:impfstoff.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Medication_VaccineMappings
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value[x] | 1..1 | Element idMedication.extension:impfstoff.value[x]Short description Kennzeichnung Impfstoff DefinitionAbbildung, ob es sich um einen Impfstoff handelt false = kein Impfstoff (Standardwert); true = Impfstoff
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||||
herstellungsanweisung | C | 0..1 | Extension(string) | Element idMedication.extension:herstellungsanweisungShort description Herstellungsanweisung Alternate namesextensions, user content DefinitionAnweisungen bzgl. der Herstellung der Rezeptur (Subscriptio) There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Medication_CompoundingInstruction ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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verpackung | C | 0..1 | Extension(string) | Element idMedication.extension:verpackungShort description Verpackung einer Rezeptur Alternate namesextensions, user content DefinitionAngabe zur Transportbehältnisse, Verpackungen bzw. Applikationshilfen für eine Rezeptur There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Packaging ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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identifier | Σ | 0..0 | Identifier | There are no (further) constraints on this element Element idMedication.identifierShort description Business identifier for this medication DefinitionBusiness identifier for this medication. The serial number could be included as an identifier.
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code | S Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idMedication.codeShort description Codes that identify this medication DefinitionA code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems. Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one). A coded concept that defines the type of a medication. SNOMEDCTMedicationCodes (example) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.code.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.code.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | S Σ | 1..1 | Coding | There are no (further) constraints on this element Element idMedication.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.code.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.code.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | Element idMedication.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_TypeMappings
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | codeFixed Value | Element idMedication.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
rezepturMappings
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display | S Σ | 0..1 | stringFixed Value | Element idMedication.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
RezepturMappings
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedication.statusShort description active | inactive | entered-in-error DefinitionA code to indicate if the medication is in active use. This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status. A coded concept defining if the medication is in active use. Medication Status Codes (required) Constraints
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manufacturer | Σ | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idMedication.manufacturerShort description Manufacturer of the item DefinitionDescribes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.
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form | S | 0..1 | CodeableConcept | Element idMedication.formShort description Darreichungsform Arzneimittel/Rezeptur DefinitionDie Darreichungsform muss aus einem der hier aufgeführten Value Sets gewählt werden. When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form. A coded concept defining the form of a medication.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.form.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.form.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | S Σ | 0..1 | Coding | Element idMedication.form.codingShort description Darreichungsform codiert DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by system(Value) Constraints
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edqm-darreichungsform | S Σ | 0..1 | Coding | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsformShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsform.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsform.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | Element idMedication.form.coding:edqm-darreichungsform.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/edqm/dose-formMappings
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsform.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsform.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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display | S Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsform.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.form.coding:edqm-darreichungsform.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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KBV_DARREICHUNGSFORM | S Σ | 0..1 | CodingBinding | Element idMedication.form.coding:KBV_DARREICHUNGSFORMShort description Darreichungsform Arzneimittel/Rezeptur DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Die Darreichungsform muss aus dem Valueset 'https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM' gewählt werden. https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.form.coding:KBV_DARREICHUNGSFORM.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.form.coding:KBV_DARREICHUNGSFORM.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | Element idMedication.form.coding:KBV_DARREICHUNGSFORM.systemShort description Darreichungsform DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORMMappings
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.form.coding:KBV_DARREICHUNGSFORM.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | Element idMedication.form.coding:KBV_DARREICHUNGSFORM.codeShort description Code der Darreichungsform DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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display | S Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.form.coding:KBV_DARREICHUNGSFORM.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.form.coding:KBV_DARREICHUNGSFORM.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | Element idMedication.form.textShort description Darreichungsform als Freitext DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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amount | S Σ | 0..1 | Ratio | Element idMedication.amountShort description Packungsgröße nach abgeteilter Menge DefinitionMenge der Packungsgröße (z.B. 100). Tritt nur in Verbindung mit Angabe der Einheit auf - z.B. 100 St.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.amount.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.amount.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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numerator | S Σ | 1..1 | Quantity | There are no (further) constraints on this element Element idMedication.amount.numeratorShort description Numerator value DefinitionThe value of the numerator.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.amount.numerator.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.amount.numerator.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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value | S Σ | 1..1 | decimal | Element idMedication.amount.numerator.valueShort description Gesamtmenge der Rezeptur DefinitionGesamtmenge der verordneten Rezeptur Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedication.amount.numerator.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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unit | S Σ | 1..1 | string | Element idMedication.amount.numerator.unitShort description Einheit der Gesamtmenge DefinitionEinheit der Gesamtmenge einer Rezeptur There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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system | S Σ C | 0..1 | uriFixed Value | Element idMedication.amount.numerator.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
http://unitsofmeasure.orgMappings
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code | S Σ | 0..1 | code | Element idMedication.amount.numerator.codeShort description Einheit der Gesamtmenge (kodiert) Definitionoptional kodierte Einheit der Gesamtmenge einer Rezeptur gemäß unitsofmeasure.org Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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denominator | S Σ | 1..1 | Quantity | There are no (further) constraints on this element Element idMedication.amount.denominatorShort description Denominator value DefinitionThe value of the denominator.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.amount.denominator.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.amount.denominator.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element idMedication.amount.denominator.valueShort description Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedication.amount.denominator.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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unit | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.amount.denominator.unitShort description Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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system | Σ C | 0..1 | uriFixed Value | Element idMedication.amount.denominator.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
http://unitsofmeasure.orgMappings
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code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedication.amount.denominator.codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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ingredient | S | 0..* | BackboneElement | Element idMedication.ingredientShort description Inhaltsstoff DefinitionIdentifies a particular constituent of interest in the product. The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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item[x] | S | 1..1 | There are no (further) constraints on this element Element idMedication.ingredient.item[x]Short description The actual ingredient or content DefinitionThe actual ingredient - either a substance (simple ingredient) or another medication of a medication. The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).
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itemCodeableConcept | CodeableConcept | Data type | ||||
id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.item[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..3 | Coding | Element idMedication.ingredient.item[x].codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by system(Value) Constraints
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ATC | S Σ | 0..1 | Coding | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATCShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATC.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATC.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | Element idMedication.ingredient.item[x].coding:ATC.systemShort description Code aus der Anatomisch-Therapeutisch-Chemischen (ATC) Klassifikation DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/dimdi/atcMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATC.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATC.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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display | S Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATC.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ATC.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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ASK | S Σ | 0..1 | Coding | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASKShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASK.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASK.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | Element idMedication.ingredient.item[x].coding:ASK.systemShort description Code aus Arzneimittel-Stoffkatalog (ASK) DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/askMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASK.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASK.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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display | S Σ | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASK.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:ASK.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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PZN | S Σ | 0..1 | Coding | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:PZNShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:PZN.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:PZN.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | Element idMedication.ingredient.item[x].coding:PZN.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/ifa/pznMappings
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:PZN.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | Element idMedication.ingredient.item[x].coding:PZN.codeShort description PZN des Bestandteils Definitioneindeutige Identifikation des Arzneimittels mittels PZN, das vollständig oder teilweise für die Rezeptur verwandt werden soll Need to refer to a particular code in the system.
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display | Σ | 0..0 | string | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:PZN.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idMedication.ingredient.item[x].coding:PZN.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | Element idMedication.ingredient.item[x].textShort description Name des Bestandteils DefinitionNamentliche Bezeichnung des Bestandteiles der Rezeptur. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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isActive | S | 1..1 | boolean | Element idMedication.ingredient.isActiveShort description Ist aktiver Inhaltsstoff? DefinitionAngabe, ob Inhaltsstoff ein aktiver Inhaltsstoff (= Wirkstoff) ist True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).
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strength | S | 0..1 | Ratio | Element idMedication.ingredient.strengthShort description Wirkstärke DefinitionSpecifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.strength.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | Element idMedication.ingredient.strength.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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mengeFreitext | S C | 0..1 | Extension(string) | Element idMedication.ingredient.strength.extension:mengeFreitextShort description Menge eines Bestandteils einer Rezeptur Alternate namesextensions, user content Definitionfreitextliche Menge eines Bestandteils einer Rezeptur There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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numerator | S Σ | 1..1 | Quantity | There are no (further) constraints on this element Element idMedication.ingredient.strength.numeratorShort description Numerator value DefinitionThe value of the numerator.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.strength.numerator.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.strength.numerator.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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value | S Σ | 1..1 | decimal | Element idMedication.ingredient.strength.numerator.valueShort description Menge des Bestandteils DefinitionVerordnete Menge des Bestandteils z.B. 100 Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedication.ingredient.strength.numerator.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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unit | S Σ | 1..1 | string | Element idMedication.ingredient.strength.numerator.unitShort description Einheit des Bestandteils DefinitionVerordnete Einheit des Bestandteils z. B. mg There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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system | Σ C | 0..1 | uriFixed Value | Element idMedication.ingredient.strength.numerator.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
http://unitsofmeasure.orgMappings
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code | Σ | 0..1 | code | Element idMedication.ingredient.strength.numerator.codeShort description Einheit des Bestandteils kodierte Definitionkodierte Einheit des Bestandteils gemäß http://unitsofmeasure.org Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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denominator | S Σ | 1..1 | Quantity | There are no (further) constraints on this element Element idMedication.ingredient.strength.denominatorShort description Denominator value DefinitionThe value of the denominator.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedication.ingredient.strength.denominator.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedication.ingredient.strength.denominator.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element idMedication.ingredient.strength.denominator.valueShort description Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idMedication.ingredient.strength.denominator.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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unit | Σ | 0..1 | string | Element idMedication.ingredient.strength.denominator.unitShort description Einheit des Bestandteils DefinitionVerordnete Einheit des Bestandteils z. B. mg There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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system | Σ C | 0..1 | uriFixed Value | Element idMedication.ingredient.strength.denominator.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
http://unitsofmeasure.orgMappings
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code | Σ | 0..1 | code | Element idMedication.ingredient.strength.denominator.codeShort description Einheit des Bestandteils Definitionkodierte Einheit des Bestandteils gemäß http://unitsofmeasure.org Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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batch | 0..0 | BackboneElement | There are no (further) constraints on this element Element idMedication.batchShort description Details about packaged medications DefinitionInformation that only applies to packages (not products).
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Tabellarische Übersicht:
Medication | .. | |
Medication.meta | 1.. | |
Medication.meta.profile | 1..1 | |
Medication.implicitRules | ..0 | |
Medication.language | ..0 | |
Medication.contained | ..0 | |
Medication.extension | 0.. | |
Medication.extension:kategorie | Extension | 0..1 |
Medication.extension:kategorie.value[x]:valueCoding | .. | |
Medication.extension:impfstoff | Extension | 0..1 |
Medication.extension:impfstoff.value[x] | .. | |
Medication.extension:herstellungsanweisung | Extension | 0..1 |
Medication.extension:verpackung | Extension | 0..1 |
Medication.identifier | ..0 | |
Medication.code | 1.. | |
Medication.code.coding | 1..1 | |
Medication.code.coding.system | 1.. | |
Medication.code.coding.version | ..0 | |
Medication.code.coding.code | 1.. | |
Medication.code.coding.display | .. | |
Medication.code.coding.userSelected | ..0 | |
Medication.code.text | ..0 | |
Medication.manufacturer | ..0 | |
Medication.form | .. | |
Medication.form.coding | ..1 | |
Medication.form.coding:edqm-darreichungsform | ..1 | |
Medication.form.coding:edqm-darreichungsform.system | 1.. | |
Medication.form.coding:edqm-darreichungsform.version | ..0 | |
Medication.form.coding:edqm-darreichungsform.code | 1.. | |
Medication.form.coding:edqm-darreichungsform.display | .. | |
Medication.form.coding:edqm-darreichungsform.userSelected | ..0 | |
Medication.form.coding:KBV_DARREICHUNGSFORM | ..1 | |
Medication.form.coding:KBV_DARREICHUNGSFORM.system | 1.. | |
Medication.form.coding:KBV_DARREICHUNGSFORM.version | ..0 | |
Medication.form.coding:KBV_DARREICHUNGSFORM.code | 1.. | |
Medication.form.coding:KBV_DARREICHUNGSFORM.display | .. | |
Medication.form.coding:KBV_DARREICHUNGSFORM.userSelected | ..0 | |
Medication.form.text | .. | |
Medication.amount | .. | |
Medication.amount.numerator | 1.. | |
Medication.amount.numerator.value | 1.. | |
Medication.amount.numerator.comparator | ..0 | |
Medication.amount.numerator.unit | 1.. | |
Medication.amount.numerator.system | .. | |
Medication.amount.numerator.code | .. | |
Medication.amount.denominator | 1.. | |
Medication.amount.denominator.value | 1.. | |
Medication.amount.denominator.comparator | ..0 | |
Medication.amount.denominator.system | .. | |
Medication.ingredient | .. | |
Medication.ingredient.item[x] | CodeableConcept | .. |
Medication.ingredient.item[x].coding | ..3 | |
Medication.ingredient.item[x].coding:ATC | ..1 | |
Medication.ingredient.item[x].coding:ATC.system | 1.. | |
Medication.ingredient.item[x].coding:ATC.code | 1.. | |
Medication.ingredient.item[x].coding:ATC.display | .. | |
Medication.ingredient.item[x].coding:ATC.userSelected | ..0 | |
Medication.ingredient.item[x].coding:ASK | ..1 | |
Medication.ingredient.item[x].coding:ASK.system | 1.. | |
Medication.ingredient.item[x].coding:ASK.code | 1.. | |
Medication.ingredient.item[x].coding:ASK.display | .. | |
Medication.ingredient.item[x].coding:ASK.userSelected | ..0 | |
Medication.ingredient.item[x].coding:PZN | ..1 | |
Medication.ingredient.item[x].coding:PZN.system | 1.. | |
Medication.ingredient.item[x].coding:PZN.version | ..0 | |
Medication.ingredient.item[x].coding:PZN.code | 1.. | |
Medication.ingredient.item[x].coding:PZN.display | ..0 | |
Medication.ingredient.item[x].coding:PZN.userSelected | ..0 | |
Medication.ingredient.item[x].text | .. | |
Medication.ingredient.isActive | 1.. | |
Medication.ingredient.strength | .. | |
Medication.ingredient.strength.extension | 0.. | |
Medication.ingredient.strength.extension:mengeFreitext | Extension | 0..1 |
Medication.ingredient.strength.numerator | 1.. | |
Medication.ingredient.strength.numerator.value | 1.. | |
Medication.ingredient.strength.numerator.comparator | ..0 | |
Medication.ingredient.strength.numerator.unit | 1.. | |
Medication.ingredient.strength.numerator.system | .. | |
Medication.ingredient.strength.numerator.code | .. | |
Medication.ingredient.strength.denominator | 1.. | |
Medication.ingredient.strength.denominator.value | 1.. | |
Medication.ingredient.strength.denominator.comparator | ..0 | |
Medication.ingredient.strength.denominator.unit | .. | |
Medication.ingredient.strength.denominator.system | .. | |
Medication.ingredient.strength.denominator.code | .. | |
Medication.batch | ..0 |