MII IG Medikation DE v2024

Medication

Die Medikation, die angesetzt, geplant oder verabreicht wird. Es kann sich um ein Fertigarzneimittel oder eine Rezeptur handeln. Auch die Angabe nur des Wirkstoffes ist möglich. Die Angabe mindestens eines Wirkstoffes wird verlangt.

Name	Status	Version	Canonical	Basis
MII_PR_Medikation_Medication	active	2.0.0	https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication	http://hl7.org/fhir/StructureDefinition/Medication

Inhalt

MII_PR_Medikation_Medication (Medication)	I		Medication	Element id Medication Short description Definition of a Medication Definition This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. Comments MI-I Medikation Data type Medication Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act script10.6: NewRx/MedicationPrescribed -or- RxFill/MedicationDispensed -or- RxHistoryResponse/MedicationDispensed -or- RxHistoryResponse/MedicationPrescribed rim: ManufacturedProduct[classCode=ADMM]
id	S Σ	0..1	string	There are no (further) constraints on this element Element id Medication.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element id Medication.meta Short description Metadata about the resource Definition The 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Medication.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
versionId	Σ	0..1	id	There are no (further) constraints on this element Element id Medication.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments 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. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id Medication.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments 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. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	S Σ	0..1	uri	There are no (further) constraints on this element Element id Medication.meta.source Short description Identifies where the resource comes from Definition A 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. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id Medication.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments 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. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id Medication.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments 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. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id Medication.meta.tag Short description Tags applied to this resource Definition Tags 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. Comments 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. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Medication.implicitRules Short description A set of rules under which this content was created Definition A 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. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id Medication.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id Medication.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A 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. Comments 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Medication.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These 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. Comments 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. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Medication.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element id Medication.identifier Short description Business identifier for this medication Definition Business identifier for this medication. Comments The serial number could be included as an identifier. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.identifier rim: .id
code	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id Medication.code Short description Codes that identify this medication Definition A 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. Comments 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). Data type CodeableConcept Binding A coded concept that defines the type of a medication. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: coding.code = //element(,MedicationType)/DrugCoded/ProductCode coding.system = //element(,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(,MedicationType)/DrugDescription w5:* FiveWs.class v2: RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code rim: .code
id		0..1	string	There are no (further) constraints on this element Element id Medication.code.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.code.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	0..*	Coding	Element id Medication.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Pharmazentralnummer	S Σ	0..*	CodingPattern	Element id Medication.code.coding:Pharmazentralnummer Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/ifa/pzn" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/ifa/pzn Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.code.coding:Pharmazentralnummer.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
atcClassDe	S Σ	0..*	CodingBindingPattern	Element id Medication.code.coding:atcClassDe Short description ATC Klassifikation deutsche Version Definition ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Binding http://fhir.de/ValueSet/bfarm/atc (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/bfarm/atc" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/bfarm/atc Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.code.coding:atcClassDe.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
atcClassEn	S Σ	0..*	CodingPattern	Element id Medication.code.coding:atcClassEn Short description Anatomical Therapeutic Chemical Classification System Definition ATC Classification International WHO Version Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://www.whocc.no/atc" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://www.whocc.no/atc Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.code.coding:atcClassEn.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id Medication.code.text Short description Plain text representation of the concept Definition A 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. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
status	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Medication.status Short description active \| inactive \| entered-in-error Definition A code to indicate if the medication is in active use. Comments 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. Data type code Binding A coded concept defining if the medication is in active use. Medication Status Codes (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .statusCode
manufacturer	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Medication.manufacturer Short description Manufacturer of the item Definition Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: no mapping w5: FiveWs.actor v2: RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name rim: .player.scopingRole[typeCode=MANU].scoper
form	S	0..1	CodeableConceptBinding	Element id Medication.form Short description powder \| tablets \| capsule + Definition Describes the form of the item. Powder; tablets; capsule. Comments 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. Data type CodeableConcept Binding A coded concept defining the form of a medication. DoseFormUvIps (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: coding.code = //element(,DrugCodedType)/FormCode coding.system = //element(,DrugCodedType)/FormSourceCode v2: RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form rim: .formCode
id		0..1	string	There are no (further) constraints on this element Element id Medication.form.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.form.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	0..*	Coding	Element id Medication.form.coding Short description Code defined by a terminology system Definition EDQM pharmaceutical dose forms sind bevorzugt zu verwenden. SNOMED CT und IFA Codes sind Alternativen. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
EDQM	S Σ	0..*	CodingPattern	Element id Medication.form.coding:EDQM Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://standardterms.edqm.eu" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://standardterms.edqm.eu Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.form.coding:EDQM.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.form.text Short description Plain text representation of the concept Definition A 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. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
amount	Σ	0..1	Ratio	There are no (further) constraints on this element Element id Medication.amount Short description Amount of drug in package Definition Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.). Data type Ratio Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .quantity
ingredient	S	1..*	BackboneElement	There are no (further) constraints on this element Element id Medication.ingredient Short description Active or inactive ingredient Definition Identifies a particular constituent of interest in the product. Comments 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. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .scopesRole[typeCode=INGR]
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	S I	0..*	Extension	Element id Medication.ingredient.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
Wirkstofftyp	S I	0..1	Extension(Coding)	Element id Medication.ingredient.extension:Wirkstofftyp Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments 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. Data type Extension(Coding) Extension URL https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Wirkstoffrelation	S I	0..*	Extension(Complex)	Element id Medication.ingredient.extension:Wirkstoffrelation Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments 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. Data type Extension(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
item[x]		1..1		Element id Medication.ingredient.item[x] Short description The actual ingredient or content Definition The actual ingredient - either a substance (simple ingredient) or another medication of a medication. Requirements The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: coding.code = //element(,MedicationType)/DrugCoded/ProductCode coding.system = //element(,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(,MedicationType)/DrugDescription v2:* RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code rim: .player
itemReference	S	0..1	Reference(Substance \| Medication)	Element id Medication.ingredient.item[x]:itemReference Short description The actual ingredient or content Definition The actual ingredient - either a substance (simple ingredient) or another medication of a medication. Requirements The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). Data type Reference(Substance \| Medication) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: coding.code = //element(,MedicationType)/DrugCoded/ProductCode coding.system = //element(,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(,MedicationType)/DrugDescription v2:* RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code rim: .player
itemCodeableConcept	S	0..1	CodeableConcept	Element id Medication.ingredient.item[x]:itemCodeableConcept Short description The actual ingredient or content Definition The actual ingredient - either a substance (simple ingredient) or another medication of a medication. Requirements The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: coding.code = //element(,MedicationType)/DrugCoded/ProductCode coding.system = //element(,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(,MedicationType)/DrugDescription v2:* RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code rim: .player
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..*	Coding	Element id Medication.ingredient.item[x]:itemCodeableConcept.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
ASK	S Σ	0..*	CodingPattern	Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK Short description Arzneistoffkatalog(ASK)-Nummer Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Binding http://fhir.de/ValueSet/ask (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/ask" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/ask Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
UNII	S Σ	0..*	CodingPattern	Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII Short description Unique Ingredient Identifier Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fdasis.nlm.nih.gov" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fdasis.nlm.nih.gov Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
CAS	S Σ	0..*	CodingPattern	Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS Short description Chemical abstract codes Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "urn:oid:2.16.840.1.113883.6.61" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern urn:oid:2.16.840.1.113883.6.61 Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
SNOMED	S Σ	0..*	CodingPattern	Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://snomed.info/sct" } Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://snomed.info/sct Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.item[x]:itemCodeableConcept.text Short description Plain text representation of the concept Definition A 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. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
isActive		0..1	boolean	There are no (further) constraints on this element Element id Medication.ingredient.isActive Short description Active ingredient indicator Definition Indication of whether this ingredient affects the therapeutic action of the drug. Requirements 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). Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: NA
strength	S	0..1	Ratio	There are no (further) constraints on this element Element id Medication.ingredient.strength Short description Quantity of ingredient present Definition Specifies 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. Data type Ratio Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: //element(,DrugCodedType)/Strength v2:* RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units rim: .quantity
id		0..1	string	There are no (further) constraints on this element Element id Medication.ingredient.strength.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.ingredient.strength.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
numerator	S Σ	0..1	Quantity	There are no (further) constraints on this element Element id Medication.ingredient.strength.numerator Short description Numerator value Definition The value of the numerator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .numerator
denominator	S Σ	0..1	Quantity	There are no (further) constraints on this element Element id Medication.ingredient.strength.denominator Short description Denominator value Definition The value of the denominator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .denominator
batch		0..1	BackboneElement	There are no (further) constraints on this element Element id Medication.batch Short description Details about packaged medications Definition Information that only applies to packages (not products). Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: no mapping rim: .player[classCode=CONT]
id		0..1	string	There are no (further) constraints on this element Element id Medication.batch.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Medication.batch.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Medication.batch.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
lotNumber		0..1	string	There are no (further) constraints on this element Element id Medication.batch.lotNumber Short description Identifier assigned to batch Definition The assigned lot number of a batch of the specified product. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: no mapping v2: RXA-15 Substance Lot Number / RXG-19 Substance Lot Number rim: .id
expirationDate		0..1	dateTime	There are no (further) constraints on this element Element id Medication.batch.expirationDate Short description When batch will expire Definition When this specific batch of product will expire. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: no mapping v2: RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date rim: participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime

Dieses Profil beschreibt die Medikation, die angesetzt, geplant oder verabreicht wird. Es kann sich um ein Fertigarzneimittel oder eine Rezeptur handeln. Auch die Angabe nur des Wirkstoffes ist möglich. Die Angabe mindestens eines Wirkstoffes wird verlangt.

Feldname	Kurzbeschreibung
Medication.id
Medication.meta
Medication.meta.source
Medication.meta.profile
Medication.code
Medication.code.coding
Medication.code.coding:Pharmazentralnummer
Medication.code.coding:Pharmazentralnummer.system
Medication.code.coding:Pharmazentralnummer.code
Medication.code.coding:atcClassDe	ATC Klassifikation deutsche Version
Medication.code.coding:atcClassDe.system
Medication.code.coding:atcClassDe.code
Medication.code.coding:atcClassEn	Anatomical Therapeutic Chemical Classification System
Medication.code.coding:atcClassEn.system
Medication.code.coding:atcClassEn.code
Medication.code.text
Medication.form
Medication.form.coding
Medication.form.coding:EDQM
Medication.form.coding:EDQM.system
Medication.form.coding:EDQM.code
Medication.ingredient
Medication.ingredient.extension
Medication.ingredient.extension:Wirkstofftyp
Medication.ingredient.extension:Wirkstoffrelation
Medication.ingredient.item[x]:itemReference
Medication.ingredient.item[x]:itemCodeableConcept
Medication.ingredient.item[x]:itemCodeableConcept.coding
Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK	Arzneistoffkatalog(ASK)-Nummer
Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system
Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code
Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII	Unique Ingredient Identifier
Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system
Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code
Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS	Chemical abstract codes
Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system
Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code
Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED
Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system
Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code
Medication.ingredient.item[x]:itemCodeableConcept.text
Medication.ingredient.strength
Medication.ingredient.strength.numerator
Medication.ingredient.strength.denominator

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-medikation-medication" />
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" />
    <version value="2.0.0" />
    <name value="MII_PR_Medikation_Medication">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII_PR_Medikation_Medication" />
            </extension>
        </extension>
    </name>
    <title value="MII PR Medikation Medication">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII PR Medikation Medication" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2022-05-18" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Dieses Profil beschreibt die Medikation, die angesetzt, geplant oder verabreicht wird. Es kann sich um ein Fertigarzneimittel oder eine Rezeptur handeln. Auch die Angabe nur des Wirkstoffes ist m&#246;glich. Die Angabe mindestens eines Wirkstoffes wird verlangt.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="The profile describes a prepackaged drug or formulation." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="script10.6" />
        <uri value="http://ncpdp.org/SCRIPT10_6" />
        <name value="Mapping to NCPDP SCRIPT 10.6" />
    </mapping>
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Medication" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Medication" />
    <derivation value="constraint" />
    <differential>
        <element id="Medication">
            <path value="Medication" />
            <comment value="MI-I Medikation" />
        </element>
        <element id="Medication.id">
            <path value="Medication.id" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.meta">
            <path value="Medication.meta" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.meta.source">
            <path value="Medication.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.meta.profile">
            <path value="Medication.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code">
            <path value="Medication.code" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding">
            <path value="Medication.code.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:Pharmazentralnummer">
            <path value="Medication.code.coding" />
            <sliceName value="Pharmazentralnummer" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/ifa/pzn" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:Pharmazentralnummer.system">
            <path value="Medication.code.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:Pharmazentralnummer.code">
            <path value="Medication.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:atcClassDe">
            <path value="Medication.code.coding" />
            <sliceName value="atcClassDe" />
            <short value="ATC Klassifikation deutsche Version" />
            <definition value="ATC-Codes f&#252;r Fertigarzneimittel bspw. von Kombiprodukten" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/bfarm/atc" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/bfarm/atc" />
            </binding>
        </element>
        <element id="Medication.code.coding:atcClassDe.system">
            <path value="Medication.code.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:atcClassDe.code">
            <path value="Medication.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:atcClassEn">
            <path value="Medication.code.coding" />
            <sliceName value="atcClassEn" />
            <short value="Anatomical Therapeutic Chemical Classification System" />
            <definition value="ATC Classification International WHO Version" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://www.whocc.no/atc" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:atcClassEn.system">
            <path value="Medication.code.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.coding:atcClassEn.code">
            <path value="Medication.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.code.text">
            <path value="Medication.code.text" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.form">
            <path value="Medication.form" />
            <mustSupport value="true" />
            <binding>
                <strength value="preferred" />
                <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform" />
            </binding>
        </element>
        <element id="Medication.form.coding">
            <path value="Medication.form.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <definition value="EDQM pharmaceutical dose forms sind bevorzugt zu verwenden. SNOMED CT und IFA Codes sind Alternativen." />
            <mustSupport value="true" />
        </element>
        <element id="Medication.form.coding:EDQM">
            <path value="Medication.form.coding" />
            <sliceName value="EDQM" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://standardterms.edqm.eu" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Medication.form.coding:EDQM.system">
            <path value="Medication.form.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.form.coding:EDQM.code">
            <path value="Medication.form.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient">
            <path value="Medication.ingredient" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.extension">
            <path value="Medication.ingredient.extension" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.extension:Wirkstofftyp">
            <path value="Medication.ingredient.extension" />
            <sliceName value="Wirkstofftyp" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.extension:Wirkstoffrelation">
            <path value="Medication.ingredient.extension" />
            <sliceName value="Wirkstoffrelation" />
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]">
            <path value="Medication.ingredient.item[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="Medication.ingredient.item[x]:itemReference">
            <path value="Medication.ingredient.item[x]" />
            <sliceName value="itemReference" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept">
            <path value="Medication.ingredient.item[x]" />
            <sliceName value="itemCodeableConcept" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding">
            <path value="Medication.ingredient.item[x].coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK">
            <path value="Medication.ingredient.item[x].coding" />
            <sliceName value="ASK" />
            <short value="Arzneistoffkatalog(ASK)-Nummer" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/ask" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="example" />
                <valueSet value="http://fhir.de/ValueSet/ask" />
            </binding>
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system">
            <path value="Medication.ingredient.item[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code">
            <path value="Medication.ingredient.item[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII">
            <path value="Medication.ingredient.item[x].coding" />
            <sliceName value="UNII" />
            <short value="Unique Ingredient Identifier" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://fdasis.nlm.nih.gov" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system">
            <path value="Medication.ingredient.item[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code">
            <path value="Medication.ingredient.item[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS">
            <path value="Medication.ingredient.item[x].coding" />
            <sliceName value="CAS" />
            <short value="Chemical abstract codes" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="urn:oid:2.16.840.1.113883.6.61" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system">
            <path value="Medication.ingredient.item[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code">
            <path value="Medication.ingredient.item[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED">
            <path value="Medication.ingredient.item[x].coding" />
            <sliceName value="SNOMED" />
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://snomed.info/sct" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system">
            <path value="Medication.ingredient.item[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code">
            <path value="Medication.ingredient.item[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.item[x]:itemCodeableConcept.text">
            <path value="Medication.ingredient.item[x].text" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.strength">
            <path value="Medication.ingredient.strength" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.strength.numerator">
            <path value="Medication.ingredient.strength.numerator" />
            <mustSupport value="true" />
        </element>
        <element id="Medication.ingredient.strength.denominator">
            <path value="Medication.ingredient.strength.denominator" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-medikation-medication",
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication",
    "version": "2.0.0",
    "name": "MII_PR_Medikation_Medication",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Medikation_Medication"
                    }
                ]
            }
        ]
    },
    "title": "MII PR Medikation Medication",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII PR Medikation Medication"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "date": "2022-05-18",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil beschreibt die Medikation, die angesetzt, geplant oder verabreicht wird. Es kann sich um ein Fertigarzneimittel oder eine Rezeptur handeln. Auch die Angabe nur des Wirkstoffes ist möglich. Die Angabe mindestens eines Wirkstoffes wird verlangt.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "The profile describes a prepackaged drug or formulation."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "script10.6",
            "uri": "http://ncpdp.org/SCRIPT10_6",
            "name": "Mapping to NCPDP SCRIPT 10.6"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Medication",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Medication",
                "path": "Medication",
                "comment": "MI-I Medikation"
            },
            {
                "id": "Medication.id",
                "path": "Medication.id",
                "mustSupport": true
            },
            {
                "id": "Medication.meta",
                "path": "Medication.meta",
                "mustSupport": true
            },
            {
                "id": "Medication.meta.source",
                "path": "Medication.meta.source",
                "mustSupport": true
            },
            {
                "id": "Medication.meta.profile",
                "path": "Medication.meta.profile",
                "mustSupport": true
            },
            {
                "id": "Medication.code",
                "path": "Medication.code",
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding",
                "path": "Medication.code.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:Pharmazentralnummer",
                "path": "Medication.code.coding",
                "sliceName": "Pharmazentralnummer",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/ifa/pzn"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:Pharmazentralnummer.system",
                "path": "Medication.code.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:Pharmazentralnummer.code",
                "path": "Medication.code.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:atcClassDe",
                "path": "Medication.code.coding",
                "sliceName": "atcClassDe",
                "short": "ATC Klassifikation deutsche Version",
                "definition": "ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/bfarm/atc"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/bfarm/atc"
                }
            },
            {
                "id": "Medication.code.coding:atcClassDe.system",
                "path": "Medication.code.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:atcClassDe.code",
                "path": "Medication.code.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:atcClassEn",
                "path": "Medication.code.coding",
                "sliceName": "atcClassEn",
                "short": "Anatomical Therapeutic Chemical Classification System",
                "definition": "ATC Classification International WHO Version",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://www.whocc.no/atc"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:atcClassEn.system",
                "path": "Medication.code.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.code.coding:atcClassEn.code",
                "path": "Medication.code.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.code.text",
                "path": "Medication.code.text",
                "mustSupport": true
            },
            {
                "id": "Medication.form",
                "path": "Medication.form",
                "mustSupport": true,
                "binding": {
                    "strength": "preferred",
                    "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
                }
            },
            {
                "id": "Medication.form.coding",
                "path": "Medication.form.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "definition": "EDQM pharmaceutical dose forms sind bevorzugt zu verwenden. SNOMED CT und IFA Codes sind Alternativen.",
                "mustSupport": true
            },
            {
                "id": "Medication.form.coding:EDQM",
                "path": "Medication.form.coding",
                "sliceName": "EDQM",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://standardterms.edqm.eu"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.form.coding:EDQM.system",
                "path": "Medication.form.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.form.coding:EDQM.code",
                "path": "Medication.form.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient",
                "path": "Medication.ingredient",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.extension",
                "path": "Medication.ingredient.extension",
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.extension:Wirkstofftyp",
                "path": "Medication.ingredient.extension",
                "sliceName": "Wirkstofftyp",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.extension:Wirkstoffrelation",
                "path": "Medication.ingredient.extension",
                "sliceName": "Wirkstoffrelation",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]",
                "path": "Medication.ingredient.item[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "Medication.ingredient.item[x]:itemReference",
                "path": "Medication.ingredient.item[x]",
                "sliceName": "itemReference",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Substance",
                            "http://hl7.org/fhir/StructureDefinition/Medication"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept",
                "path": "Medication.ingredient.item[x]",
                "sliceName": "itemCodeableConcept",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
                "path": "Medication.ingredient.item[x].coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK",
                "path": "Medication.ingredient.item[x].coding",
                "sliceName": "ASK",
                "short": "Arzneistoffkatalog(ASK)-Nummer",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/ask"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "example",
                    "valueSet": "http://fhir.de/ValueSet/ask"
                }
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system",
                "path": "Medication.ingredient.item[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code",
                "path": "Medication.ingredient.item[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII",
                "path": "Medication.ingredient.item[x].coding",
                "sliceName": "UNII",
                "short": "Unique Ingredient Identifier",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://fdasis.nlm.nih.gov"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system",
                "path": "Medication.ingredient.item[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code",
                "path": "Medication.ingredient.item[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS",
                "path": "Medication.ingredient.item[x].coding",
                "sliceName": "CAS",
                "short": "Chemical abstract codes",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "urn:oid:2.16.840.1.113883.6.61"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system",
                "path": "Medication.ingredient.item[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code",
                "path": "Medication.ingredient.item[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED",
                "path": "Medication.ingredient.item[x].coding",
                "sliceName": "SNOMED",
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://snomed.info/sct"
                },
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system",
                "path": "Medication.ingredient.item[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code",
                "path": "Medication.ingredient.item[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
                "path": "Medication.ingredient.item[x].text",
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.strength",
                "path": "Medication.ingredient.strength",
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.strength.numerator",
                "path": "Medication.ingredient.strength.numerator",
                "mustSupport": true
            },
            {
                "id": "Medication.ingredient.strength.denominator",
                "path": "Medication.ingredient.strength.denominator",
                "mustSupport": true
            }
        ]
    }
}

package/StructureDefinition-mii-pr-medikation-medication.json

FHIR	Datensatz	Erklaerung
Medication.code	BasismodulMedikation.Medikation.Code	Ein Code (oder eine Reihe von Codes), die dieses Medikament spezifizieren, oder eine Textbeschreibung, wenn kein Code verfügbar ist.
Medication.form	BasismodulMedikation.Medikation.Darreichungsform	Darreichungsform nach EDQM
Medication.ingredient	BasismodulMedikation.Medikation.Bestandteil	Aktiver oder nicht-aktiver Inhaltsstoff. Identifiziert einen bestimmten Bestandteil der Medikation.
Medication.ingredient.itemCodeableConcept	BasismodulMedikation.Medikation.Bestandteil.Code	Ein Code für den Inhaltsstoff oder Wirkstoff, z.B. aus ASK, UNII, CAS oder SNOMED CT.
Medication.ingredient.extension:Wirkstofftyp	BasismodulMedikation.Medikation.Bestandteil.Wirkstofftyp	Differenzierung des Wirkstofftyps in allgemeinen, genauen oder Kombinationswirkstoff.
Medication.ingredient.strength	BasismodulMedikation.Medikation.Bestandteil.MengeStaerke	Wirkstärke, Menge der aktiven Substanz pro Dosiseinheit entsprechend Darreichungsform (1 Tablette, 1 Ampulle, 1 mL etc.)

Suchparameter

Folgende Suchparameter sind für das Modul Medikation relevant, auch in Kombination:

Der Suchparameter _id MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?_id=1234

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "code" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?code=http://fhir.de/CodeSystem/bfarm/atc|B01AC06

Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "form" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?form=http://standardterms.edqm.eu|10219000

Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "ingredient" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?ingredient=Medication/mii-exa-medikation-medication-dolomo-tag

Anwendungshinweise: Weitere Informationen zur Suche nach "based-on" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "ingredient-code" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?ingredient-code=http://fhir.de/CodeSystem/ask|00002

Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "ingredient-strength-numerator" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?ingredient-strength-numerator=100|http://unitsofmeasure.org|mg

Anwendungshinweise: Weitere Informationen zur Suche nach "ingredient-strength-numerator" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "ingredient-strength-denominator" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?ingredient-strength-denominator=1|http://standardterms.edqm.eu|10219000

Anwendungshinweise: Weitere Informationen zur Suche nach "ingredient-strength-denominator" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "ingredient-strength" MUSS unterstützt werden:

Beispiele:

GET [base]/Medication?ingredient-strength=100|http://unitsofmeasure.org|mg$1|http://standardterms.edqm.eu|10219000

Anwendungshinweise: Weitere Informationen zur Suche nach "ingredient-strength" finden sich in der FHIR-Basisspezifikation - Abschnitt "composite".

Beispiele

Beispiel einer Medication-Ressource für ein Fertigarzneimittel mit Angabe einer Pharmazentralnummer, Darreichungsform, Wirkstoff und Wirkstärke:

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-ass-100",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication|2025.0.1"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "06312077",
                "system": "http://fhir.de/CodeSystem/ifa/pzn",
                "display": "ASS 100 - 1a Pharma TAH Tabletten"
            },
            {
                "code": "B01AC06",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "version": "2023",
                "display": "Acetylsalicylsäure"
            }
        ]
    },
    "form": {
        "coding":  [
            {
                "code": "10219000",
                "system": "http://standardterms.edqm.eu",
                "display": "Tablet"
            }
        ]
    },
    "ingredient":  [
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "387458008",
                        "system": "http://snomed.info/sct",
                        "display": "Aspirin (substance)"
                    }
                ]
            },
            "strength": {
                "numerator": {
                    "value": 100,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "milligram"
                },
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                }
            }
        }
    ]
}

Beispiel einer Medication-Ressource für eine Infusionslösung mit Angabe der Darreichungsform, Wirkstoff und Wirkstärke, sowie weitere Bestandteile in Form einer Referenz auf eine eigene Medication-Ressource für die Glucoselösung. Medication.code enthält in diesem Fall nur das text-Element:

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-rezeptur",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication|2025.0.1"
        ]
    },
    "code": {
        "text": "Infusion bestehend aus 85mg Doxorubicin aufgeloest zur Verabreichung in 250ml 5-%iger (50 mg/ml) Glucose-Infusionsloesung"
    },
    "form": {
        "coding":  [
            {
                "code": "11210000",
                "system": "http://standardterms.edqm.eu",
                "display": "Solution for infusion"
            }
        ]
    },
    "ingredient":  [
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "L01DB01",
                        "system": "http://fhir.de/CodeSystem/bfarm/atc",
                        "version": "2023",
                        "display": "Doxorubicin"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 250,
                    "code": "mL",
                    "system": "http://unitsofmeasure.org",
                    "unit": "milliliter"
                },
                "numerator": {
                    "value": 85,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        },
        {
            "isActive": true,
            "itemReference": {
                "reference": "Medication/mii-exa-medikation-medication-glucoseloesung"
            }
        }
    ],
    "status": "active"
}

Die im vorrangegangenen Beispiel referenzierte Medication-Ressource:

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-glucoseloesung",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication|2025.0.1"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "03705422",
                "system": "http://fhir.de/CodeSystem/ifa/pzn",
                "display": "Glucose 5% B.braun Ecoflac Plus"
            },
            {
                "code": "V06DC01",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "version": "2023",
                "display": "Glucose"
            },
            {
                "code": "V06DC01",
                "system": "http://www.whocc.no/atc",
                "version": "2023",
                "display": "glucose"
            }
        ]
    },
    "form": {
        "coding":  [
            {
                "code": "11210000",
                "system": "http://standardterms.edqm.eu",
                "display": "Solution for infusion"
            }
        ]
    },
    "ingredient":  [
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "50-99-7",
                        "system": "http://terminology.hl7.org/CodeSystem/CAS",
                        "display": "Glucose"
                    },
                    {
                        "code": "5SL0G7R0OK",
                        "system": "http://fdasis.nlm.nih.gov",
                        "display": "ANHYDROUS DEXTROSE"
                    },
                    {
                        "code": "67079006",
                        "system": "http://snomed.info/sct",
                        "version": "http://snomed.info/sct/900000000000207008/version/20230731",
                        "display": "Glucose (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1000,
                    "code": "ml",
                    "system": "http://unitsofmeasure.org",
                    "unit": "ml"
                },
                "numerator": {
                    "value": 50,
                    "code": "g",
                    "system": "http://unitsofmeasure.org",
                    "unit": "g"
                }
            }
        },
        {
            "isActive": false,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "7732-18-5",
                        "system": "http://terminology.hl7.org/CodeSystem/CAS",
                        "display": "WATER"
                    },
                    {
                        "code": "059QF0KO0R",
                        "system": "http://fdasis.nlm.nih.gov",
                        "display": "WATER"
                    },
                    {
                        "code": "11713004",
                        "system": "http://snomed.info/sct",
                        "version": "http://snomed.info/sct/900000000000207008/version/20230731",
                        "display": "Water (substance)"
                    }
                ]
            }
        }
    ],
    "status": "active"
}

Die folgenden drei Ressourcen bilden zusammen ein Beispiel für die Darstellung von Kombipackungen. Bei dem Beispiel handelt es sich um eine Arzneimittel dessen Packung zwei unterschiedliche pharmazeutische Produkte enthält. Die erste Instanz der Medication Ressource enthält den PZN Code für das Produkt. In Medication.amount steht die vollständige Anzahl der in der Packung enthaltenen Tabletten. In Medication.ingredient.itemReference wird auf die zwei separate Medication Instanzen referenziert, die jeweils die in der Packung enthaltenen pharmazeutischen Produkte beschreiben mit Anzahl der Tabletten, Wirkstoffen und deren Wirkstärke.

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-dolomo",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication|2025.0.1"
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/ifa/pzn",
                "code": "02758994",
                "version": "02.08.2024",
                "display": "dolomo® TN"
            },
            {
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "code": "N02BE51",
                "version": "2023",
                "display": "Paracetamol, Kombinationen exkl. Psycholeptika"
            }
        ]
    },
    "form": {
        "coding":  [
            {
                "system": "http://standardterms.edqm.eu",
                "code": "10219000",
                "display": "Tablet"
            }
        ]
    },
    "amount": {
        "numerator": {
            "value": 27,
            "unit": "Tablet",
            "system": "http://unitsofmeasure.org",
            "code": "1",
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                    "valueQuantity": {
                        "value": 27,
                        "unit": "Tablet",
                        "system": "http://standardterms.edqm.eu",
                        "code": "10219000"
                    }
                }
            ]
        },
        "denominator": {
            "value": 1,
            "unit": "Package",
            "system": "http://unitsofmeasure.org",
            "code": "1"
        }
    },
    "ingredient":  [
        {
            "itemReference": {
                "reference": "Medication/mii-exa-medikation-medication-dolomo-tag"
            }
        },
        {
            "itemReference": {
                "reference": "Medication/mii-exa-medikation-medication-dolomo-nacht"
            }
        }
    ]
}

Medication Ressource des ersten referenzierten pharmazeutischen Produktes.

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-dolomo-tag",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication|2025.0.1"
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "code": "N02BE51",
                "version": "2023",
                "display": "Paracetamol, Kombinationen exkl. Psycholeptika"
            }
        ]
    },
    "form": {
        "coding":  [
            {
                "system": "http://standardterms.edqm.eu",
                "code": "10219000",
                "display": "Tablet"
            }
        ]
    },
    "amount": {
        "numerator": {
            "value": 18,
            "unit": "Tablet",
            "system": "http://unitsofmeasure.org",
            "code": "1",
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                    "valueQuantity": {
                        "value": 18,
                        "unit": "Tablet",
                        "system": "http://standardterms.edqm.eu",
                        "code": "10219000"
                    }
                }
            ]
        },
        "denominator": {
            "value": 1,
            "system": "http://unitsofmeasure.org",
            "code": "1"
        }
    },
    "ingredient":  [
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "387458008",
                        "system": "http://snomed.info/sct",
                        "display": "Aspirin (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                },
                "numerator": {
                    "value": 250,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        },
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "387517004",
                        "system": "http://snomed.info/sct",
                        "display": "Paracetamol (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                },
                "numerator": {
                    "value": 250,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        },
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "255641001",
                        "system": "http://snomed.info/sct",
                        "display": "Caffeine (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                },
                "numerator": {
                    "value": 50,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        }
    ]
}

Medication Ressource des zweiten referenzierten pharmazeutischen Produktes.

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-dolomo-nacht",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication|2025.0.1"
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "code": "N02BE51",
                "version": "2023",
                "display": "Paracetamol, Kombinationen exkl. Psycholeptika"
            }
        ]
    },
    "form": {
        "coding":  [
            {
                "system": "http://standardterms.edqm.eu",
                "code": "10219000",
                "display": "Tablet"
            }
        ]
    },
    "amount": {
        "numerator": {
            "value": 9,
            "unit": "Tablet",
            "system": "http://unitsofmeasure.org",
            "code": "1",
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                    "valueQuantity": {
                        "value": 9,
                        "unit": "Tablet",
                        "system": "http://standardterms.edqm.eu",
                        "code": "10219000"
                    }
                }
            ]
        },
        "denominator": {
            "value": 1,
            "system": "http://unitsofmeasure.org",
            "code": "1"
        }
    },
    "ingredient":  [
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "387458008",
                        "system": "http://snomed.info/sct",
                        "display": "Aspirin (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                },
                "numerator": {
                    "value": 250,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        },
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "387517004",
                        "system": "http://snomed.info/sct",
                        "display": "Paracetamol (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                },
                "numerator": {
                    "value": 250,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        },
        {
            "isActive": true,
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "725666006",
                        "system": "http://snomed.info/sct",
                        "display": "Codeine phosphate hemihydrate (substance)"
                    }
                ]
            },
            "strength": {
                "denominator": {
                    "value": 1,
                    "code": "1",
                    "system": "http://unitsofmeasure.org",
                    "unit": "Tablet",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation",
                            "valueQuantity": {
                                "value": 1,
                                "unit": "Tablet",
                                "system": "http://standardterms.edqm.eu",
                                "code": "10219000"
                            }
                        }
                    ]
                },
                "numerator": {
                    "value": 30,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "mg"
                }
            }
        }
    ]
}