<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="630" />
  <meta>
    <versionId value="4" />
    <lastUpdated value="2018-05-12T17:54:00.715+02:00" />
  </meta>
  <url value="http://fhir.de/StructureDefinition/medikationsplanplus/medicationstatement" />
  <name value="medikationsplanplus-medicationstatement" />
  <status value="draft" />
  <date value="2017-08-05T12:21:30.545+02:00" />
  <fhirVersion value="3.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="MedicationStatement" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" />
  <derivation value="constraint" />
  <differential>
    <element id="MedicationStatement.id">
      <path value="MedicationStatement.id" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.meta">
      <path value="MedicationStatement.meta" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.meta.profile">
      <path value="MedicationStatement.meta.profile" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.language">
      <path value="MedicationStatement.language" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.identifier">
      <path value="MedicationStatement.identifier" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.identifier.system">
      <path value="MedicationStatement.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.identifier.value">
      <path value="MedicationStatement.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.basedOn">
      <path value="MedicationStatement.basedOn" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.partOf">
      <path value="MedicationStatement.partOf" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.context">
      <path value="MedicationStatement.context" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.status">
      <path value="MedicationStatement.status" />
      <comment value="ToDo: Invariante, die &quot;entered-in-error&quot;-Statements im Medikationsplan verbietet" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.category">
      <path value="MedicationStatement.category" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.medication[x]:medicationReference">
      <path value="MedicationStatement.medicationReference" />
      <sliceName value="medicationReference" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.de/StructureDefinition/medikationsplanplus/medication" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.medication[x]:medicationReference.reference">
      <path value="MedicationStatement.medicationReference.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.effective[x]:effectivePeriod">
      <path value="MedicationStatement.effectivePeriod" />
      <sliceName value="effectivePeriod" />
      <short value="Einnahmezeitraum" />
      <type>
        <code value="Period" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.effective[x]:effectivePeriod.start">
      <path value="MedicationStatement.effectivePeriod.start" />
      <short value="Beginn der Einnahme (@ms)" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.effective[x]:effectivePeriod.end">
      <path value="MedicationStatement.effectivePeriod.end" />
      <short value="Ende der Einnahme (@me)" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dateAsserted">
      <path value="MedicationStatement.dateAsserted" />
      <short value="Datum der Erfassung (@c)" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.informationSource">
      <path value="MedicationStatement.informationSource" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.de/StructureDefinition/medikationsplanplus/patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.de/StructureDefinition/medikationsplanplus/practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
    </element>
    <element id="MedicationStatement.subject">
      <path value="MedicationStatement.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.subject.reference">
      <path value="MedicationStatement.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.derivedFrom">
      <path value="MedicationStatement.derivedFrom" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.taken">
      <path value="MedicationStatement.taken" />
      <short value="fixed: &quot;na&quot;" />
      <definition value="Das Element &quot;taken&quot; wird in R4 nicht mehr verwendet. Die Information wird statt dessen vom Element &quot;status&quot; abgedeckt. In STU3 wird hier der fixe Wert &quot;na&quot; gesetzt, da die Information, ob ein Medikament vom Patienten tatsächlich eingenommen wurde, nicht erfasst wird." />
      <comment value="https://github.com/hl7germany/medikationsplanplusplus/issues/13" />
      <fixedCode value="na" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.reasonNotTaken">
      <path value="MedicationStatement.reasonNotTaken" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.reasonCode.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="MedicationStatement.reasonCode.text" />
      <short value="Grund für die Einnahme (@r)" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.reasonReference">
      <path value="MedicationStatement.reasonReference" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.note">
      <path value="MedicationStatement.note" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage">
      <path value="MedicationStatement.dosage" />
      <slicing>
        <discriminator>
          <type value="exists" />
          <path value="text" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <min value="1" />
      <max value="5" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage.text">
      <path value="MedicationStatement.dosage.text" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage.additionalInstruction">
      <path value="MedicationStatement.dosage.additionalInstruction" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.patientInstruction">
      <path value="MedicationStatement.dosage.patientInstruction" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.site">
      <path value="MedicationStatement.dosage.site" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.method">
      <path value="MedicationStatement.dosage.method" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.dose[x]">
      <path value="MedicationStatement.dosage.dose[x]" />
      <min value="1" />
    </element>
    <element id="MedicationStatement.dosage.maxDosePerPeriod">
      <path value="MedicationStatement.dosage.maxDosePerPeriod" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.maxDosePerAdministration:SimpleQuantity">
      <path value="MedicationStatement.dosage.maxDosePerAdministration" />
      <sliceName value="SimpleQuantity" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.maxDosePerLifetime:SimpleQuantity">
      <path value="MedicationStatement.dosage.maxDosePerLifetime" />
      <sliceName value="SimpleQuantity" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage.rate[x]">
      <path value="MedicationStatement.dosage.rate[x]" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext">
      <path value="MedicationStatement.dosage" />
      <sliceName value="freitext" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:freitext.text">
      <path value="MedicationStatement.dosage.text" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:freitext.additionalInstruction">
      <path value="MedicationStatement.dosage.additionalInstruction" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.patientInstruction">
      <path value="MedicationStatement.dosage.patientInstruction" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element id="MedicationStatement.dosage:freitext.timing">
      <path value="MedicationStatement.dosage.timing" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.timing.code.coding.code">
      <path value="MedicationStatement.dosage.timing.code.coding.code" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.asNeeded[x]:asNeededBoolean">
      <path value="MedicationStatement.dosage.asNeededBoolean" />
      <sliceName value="asNeededBoolean" />
      <short value="Bedarfs- oder Dauermedikation" />
      <type>
        <code value="boolean" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:freitext.site">
      <path value="MedicationStatement.dosage.site" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.route">
      <path value="MedicationStatement.dosage.route" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.method">
      <path value="MedicationStatement.dosage.method" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.dose[x]">
      <path value="MedicationStatement.dosage.dose[x]" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.maxDosePerPeriod">
      <path value="MedicationStatement.dosage.maxDosePerPeriod" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.maxDosePerAdministration:SimpleQuantity">
      <path value="MedicationStatement.dosage.maxDosePerAdministration" />
      <sliceName value="SimpleQuantity" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.maxDosePerLifetime:SimpleQuantity">
      <path value="MedicationStatement.dosage.maxDosePerLifetime" />
      <sliceName value="SimpleQuantity" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:freitext.rate[x]">
      <path value="MedicationStatement.dosage.rate[x]" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert">
      <path value="MedicationStatement.dosage" />
      <sliceName value="kodiert" />
      <max value="4" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.sequence">
      <path value="MedicationStatement.dosage.sequence" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.text">
      <path value="MedicationStatement.dosage.text" />
      <short value="Freitextdosierung (@t)" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.additionalInstruction">
      <path value="MedicationStatement.dosage.additionalInstruction" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.patientInstruction">
      <path value="MedicationStatement.dosage.patientInstruction" />
      <short value="Hinweise/Instruktionen an den Patienten für die Einnahme (@i)" />
      <definition value="Hinweise/Instruktionen an den Patienten für die Einnahme, zum Beispiel &quot;morgens nüchtern 30 min vor dem Frühstück&quot;" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing">
      <path value="MedicationStatement.dosage.timing" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing.event">
      <path value="MedicationStatement.dosage.timing.event" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing.repeat">
      <path value="MedicationStatement.dosage.timing.repeat" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing.code">
      <path value="MedicationStatement.dosage.timing.code" />
      <short value="Einnahmezeitpunkt CM|CD|CV|HS (@m|@d|@v|@h)" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="TimingAbbreviation" />
        </extension>
        <strength value="required" />
        <valueSetUri value="http://fhir.de/ValueSet/medikationsplanplus/einnahmezeitpunkte" />
      </binding>
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing.code.coding">
      <path value="MedicationStatement.dosage.timing.code.coding" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing.code.coding.system">
      <path value="MedicationStatement.dosage.timing.code.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.timing.code.coding.code">
      <path value="MedicationStatement.dosage.timing.code.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.asNeeded[x]">
      <path value="MedicationStatement.dosage.asNeeded[x]" />
      <short value="Bedarfsmedikation" />
      <comment value="Muss als dosage.timing.code.text im Slice &quot;freitext&quot; angegeben werden" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.site">
      <path value="MedicationStatement.dosage.site" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.route">
      <path value="MedicationStatement.dosage.route" />
      <max value="0" />
      <mustSupport value="false" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RouteOfAdministration" />
        </extension>
        <strength value="example" />
        <valueSetUri value="http://hl7.org/fhir/ValueSet/route-codes" />
      </binding>
    </element>
    <element id="MedicationStatement.dosage:kodiert.route.coding">
      <path value="MedicationStatement.dosage.route.coding" />
      <binding>
        <strength value="required" />
        <valueSetUri value="urn:oid: 2.16.840.1.113883.2.6.60.4.11.26" />
      </binding>
    </element>
    <element id="MedicationStatement.dosage:kodiert.route.coding.system">
      <path value="MedicationStatement.dosage.route.coding.system" />
      <min value="1" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.route.coding.code">
      <path value="MedicationStatement.dosage.route.coding.code" />
      <min value="1" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.method">
      <path value="MedicationStatement.dosage.method" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.doseQuantity:doseQuantity">
      <path value="MedicationStatement.dosage.doseQuantity" />
      <sliceName value="doseQuantity" />
      <short value="Dosiereinheit kodiert (@du)" />
      <comment value="ToDo: Slicing einfügen und DoseRange profilieren" />
      <min value="1" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
      </type>
      <example>
        <label value="1 Stück" />
        <valueQuantity>
          <value value="1" />
          <unit value="Stück" />
        </valueQuantity>
      </example>
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.doseQuantity:doseQuantity.value">
      <path value="MedicationStatement.dosage.doseQuantity.value" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.doseQuantity:doseQuantity.unit">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="MedicationStatement.dosage.doseQuantity.unit" />
      <definition value="Menschenlesbare repräsentation der Dosierungseinheit oder Freitext für die Dosierung" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.doseQuantity:doseQuantity.system">
      <path value="MedicationStatement.dosage.doseQuantity.system" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.doseQuantity:doseQuantity.code">
      <path value="MedicationStatement.dosage.doseQuantity.code" />
      <mustSupport value="true" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.maxDosePerPeriod">
      <path value="MedicationStatement.dosage.maxDosePerPeriod" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.maxDosePerAdministration:SimpleQuantity">
      <path value="MedicationStatement.dosage.maxDosePerAdministration" />
      <sliceName value="SimpleQuantity" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.maxDosePerLifetime:SimpleQuantity">
      <path value="MedicationStatement.dosage.maxDosePerLifetime" />
      <sliceName value="SimpleQuantity" />
      <max value="0" />
    </element>
    <element id="MedicationStatement.dosage:kodiert.rate[x]">
      <path value="MedicationStatement.dosage.rate[x]" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>