{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-AW-Rezept-Prescription",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Rezept_Prescription",
  "version": "1.3.0",
  "name": "KBV_PR_AW_Rezept_Prescription",
  "status": "draft",
  "date": "2022-08-15",
  "publisher": "Kassenärztliche Bundesvereinigung",
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      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "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"
    }
  ],
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  "abstract": false,
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  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
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      {
        "id": "MedicationRequest",
        "path": "MedicationRequest",
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          {
            "key": "-erp-begrenzungDate",
            "severity": "error",
            "human": "Begrenzung der Datumsangabe auf 10 Zeichen JJJJ-MM-TT",
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            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription"
          }
        ]
      },
      {
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        "path": "MedicationRequest.id",
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        "mustSupport": true
      },
      {
        "id": "MedicationRequest.meta",
        "path": "MedicationRequest.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.meta.source",
        "path": "MedicationRequest.meta.source",
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      },
      {
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      {
        "id": "MedicationRequest.meta.security",
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        "id": "MedicationRequest.meta.tag",
        "path": "MedicationRequest.meta.tag",
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      {
        "id": "MedicationRequest.language",
        "path": "MedicationRequest.language",
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        "id": "MedicationRequest.contained",
        "path": "MedicationRequest.contained",
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          {
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        "id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]",
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        "binding": {
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        }
      },
      {
        "id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding.system",
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        "mustSupport": true
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        ],
        "mustSupport": true
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      {
        "id": "MedicationRequest.extension:Notdienstgebuehr.value[x]",
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      {
        "id": "MedicationRequest.extension:Notdienstgebuehr.value[x]:valueBoolean",
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      {
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      {
        "id": "MedicationRequest.extension:BVG.value[x]:valueBoolean",
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        "id": "MedicationRequest.extension:Unfallinformationen",
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        "max": "1",
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          {
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              "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident|1.1.0"
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          }
        ],
        "mustSupport": true
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      {
        "id": "MedicationRequest.extension:Unfallinformationen.extension",
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      {
        "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen",
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        "sliceName": "Unfallkennzeichen",
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        "mustSupport": true
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      {
        "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]",
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        "mustSupport": true
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      {
        "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding",
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        }
      },
      {
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        "mustSupport": true
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      {
        "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.code",
        "path": "MedicationRequest.extension.extension.value[x].code",
        "mustSupport": true
      },
      {
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        "mustSupport": true
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      {
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        "mustSupport": true
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      {
        "id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]:valueString",
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        "mustSupport": true
      },
      {
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        "mustSupport": true
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        "mustSupport": true
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      {
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        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.extension:Rechtsgrundlage",
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        "type": [
          {
            "code": "Extension",
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        ],
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      {
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          }
        ],
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        "id": "MedicationRequest.extension:Rezepttyp.value[x]:valueCodeableConcept",
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        "mustSupport": true
      },
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        "mustSupport": true
      },
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      },
      {
        "id": "MedicationRequest.extension:Rezepttyp.value[x]:valueCodeableConcept.coding.userSelected",
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      },
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        "id": "MedicationRequest.extension:T-Rezept-Ankreuzfelder.extension:Sicherheitsbestimmungen",
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        "mustSupport": true
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      {
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      },
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        "mustSupport": true
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      {
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        "mustSupport": true
      },
      {
        "id": "MedicationRequest.extension:T-Rezept-Ankreuzfelder.extension:In-Label",
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        "mustSupport": true
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      {
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        "mustSupport": true
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      {
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      {
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        "path": "MedicationRequest.medication[x].reference",
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      {
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        "mustSupport": true
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      {
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      {
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      {
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        "mustSupport": true
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "definition": "Verweis auf die PractitionerRole. Beinhaltet somit Informationen zu Betriebsstätte und behandelnder Person und ggfs. die ASV-Teamnummer in ASV-Fällen.",
        "type": [
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        "mustSupport": true
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      {
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        "path": "MedicationRequest.requester.identifier",
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      {
        "id": "MedicationRequest.requester.display",
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      {
        "id": "MedicationRequest.performer",
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      {
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      {
        "id": "MedicationRequest.recorder",
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      {
        "id": "MedicationRequest.reasonCode",
        "path": "MedicationRequest.reasonCode",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "max": "0"
      },
      {
        "id": "MedicationRequest.instantiatesCanonical",
        "path": "MedicationRequest.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "MedicationRequest.instantiatesUri",
        "path": "MedicationRequest.instantiatesUri",
        "max": "0"
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier",
        "path": "MedicationRequest.groupIdentifier",
        "short": "Rezept-Gruppierung",
        "definition": "Ein Identifikator, der zur Gruppierung von MedicationRequest-Ressourcen verwendet wird, welche auf einem Papier-Rezept zusammen gedruckt werden. Papiergebundene Verordnungen, die zusammen auf einem Rezeptformular gedruckt werden, besitzen den gleichen groupIdentifier. Wird jede papiergebundene Verordnung auf einem eigenen Rezeptformular gedruckt, so besitzen alle MedicationRequest-Ressourcen verschiedene groupIdentifier.",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.groupIdentifier.use",
        "path": "MedicationRequest.groupIdentifier.use",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier.type",
        "path": "MedicationRequest.groupIdentifier.type",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier.system",
        "path": "MedicationRequest.groupIdentifier.system",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier.value",
        "path": "MedicationRequest.groupIdentifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.groupIdentifier.period",
        "path": "MedicationRequest.groupIdentifier.period",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier.assigner",
        "path": "MedicationRequest.groupIdentifier.assigner",
        "max": "0"
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "max": "0"
      },
      {
        "id": "MedicationRequest.insurance",
        "path": "MedicationRequest.insurance",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.3.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.insurance.reference",
        "path": "MedicationRequest.insurance.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.insurance.type",
        "path": "MedicationRequest.insurance.type",
        "max": "0"
      },
      {
        "id": "MedicationRequest.insurance.identifier",
        "path": "MedicationRequest.insurance.identifier",
        "max": "0"
      },
      {
        "id": "MedicationRequest.insurance.display",
        "path": "MedicationRequest.insurance.display",
        "max": "0"
      },
      {
        "id": "MedicationRequest.note",
        "path": "MedicationRequest.note",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.note.author[x]",
        "path": "MedicationRequest.note.author[x]",
        "max": "0"
      },
      {
        "id": "MedicationRequest.note.time",
        "path": "MedicationRequest.note.time",
        "max": "0"
      },
      {
        "id": "MedicationRequest.note.text",
        "path": "MedicationRequest.note.text",
        "short": "Abgabehinweis",
        "definition": "Über die Dosierung hinausgehende Abgabehinweise an die Apotheke",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension",
        "path": "MedicationRequest.dosageInstruction.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 0
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension:Dosierungskennzeichen",
        "path": "MedicationRequest.dosageInstruction.extension",
        "sliceName": "Dosierungskennzeichen",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag|1.1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension:Dosierungskennzeichen.value[x]",
        "path": "MedicationRequest.dosageInstruction.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension:Dosierungskennzeichen.value[x]:valueBoolean",
        "path": "MedicationRequest.dosageInstruction.extension.value[x]",
        "sliceName": "valueBoolean",
        "definition": "Abbildung, ob eine Dosierungsanweisung in der Verordung angegeben ist\r\n\r\ntrue - Dosierung gemäß Angaben in dieser Verordnung (dosageInstruction.text)\r\nfalse - Dosieranweisung/Medikationsplan mitgegeben",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.sequence",
        "path": "MedicationRequest.dosageInstruction.sequence",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.text",
        "path": "MedicationRequest.dosageInstruction.text",
        "short": "Dosieranweisung",
        "definition": "Dosieranweisung einer Verordnung",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.patientInstruction",
        "path": "MedicationRequest.dosageInstruction.patientInstruction",
        "short": "Gebrauchsanweisung einer Rezeptur",
        "definition": "Gebrauchsanweisung einer Rezeptur",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing",
        "path": "MedicationRequest.dosageInstruction.timing",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "path": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route",
        "path": "MedicationRequest.dosageInstruction.route",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.method",
        "path": "MedicationRequest.dosageInstruction.method",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate",
        "path": "MedicationRequest.dosageInstruction.doseAndRate",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerPeriod",
        "path": "MedicationRequest.dosageInstruction.maxDosePerPeriod",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerAdministration",
        "path": "MedicationRequest.dosageInstruction.maxDosePerAdministration",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "path": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill",
        "path": "MedicationRequest.dispenseRequest.initialFill",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest.dispenseInterval",
        "path": "MedicationRequest.dispenseRequest.dispenseInterval",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest.validityPeriod",
        "path": "MedicationRequest.dispenseRequest.validityPeriod",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
        "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity",
        "path": "MedicationRequest.dispenseRequest.quantity",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity.value",
        "path": "MedicationRequest.dispenseRequest.quantity.value",
        "short": "Anzahl der verordneten Packungen",
        "definition": "Anzahl der verordneten Packungen",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity.unit",
        "path": "MedicationRequest.dispenseRequest.quantity.unit",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity.system",
        "path": "MedicationRequest.dispenseRequest.quantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity.code",
        "path": "MedicationRequest.dispenseRequest.quantity.code",
        "min": 1,
        "fixedCode": "{Package}",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
        "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest.performer",
        "path": "MedicationRequest.dispenseRequest.performer",
        "max": "0"
      },
      {
        "id": "MedicationRequest.substitution",
        "path": "MedicationRequest.substitution",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.substitution.allowed[x]",
        "path": "MedicationRequest.substitution.allowed[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "closed"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.substitution.allowed[x]:allowedBoolean",
        "path": "MedicationRequest.substitution.allowed[x]",
        "sliceName": "allowedBoolean",
        "short": "Aut idem",
        "definition": "In diesem Feld wird angegeben, ob das Arzneimittel austauschbar ist oder nicht\r\n\r\ntrue:  aut idem möglich (austauschbar) = Kreuz auf Rezept ist NICHT gesetzt;\r\nfalse: aut idem ausgeschlossen (nicht austauschbar) = Kreuz auf Rezept ist gesetzt",
        "min": 1,
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.substitution.reason",
        "path": "MedicationRequest.substitution.reason",
        "max": "0"
      },
      {
        "id": "MedicationRequest.priorPrescription",
        "path": "MedicationRequest.priorPrescription",
        "max": "0"
      },
      {
        "id": "MedicationRequest.detectedIssue",
        "path": "MedicationRequest.detectedIssue",
        "max": "0"
      },
      {
        "id": "MedicationRequest.eventHistory",
        "path": "MedicationRequest.eventHistory",
        "max": "0"
      }
    ]
  }
}