multiple-prescription-extension
type: StructureDefinition
node role: treeRoot
id:
  v: multiple-prescription-extension
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition multiple-prescription-extension Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Extension 0..* Extension MultiplePrescription #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:indicator 0..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "indicator" #xD; value[x] 1..1 boolean Multiple Prescription Indicator #xD; extension:counter 0..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "counter" #xD; value[x] 1..1 Ratio Value of extension #xD; numerator 1..1 Quantity Numerator value #xD; value 1..1 decimal Multiple Prescription Counter #xD; comparator 0..0 < | <= | >= | > - how to understand the value #xD; unit 0..0 Unit representation #xD; system 0..0 System that defines coded unit form #xD; code 0..0 Coded form of the unit #xD; denominator 1..1 Quantity Denominator value #xD; value 1..1 decimal Denominator of Multiple Prescription Series #xD; comparator 0..0 < | <= | >= | > - how to understand the value #xD; unit 0..0 Unit representation #xD; system 0..0 System that defines coded unit form #xD; code 0..0 Coded form of the unit #xD; extension:period 0..1 Extension Zeitraum der Einlösefrist #xD; extension 0..0 Extension #xD; url 1..1 uri "period" #xD; value[x] <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( -limitationDateStart, -limitationDateEnd )">C 1..1 Period Value of extension Constraints: -limitationDateStart, -limitationDateEnd #xD; start 1..1 dateTime Start Date of the Prescription Redemption Period #xD; end 0..1 dateTime End Date…
url:
  v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
  l: multiple-prescription-extension
version:
  v: 1.3.0
name:
  v: MultiplePrescriptionExtension
title:
  v: MultiplePrescription
status:
  v: active
experimental:
  v: false
date:
  v: 2025-12-15
publisher:
  v: gematik GmbH
contact:
  name:
    v: gematik GmbH
  telecom:
    system:
      v: url
    value:
      v: https://www.gematik.de
  telecom:
    system:
      v: email
    value:
      v: patientteam [ at ] gematik.de
description:
  v: This FHIR Extension for multiple prescriptions adds details such as repetition count and time intervals for repeated medication orders to FHIR resources.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: DE
copyright:
  v: gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.
fhir version:
  v: 4.0.1
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      v: This FHIR Extension for multiple prescriptions adds details such as repetition count and time intervals for repeated medication orders to FHIR resources.
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comment:
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id:
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path:
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short:
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definition:
  v: Indicator of whether the current prescription is part of a multiple prescription true - the current prescription is part of a multiple prescription false - the current prescription is not part of a multiple prescription
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  v: identifies the meaning of the extension
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comment:
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id:
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path:
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short:
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definition:
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short:
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definition:
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comment:
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comment:
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constraint:
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mapping:
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mapping:
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mapping:
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mapping:
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  map:
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id:
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path:
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representation:
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short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
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max:
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base:
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type:
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      l: string
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is modifier:
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is summary:
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mapping:
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id:
  v: Extension.extension:counter.value[x].numerator.extension
path:
  v: Extension.extension.value[x].numerator.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:counter.value[x].numerator.value
path:
  v: Extension.extension.value[x].numerator.value
short:
  v: Multiple Prescription Counter
definition:
  v: The field serves to indicate which number in a series of multiple prescriptions it is. Example: "2" in "2 out of 4"
comment:
  v: The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
requirements:
  v: Precision is handled implicitly in almost all cases of measurement.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Quantity.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
    l: decimal
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: SN.2 / CQ - N/A
mapping:
  identity:
    v: rim
  map:
    v: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value

id:
  v: Extension.extension:counter.value[x].numerator.comparator
path:
  v: Extension.extension.value[x].numerator.comparator
short:
  v: < | <= | >= | > - how to understand the value
definition:
  v: How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
requirements:
  v: Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.comparator
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
meaning when missing:
  v: If there is no comparator, then there is no modification of the value
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: QuantityComparator
  strength:
    v: required
  description:
    v: How the Quantity should be understood and represented.
  value set:
    v: http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
    l: http://hl7.org/fhir/ValueSet/quantity-comparator
mapping:
  identity:
    v: v2
  map:
    v: SN.1 / CQ.1
mapping:
  identity:
    v: rim
  map:
    v: IVL properties

id:
  v: Extension.extension:counter.value[x].numerator.unit
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Extension.extension.value[x].numerator.unit
short:
  v: Unit representation
definition:
  v: A human-readable form of the unit.
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.unit
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: (see OBX.6 etc.) / CQ.2
mapping:
  identity:
    v: rim
  map:
    v: PQ.unit

id:
  v: Extension.extension:counter.value[x].numerator.system
path:
  v: Extension.extension.value[x].numerator.system
short:
  v: System that defines coded unit form
definition:
  v: The identification of the system that provides the coded form of the unit.
comment:
  v: see http://en.wikipedia.org/wiki/Uniform_resource_identifier
requirements:
  v: Need to know the system that defines the coded form of the unit.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: qty-3
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: (see OBX.6 etc.) / CQ.2
mapping:
  identity:
    v: rim
  map:
    v: CO.codeSystem, PQ.translation.codeSystem

id:
  v: Extension.extension:counter.value[x].numerator.code
path:
  v: Extension.extension.value[x].numerator.code
short:
  v: Coded form of the unit
definition:
  v: A computer processable form of the unit in some unit representation system.
comment:
  v: The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
requirements:
  v: Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: (see OBX.6 etc.) / CQ.2
mapping:
  identity:
    v: rim
  map:
    v: PQ.code, MO.currency, PQ.translation.code

id:
  v: Extension.extension:counter.value[x].denominator
path:
  v: Extension.extension.value[x].denominator
short:
  v: Denominator value
definition:
  v: The value of the denominator.
comment:
  v: The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Ratio.denominator
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: qty-3
  severity:
    v: error
  human:
    v: If a code for the unit is present, the system SHALL also be present
  expression:
    v: code.empty() or system.exists()
  xpath:
    v: not(exists(f:code)) or exists(f:system)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Quantity
    l: Quantity
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: SN (see also Range) or CQ
mapping:
  identity:
    v: rim
  map:
    v: PQ, IVL<PQ>, MO, CO, depending on the values
mapping:
  identity:
    v: rim
  map:
    v: .denominator

id:
  v: Extension.extension:counter.value[x].denominator.id
path:
  v: Extension.extension.value[x].denominator.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:counter.value[x].denominator.extension
path:
  v: Extension.extension.value[x].denominator.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:counter.value[x].denominator.value
path:
  v: Extension.extension.value[x].denominator.value
short:
  v: Denominator of Multiple Prescription Series
definition:
  v: The field serves to indicate the length of this series. Example: "4" in "2 out of 4"
comment:
  v: The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
requirements:
  v: Precision is handled implicitly in almost all cases of measurement.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Quantity.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
    l: decimal
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: SN.2 / CQ - N/A
mapping:
  identity:
    v: rim
  map:
    v: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value

id:
  v: Extension.extension:counter.value[x].denominator.comparator
path:
  v: Extension.extension.value[x].denominator.comparator
short:
  v: < | <= | >= | > - how to understand the value
definition:
  v: How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
requirements:
  v: Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.comparator
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
meaning when missing:
  v: If there is no comparator, then there is no modification of the value
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: QuantityComparator
  strength:
    v: required
  description:
    v: How the Quantity should be understood and represented.
  value set:
    v: http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
    l: http://hl7.org/fhir/ValueSet/quantity-comparator
mapping:
  identity:
    v: v2
  map:
    v: SN.1 / CQ.1
mapping:
  identity:
    v: rim
  map:
    v: IVL properties

id:
  v: Extension.extension:counter.value[x].denominator.unit
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Extension.extension.value[x].denominator.unit
short:
  v: Unit representation
definition:
  v: A human-readable form of the unit.
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.unit
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: (see OBX.6 etc.) / CQ.2
mapping:
  identity:
    v: rim
  map:
    v: PQ.unit

id:
  v: Extension.extension:counter.value[x].denominator.system
path:
  v: Extension.extension.value[x].denominator.system
short:
  v: System that defines coded unit form
definition:
  v: The identification of the system that provides the coded form of the unit.
comment:
  v: see http://en.wikipedia.org/wiki/Uniform_resource_identifier
requirements:
  v: Need to know the system that defines the coded form of the unit.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: qty-3
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: (see OBX.6 etc.) / CQ.2
mapping:
  identity:
    v: rim
  map:
    v: CO.codeSystem, PQ.translation.codeSystem

id:
  v: Extension.extension:counter.value[x].denominator.code
path:
  v: Extension.extension.value[x].denominator.code
short:
  v: Coded form of the unit
definition:
  v: A computer processable form of the unit in some unit representation system.
comment:
  v: The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
requirements:
  v: Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Quantity.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: (see OBX.6 etc.) / CQ.2
mapping:
  identity:
    v: rim
  map:
    v: PQ.code, MO.currency, PQ.translation.code

id:
  v: Extension.extension:period
path:
  v: Extension.extension
slice name:
  v: period
short:
  v: Zeitraum der Einlösefrist
definition:
  v: An Extension
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:period.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:period.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:period.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: period
  l: period
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:period.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: -limitationDateStart
  severity:
    v: error
  human:
    v: Limitation of the date format to 10 characters YYYY-MM-DD
  expression:
    v: start.toString().length()=10
  source:
    v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
    l: multiple-prescription-extension
constraint:
  key:
    v: -limitationDateEnd
  severity:
    v: error
  human:
    v: Limitation of the date format to 10 characters YYYY-MM-DD
  expression:
    v: end.exists().not() or end.toString().length()=10
  source:
    v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
    l: multiple-prescription-extension
is modifier:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:period.value[x].id
path:
  v: Extension.extension.value[x].id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:period.value[x].extension
path:
  v: Extension.extension.value[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:period.value[x].start
path:
  v: Extension.extension.value[x].start
short:
  v: Start Date of the Prescription Redemption Period
definition:
  v: Date from which the partial prescription of the multiple prescription can be redeemed
comment:
  v: If the low element is missing, the meaning is that the low boundary is not known.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Period.start
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
condition:
  v: per-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: DR.1
mapping:
  identity:
    v: rim
  map:
    v: ./low

id:
  v: Extension.extension:period.value[x].end
path:
  v: Extension.extension.value[x].end
short:
  v: End Date of the Prescription Redemption Period
definition:
  v: Date of the last redemption day for the partial prescription within the multiple prescription series. The issuer may specify a redemption period different from the one outlined in the Medicinal Products Prescription Ordinance (AMVV)
comment:
  v: The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Period.end
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
meaning when missing:
  v: If the end of the period is missing, it means that the period is ongoing
condition:
  v: per-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: DR.2
mapping:
  identity:
    v: rim
  map:
    v: ./high

id:
  v: Extension.extension:id
path:
  v: Extension.extension
slice name:
  v: id
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:id.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:id.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:id.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: id
  l: id
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:id.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:id.value[x].id
path:
  v: Extension.extension.value[x].id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:id.value[x].extension
path:
  v: Extension.extension.value[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:id.value[x].use
path:
  v: Extension.extension.value[x].use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Extension.extension:id.value[x].type
path:
  v: Extension.extension.value[x].type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Extension.extension:id.value[x].system
path:
  v: Extension.extension.value[x].system
short:
  v: Specification as UUID
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: urn:ietf:rfc:3986
  l: 3986
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: Extension.extension:id.value[x].value
path:
  v: Extension.extension.value[x].value
short:
  v: Multiple Prescription ID
definition:
  v: A unique ID that is identical across all partial prescriptions of a multiple prescription.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: Extension.extension:id.value[x].period
path:
  v: Extension.extension.value[x].period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Extension.extension:id.value[x].assigner
path:
  v: Extension.extension.value[x].assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Organization
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: Extension.url
path:
  v: Extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
  l: multiple-prescription-extension
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
type:
  code:
    v: boolean
    l: boolean
type:
  code:
    v: canonical
    l: canonical
type:
  code:
    v: code
    l: code
type:
  code:
    v: date
    l: date
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: decimal
    l: decimal
type:
  code:
    v: id
    l: id
type:
  code:
    v: instant
    l: instant
type:
  code:
    v: integer
    l: integer
type:
  code:
    v: markdown
    l: markdown
type:
  code:
    v: oid
    l: oid
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
type:
  code:
    v: time
    l: time
type:
  code:
    v: unsignedInt
    l: unsignedInt
type:
  code:
    v: uri
    l: uri
type:
  code:
    v: url
    l: url
type:
  code:
    v: uuid
    l: uuid
type:
  code:
    v: Address
    l: Address
type:
  code:
    v: Age
    l: Age
type:
  code:
    v: Annotation
    l: Annotation
type:
  code:
    v: Attachment
    l: Attachment
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Coding
    l: Coding
type:
  code:
    v: ContactPoint
    l: ContactPoint
type:
  code:
    v: Count
    l: Count
type:
  code:
    v: Distance
    l: Distance
type:
  code:
    v: Duration
    l: Duration
type:
  code:
    v: HumanName
    l: HumanName
type:
  code:
    v: Identifier
    l: Identifier
type:
  code:
    v: Money
    l: Money
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: Quantity
    l: Quantity
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: Ratio
    l: Ratio
type:
  code:
    v: Reference
    l: Reference
type:
  code:
    v: SampledData
    l: SampledData
type:
  code:
    v: Signature
    l: Signature
type:
  code:
    v: Timing
    l: Timing
type:
  code:
    v: ContactDetail
    l: ContactDetail
type:
  code:
    v: Contributor
    l: Contributor
type:
  code:
    v: DataRequirement
    l: DataRequirement
type:
  code:
    v: Expression
    l: Expression
type:
  code:
    v: ParameterDefinition
    l: ParameterDefinition
type:
  code:
    v: RelatedArtifact
    l: RelatedArtifact

code:
  v: TriggerDefinition
  l: TriggerDefinition

code:
  v: UsageContext
  l: UsageContext

code:
  v: Dosage
  l: Dosage

code:
  v: Meta
  l: Meta

v: ele-1

key:
  v: ele-1
severity:
  v: error
human:
  v: All FHIR elements must have a @value or children
expression:
  v: hasValue() or (children().count() > id.count())
xpath:
  v: @value|f:*|h:div
source:
  v: http://hl7.org/fhir/StructureDefinition/Element
  l: Element

v: false

identity:
  v: rim
map:
  v: n/a

identity:
  v: rim
map:
  v: N/A

element:
  id:
    v: Extension
  path:
    v: Extension
  short:
    v: MultiplePrescription
  definition:
    v: This FHIR Extension for multiple prescriptions adds details such as repetition count and time intervals for repeated medication orders to FHIR resources.
element:
  id:
    v: Extension.extension
  path:
    v: Extension.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    description:
      v: Extensions are always sliced by (at least) url
    rules:
      v: closed
element:
  id:
    v: Extension.extension:indicator
  path:
    v: Extension.extension
  slice name:
    v: indicator
  min:
    v: 0
  max:
    v: 1
element:
  id:
    v: Extension.extension:indicator.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:indicator.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: indicator
    l: indicator
element:
  id:
    v: Extension.extension:indicator.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: Multiple Prescription Indicator
  definition:
    v: Indicator of whether the current prescription is part of a multiple prescription true - the current prescription is part of a multiple prescription false - the current prescription is not part of a multiple prescription
  min:
    v: 1
  type:
    code:
      v: boolean
      l: boolean
element:
  id:
    v: Extension.extension:counter
  path:
    v: Extension.extension
  slice name:
    v: counter
  min:
    v: 0
  max:
    v: 1
element:
  id:
    v: Extension.extension:counter.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: counter
    l: counter
element:
  id:
    v: Extension.extension:counter.value[x]
  path:
    v: Extension.extension.value[x]
  min:
    v: 1
  type:
    code:
      v: Ratio
      l: Ratio
element:
  id:
    v: Extension.extension:counter.value[x].numerator
  path:
    v: Extension.extension.value[x].numerator
  min:
    v: 1
element:
  id:
    v: Extension.extension:counter.value[x].numerator.value
  path:
    v: Extension.extension.value[x].numerator.value
  short:
    v: Multiple Prescription Counter
  definition:
    v: The field serves to indicate which number in a series of multiple prescriptions it is. Example: "2" in "2 out of 4"
  min:
    v: 1
element:
  id:
    v: Extension.extension:counter.value[x].numerator.comparator
  path:
    v: Extension.extension.value[x].numerator.comparator
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].numerator.unit
  path:
    v: Extension.extension.value[x].numerator.unit
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].numerator.system
  path:
    v: Extension.extension.value[x].numerator.system
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].numerator.code
  path:
    v: Extension.extension.value[x].numerator.code
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].denominator
  path:
    v: Extension.extension.value[x].denominator
  min:
    v: 1
element:
  id:
    v: Extension.extension:counter.value[x].denominator.value
  path:
    v: Extension.extension.value[x].denominator.value
  short:
    v: Denominator of Multiple Prescription Series
  definition:
    v: The field serves to indicate the length of this series. Example: "4" in "2 out of 4"
  min:
    v: 1
element:
  id:
    v: Extension.extension:counter.value[x].denominator.comparator
  path:
    v: Extension.extension.value[x].denominator.comparator
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].denominator.unit
  path:
    v: Extension.extension.value[x].denominator.unit
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].denominator.system
  path:
    v: Extension.extension.value[x].denominator.system
  max:
    v: 0
element:
  id:
    v: Extension.extension:counter.value[x].denominator.code
  path:
    v: Extension.extension.value[x].denominator.code
  max:
    v: 0
element:
  id:
    v: Extension.extension:period
  path:
    v: Extension.extension
  slice name:
    v: period

v: Zeitraum der Einlösefrist

v: 0

v: 1

id:
  v: Extension.extension:period.extension
path:
  v: Extension.extension.extension
max:
  v: 0

id:
  v: Extension.extension:period.url
path:
  v: Extension.extension.url
fixed: Uri
  v: period
  l: period

id:
  v: Extension.extension:period.value[x]
path:
  v: Extension.extension.value[x]
min:
  v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: -limitationDateStart
  severity:
    v: error
  human:
    v: Limitation of the date format to 10 characters YYYY-MM-DD
  expression:
    v: start.toString().length()=10
  source:
    v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
    l: multiple-prescription-extension
constraint:
  key:
    v: -limitationDateEnd
  severity:
    v: error
  human:
    v: Limitation of the date format to 10 characters YYYY-MM-DD
  expression:
    v: end.exists().not() or end.toString().length()=10
  source:
    v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
    l: multiple-prescription-extension

id:
  v: Extension.extension:period.value[x].start
path:
  v: Extension.extension.value[x].start
short:
  v: Start Date of the Prescription Redemption Period
definition:
  v: Date from which the partial prescription of the multiple prescription can be redeemed
min:
  v: 1

id:
  v: Extension.extension:period.value[x].end
path:
  v: Extension.extension.value[x].end
short:
  v: End Date of the Prescription Redemption Period
definition:
  v: Date of the last redemption day for the partial prescription within the multiple prescription series. The issuer may specify a redemption period different from the one outlined in the Medicinal Products Prescription Ordinance (AMVV)

id:
  v: Extension.extension:id
path:
  v: Extension.extension
slice name:
  v: id
min:
  v: 0
max:
  v: 1

id:
  v: Extension.extension:id.extension
path:
  v: Extension.extension.extension
max:
  v: 0

id:
  v: Extension.extension:id.url
path:
  v: Extension.extension.url
fixed: Uri
  v: id
  l: id

id:
  v: Extension.extension:id.value[x]
path:
  v: Extension.extension.value[x]
min:
  v: 1
type:
  code:
    v: Identifier
    l: Identifier

id:
  v: Extension.extension:id.value[x].use
path:
  v: Extension.extension.value[x].use
max:
  v: 0

id:
  v: Extension.extension:id.value[x].type
path:
  v: Extension.extension.value[x].type
max:
  v: 0

id:
  v: Extension.extension:id.value[x].system
path:
  v: Extension.extension.value[x].system
short:
  v: Specification as UUID
fixed: Uri
  v: urn:ietf:rfc:3986
  l: 3986

id:
  v: Extension.extension:id.value[x].value
path:
  v: Extension.extension.value[x].value
short:
  v: Multiple Prescription ID
definition:
  v: A unique ID that is identical across all partial prescriptions of a multiple prescription.

id:
  v: Extension.extension:id.value[x].period
path:
  v: Extension.extension.value[x].period
max:
  v: 0

id:
  v: Extension.extension:id.value[x].assigner
path:
  v: Extension.extension.value[x].assigner
max:
  v: 0

id:
  v: Extension.url
path:
  v: Extension.url
fixed: Uri
  v: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
  l: multiple-prescription-extension

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
max:
  v: 0