| Active as of 2025-12-15 |
Definitions for the narcotics-extension extension.
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | Abbildung der Angaben zur Verordnung eines Betäubungsmittels im Sinne des Betäubungsmittelgesetzes (BtMG) Optional Extension Element - found in all resources. |
| Short | ExtensionOptional Extensions Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 2. Extension.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators: |
| 4. Extension.extension:narcotics-markings | |
| Slice Name | narcotics-markings |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 0..1* This element is affected by the following invariants: ele-1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 6. Extension.extension:narcotics-markings.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* This element is affected by the following invariants: ele-1 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 8. Extension.extension:narcotics-markings.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | narcotics-markings |
| 10. Extension.extension:narcotics-markings.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Extension.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. Extension.extension:narcotics-markings.value[x]:valueCoding | |
| Slice Name | valueCoding |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Comments | Die KBV aktualisiert ihr "Schüsseltabellen"-Paket häufiger, als neue ePA-Versionen veröffentlicht werden. Allerdings übernehmen die E-Rezept-Clients und der E-Rezept-Fachdienst neue KBV-Paketversionen schnell nach deren Veröffentlichung und geben sie somit an den ePA-MedicationService weiter. Da der MedicationService möglicherweise an eine ältere Version des KBV-Pakets gebunden ist, würde er die weitergeleiteten E-Rezept-Daten ablehnen. Zukünftig wird der MedicationService in der Lage sein, auf die neuesten KBV-Paketversionen zu aktualisieren, ohne dass eine neue ePA-Version erforderlich ist. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Binding | The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL) |
| Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. Extension.extension:narcotics-markings.value[x]:valueCoding.system | |
| Definition | The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Identity of the terminology system |
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. Extension.extension:narcotics-markings.value[x]:valueCoding.code | |
| Definition | Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
| Short | Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVVSymbol in syntax defined by the system |
| Control | 0..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. Extension.extension:additional-information-substitutes | |
| Slice Name | additional-information-substitutes |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 0..1* This element is affected by the following invariants: ele-1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 20. Extension.extension:additional-information-substitutes.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* This element is affected by the following invariants: ele-1 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. Extension.extension:additional-information-substitutes.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | additional-information-substitutes |
| 24. Extension.extension:additional-information-substitutes.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Extension.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 26. Extension.extension:additional-information-substitutes.value[x]:valueString | |
| Slice Name | valueString |
| Definition | Dieses Feld enthält ergänzende Angaben zu Reichdauer und Teilmengen des Substitutionsmittels, insbesondere Zeitpunkte, zu denen das Substitutionsmittel abgegeben bzw. verabreicht werden soll. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Ergänzende Angaben zu SubstitutionsmittelValue of extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension |
| 30. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..01 This element is affected by the following invariants: ele-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | Abbildung der Angaben zur Verordnung eines Betäubungsmittels im Sinne des Betäubungsmittelgesetzes (BtMG) |
| 2. Extension.extension | |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 4. Extension.extension:narcotics-markings | |
| Slice Name | narcotics-markings |
| Control | 0..1 |
| Must Support | true |
| 6. Extension.extension:narcotics-markings.extension | |
| Control | 0..0 |
| 8. Extension.extension:narcotics-markings.url | |
| Fixed Value | narcotics-markings |
| 10. Extension.extension:narcotics-markings.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| Slicing | This element introduces a set of slices on Extension.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. Extension.extension:narcotics-markings.value[x]:valueCoding | |
| Slice Name | valueCoding |
| Comments | Die KBV aktualisiert ihr "Schüsseltabellen"-Paket häufiger, als neue ePA-Versionen veröffentlicht werden. Allerdings übernehmen die E-Rezept-Clients und der E-Rezept-Fachdienst neue KBV-Paketversionen schnell nach deren Veröffentlichung und geben sie somit an den ePA-MedicationService weiter. Da der MedicationService möglicherweise an eine ältere Version des KBV-Pakets gebunden ist, würde er die weitergeleiteten E-Rezept-Daten ablehnen. Zukünftig wird der MedicationService in der Lage sein, auf die neuesten KBV-Paketversionen zu aktualisieren, ohne dass eine neue ePA-Version erforderlich ist. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL) |
| Type | Coding |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| Pattern Value | { |
| 14. Extension.extension:narcotics-markings.value[x]:valueCoding.system | |
| Must Support | true |
| 16. Extension.extension:narcotics-markings.value[x]:valueCoding.code | |
| Definition | Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV |
| Short | Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV |
| Must Support | true |
| 18. Extension.extension:additional-information-substitutes | |
| Slice Name | additional-information-substitutes |
| Control | 0..1 |
| Must Support | true |
| 20. Extension.extension:additional-information-substitutes.extension | |
| Control | 0..0 |
| 22. Extension.extension:additional-information-substitutes.url | |
| Fixed Value | additional-information-substitutes |
| 24. Extension.extension:additional-information-substitutes.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| Slicing | This element introduces a set of slices on Extension.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 26. Extension.extension:additional-information-substitutes.value[x]:valueString | |
| Slice Name | valueString |
| Definition | Dieses Feld enthält ergänzende Angaben zu Reichdauer und Teilmengen des Substitutionsmittels, insbesondere Zeitpunkte, zu denen das Substitutionsmittel abgegeben bzw. verabreicht werden soll. |
| Short | Ergänzende Angaben zu Substitutionsmittel |
| Control | 0..1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| 28. Extension.url | |
| Fixed Value | https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension |
| 30. Extension.value[x] | |
| Control | 0..0 |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | Abbildung der Angaben zur Verordnung eines Betäubungsmittels im Sinne des Betäubungsmittelgesetzes (BtMG) |
| Short | Extension |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 2. Extension.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 4. Extension.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 6. Extension.extension:narcotics-markings | |
| Slice Name | narcotics-markings |
| Definition | An Extension |
| Short | Extension |
| Control | 0..1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 8. Extension.extension:narcotics-markings.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 10. Extension.extension:narcotics-markings.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. Extension.extension:narcotics-markings.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | narcotics-markings |
| 14. Extension.extension:narcotics-markings.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Extension.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 16. Extension.extension:narcotics-markings.value[x]:valueCoding | |
| Slice Name | valueCoding |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Comments | Die KBV aktualisiert ihr "Schüsseltabellen"-Paket häufiger, als neue ePA-Versionen veröffentlicht werden. Allerdings übernehmen die E-Rezept-Clients und der E-Rezept-Fachdienst neue KBV-Paketversionen schnell nach deren Veröffentlichung und geben sie somit an den ePA-MedicationService weiter. Da der MedicationService möglicherweise an eine ältere Version des KBV-Pakets gebunden ist, würde er die weitergeleiteten E-Rezept-Daten ablehnen. Zukünftig wird der MedicationService in der Lage sein, auf die neuesten KBV-Paketversionen zu aktualisieren, ohne dass eine neue ePA-Version erforderlich ist. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Binding | The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL) |
| Type | Coding |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. Extension.extension:narcotics-markings.value[x]:valueCoding.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 20. Extension.extension:narcotics-markings.value[x]:valueCoding.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. Extension.extension:narcotics-markings.value[x]:valueCoding.system | |
| Definition | The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Identity of the terminology system |
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. Extension.extension:narcotics-markings.value[x]:valueCoding.version | |
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
| Short | Version of the system - if relevant |
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. Extension.extension:narcotics-markings.value[x]:valueCoding.code | |
| Definition | Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV |
| Short | Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV |
| Control | 0..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. Extension.extension:narcotics-markings.value[x]:valueCoding.display | |
| Definition | A representation of the meaning of the code in the system, following the rules of the system. |
| Short | Representation defined by the system |
| Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. Extension.extension:narcotics-markings.value[x]:valueCoding.userSelected | |
| Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
| Short | If this coding was chosen directly by the user |
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 32. Extension.extension:additional-information-substitutes | |
| Slice Name | additional-information-substitutes |
| Definition | An Extension |
| Short | Extension |
| Control | 0..1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 34. Extension.extension:additional-information-substitutes.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 36. Extension.extension:additional-information-substitutes.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 38. Extension.extension:additional-information-substitutes.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | additional-information-substitutes |
| 40. Extension.extension:additional-information-substitutes.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Extension.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. Extension.extension:additional-information-substitutes.value[x]:valueString | |
| Slice Name | valueString |
| Definition | Dieses Feld enthält ergänzende Angaben zu Reichdauer und Teilmengen des Substitutionsmittels, insbesondere Zeitpunkte, zu denen das Substitutionsmittel abgegeben bzw. verabreicht werden soll. |
| Short | Ergänzende Angaben zu Substitutionsmittel |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 44. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension |
| 46. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..0 This element is affected by the following invariants: ele-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |