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Resource Profile: E-T-Rezept Medication Request

Informationen zu einer Verordnung, die ein Arzt im E-T-Rezept angegeben hat.

Usages:

• Use this Profile: Digitaler Durchschlag T-Rezept
• Examples for this Profile: MedicationRequest/ExampleMedicationRequest-T

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:T-Rezept	S	1..1	(Complex)	Teratogene Arzneimittel URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic Constraints: ext-1
Slices for extension		5..5	Extension	Additional content defined by implementations Slice: Unordered, Closed by value:url
extension:Off-Label		1..1	Extension	Additional content defined by implementations
extension		0..0
url		1..1	uri	"Off-Label"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Off-Label
extension:GebaerfaehigeFrau		1..1	Extension	Additional content defined by implementations
extension		0..0
url		1..1	uri	"GebaerfaehigeFrau"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Gebärfähige Frau
extension:EinhaltungSicherheitsmassnahmen	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue
extension		0..0
url		1..1	uri	"EinhaltungSicherheitsmassnahmen"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Einhaltung Sicherheitsmaßnahmen
extension:AushaendigungInformationsmaterialien	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue
extension		0..0
url		1..1	uri	"AushaendigungInformationsmaterialien"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Aushändigung Informationsmaterialien
extension:ErklaerungSachkenntnis	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptErklaerungSachkenntnisTrue
extension		0..0
url		1..1	uri	"ErklaerungSachkenntnis"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Erklärung Sachkenntnis
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	Σ	1..1	Reference(Patient | Group)	Who or group medication request is for
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataAbsentReason		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: not-permitted
authoredOn	SΣ	0..1	dateTime	When request was initially authored
dosageInstruction	S	0..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.subject.extension:dataAbsentReason.value[x]	required	Pattern Value: not-permitted http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
-erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue	error	MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien	Bei einem T-Rezept muss die Aushändigung der Informationsmaterialien mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue	error	MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen	Bei einem T-Rezept muss die Einhaltung der Sicherheitsmaßnahmen mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptErklaerungSachkenntnisTrue	error	MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis	Bei einem T-Rezept muss die Erklärung der Sachkenntnis mit true bestätigt werden. : ($this.value as boolean)=true
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			MedicationRequest
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:T-Rezept	S	1..1	(Complex)	Teratogene Arzneimittel URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic
url		1..1	uri	identifies the meaning of the extension via identifying url
identifier		0..0
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Fixed Value: completed
statusReason		0..0
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
category		0..0
priority		0..0
doNotPerform		0..0
reported[x]		0..0
medication[x]	S	1..1	Reference(Medication)	Medication to be taken
subject
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: not-permitted
reference		0..0
type		0..0
identifier		0..0
display		0..0
encounter		0..0
supportingInformation		0..0
authoredOn	S	0..1	dateTime	When request was initially authored
requester		0..0
performer		0..0
performerType		0..0
recorder		0..0
reasonCode		0..0
reasonReference		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
groupIdentifier		0..0
courseOfTherapyType		0..0
insurance		0..0
note		0..0
dosageInstruction	S	0..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
initialFill		0..0
dispenseInterval		0..0
validityPeriod		0..0
numberOfRepeatsAllowed		0..0
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
performer		0..0
substitution		0..0
priorPrescription		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:T-Rezept	S	1..1	(Complex)	Teratogene Arzneimittel URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		5..5	Extension	Additional content defined by implementations Slice: Unordered, Closed by value:url
extension:Off-Label		1..1	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Off-Label"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Off-Label
extension:GebaerfaehigeFrau		1..1	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"GebaerfaehigeFrau"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Gebärfähige Frau
extension:EinhaltungSicherheitsmassnahmen	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"EinhaltungSicherheitsmassnahmen"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Einhaltung Sicherheitsmaßnahmen
extension:AushaendigungInformationsmaterialien	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"AushaendigungInformationsmaterialien"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Aushändigung Informationsmaterialien
extension:ErklaerungSachkenntnis	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptErklaerungSachkenntnisTrue
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"ErklaerungSachkenntnis"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Erklärung Sachkenntnis
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	Σ	1..1	Reference(Patient | Group)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataAbsentReason		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: not-permitted
authoredOn	SΣ	0..1	dateTime	When request was initially authored
dosageInstruction	S	0..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.subject.extension:dataAbsentReason.value[x]	required	Pattern Value: not-permitted http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
-erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue	error	MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien	Bei einem T-Rezept muss die Aushändigung der Informationsmaterialien mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue	error	MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen	Bei einem T-Rezept muss die Einhaltung der Sicherheitsmaßnahmen mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptErklaerungSachkenntnisTrue	error	MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis	Bei einem T-Rezept muss die Erklärung der Sachkenntnis mit true bestätigt werden. : ($this.value as boolean)=true
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements
Must-Support: 8 elements
Fixed: 2 elements
Prohibited: 34 elements

Extensions

This structure refers to these extensions:

• https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:T-Rezept	S	1..1	(Complex)	Teratogene Arzneimittel URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic Constraints: ext-1
Slices for extension		5..5	Extension	Additional content defined by implementations Slice: Unordered, Closed by value:url
extension:Off-Label		1..1	Extension	Additional content defined by implementations
extension		0..0
url		1..1	uri	"Off-Label"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Off-Label
extension:GebaerfaehigeFrau		1..1	Extension	Additional content defined by implementations
extension		0..0
url		1..1	uri	"GebaerfaehigeFrau"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Gebärfähige Frau
extension:EinhaltungSicherheitsmassnahmen	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue
extension		0..0
url		1..1	uri	"EinhaltungSicherheitsmassnahmen"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Einhaltung Sicherheitsmaßnahmen
extension:AushaendigungInformationsmaterialien	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue
extension		0..0
url		1..1	uri	"AushaendigungInformationsmaterialien"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Aushändigung Informationsmaterialien
extension:ErklaerungSachkenntnis	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptErklaerungSachkenntnisTrue
extension		0..0
url		1..1	uri	"ErklaerungSachkenntnis"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Erklärung Sachkenntnis
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	Σ	1..1	Reference(Patient | Group)	Who or group medication request is for
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataAbsentReason		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: not-permitted
authoredOn	SΣ	0..1	dateTime	When request was initially authored
dosageInstruction	S	0..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.subject.extension:dataAbsentReason.value[x]	required	Pattern Value: not-permitted http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
-erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue	error	MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien	Bei einem T-Rezept muss die Aushändigung der Informationsmaterialien mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue	error	MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen	Bei einem T-Rezept muss die Einhaltung der Sicherheitsmaßnahmen mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptErklaerungSachkenntnisTrue	error	MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis	Bei einem T-Rezept muss die Erklärung der Sachkenntnis mit true bestätigt werden. : ($this.value as boolean)=true
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			MedicationRequest
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:T-Rezept	S	1..1	(Complex)	Teratogene Arzneimittel URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic
url		1..1	uri	identifies the meaning of the extension via identifying url
identifier		0..0
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Fixed Value: completed
statusReason		0..0
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
category		0..0
priority		0..0
doNotPerform		0..0
reported[x]		0..0
medication[x]	S	1..1	Reference(Medication)	Medication to be taken
subject
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: not-permitted
reference		0..0
type		0..0
identifier		0..0
display		0..0
encounter		0..0
supportingInformation		0..0
authoredOn	S	0..1	dateTime	When request was initially authored
requester		0..0
performer		0..0
performerType		0..0
recorder		0..0
reasonCode		0..0
reasonReference		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
groupIdentifier		0..0
courseOfTherapyType		0..0
insurance		0..0
note		0..0
dosageInstruction	S	0..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
initialFill		0..0
dispenseInterval		0..0
validityPeriod		0..0
numberOfRepeatsAllowed		0..0
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
performer		0..0
substitution		0..0
priorPrescription		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:T-Rezept	S	1..1	(Complex)	Teratogene Arzneimittel URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		5..5	Extension	Additional content defined by implementations Slice: Unordered, Closed by value:url
extension:Off-Label		1..1	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Off-Label"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Off-Label
extension:GebaerfaehigeFrau		1..1	Extension	Additional content defined by implementations
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"GebaerfaehigeFrau"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Gebärfähige Frau
extension:EinhaltungSicherheitsmassnahmen	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"EinhaltungSicherheitsmassnahmen"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Einhaltung Sicherheitsmaßnahmen
extension:AushaendigungInformationsmaterialien	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"AushaendigungInformationsmaterialien"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Aushändigung Informationsmaterialien
extension:ErklaerungSachkenntnis	C	1..1	Extension	Additional content defined by implementations Constraints: -erp-angabeT-RezeptErklaerungSachkenntnisTrue
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"ErklaerungSachkenntnis"
Slices for value[x]		1..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		1..1	boolean	Erklärung Sachkenntnis
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	Σ	1..1	Reference(Patient | Group)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataAbsentReason		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: not-permitted
authoredOn	SΣ	0..1	dateTime	When request was initially authored
dosageInstruction	S	0..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.subject.extension:dataAbsentReason.value[x]	required	Pattern Value: not-permitted http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
-erp-angabeT-RezeptAushaendigungInformationsmaterialienTrue	error	MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien	Bei einem T-Rezept muss die Aushändigung der Informationsmaterialien mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptEinhaltungSicherheitsmassnahmenTrue	error	MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen	Bei einem T-Rezept muss die Einhaltung der Sicherheitsmaßnahmen mit true bestätigt werden. : ($this.value as boolean)=true
-erp-angabeT-RezeptErklaerungSachkenntnisTrue	error	MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis	Bei einem T-Rezept muss die Erklärung der Sachkenntnis mit true bestätigt werden. : ($this.value as boolean)=true
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements
Must-Support: 8 elements
Fixed: 2 elements
Prohibited: 34 elements

Extensions

This structure refers to these extensions:

• https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Other representations of profile: CSV, Excel, Schematron