Mapping

Folgende Tabellen geben eine grobe Darstellung der Mappings für dieses Profil:

Mapping von Gematik Medication

Titel: E-T-Rezept Structure Map for Medication

Beschreibung: Maps GEM ERP Medication to BfArM T-Prescription Medication format

Mapping von KBV PZN Medication

Titel: E-T-Rezept Structure Map for KBV PZN Medication

Beschreibung: Mapping-Anweisungen zur Transformation von KBV PZN-Medikamenten zu BfArM T-Prescription Format

Mapping von KBV Ingredient Medication

Titel: E-T-Rezept Structure Map for KBV Ingredient Medication

Beschreibung: Maps KBV-Ingredient ERP Medication to BfArM T-Prescription Medication format

Mapping von KBV FreeText Medication

Titel: E-T-Rezept Structure Map for KBV FreeText Medication

Beschreibung: Maps KBV FreeText Medication to BfArM T-Prescription Medication format

Mapping von KBV Compounding Medication

Titel: E-T-Rezept Structure Map for KBV Compounding Medication

Beschreibung: Mapping-Anweisungen zur Transformation von KBV Rezeptur-Medikamenten zu BfArM T-Prescription Format

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication	C	0..*	EPAMedication	Definition of a Medication Constraints: epa-med-1
contained	S	0..*	EPAMedicationPharmaceuticalProduct, EPAMedicationPZNIngredient	Enthaltene Medikationen
Slices for extension				Content/Rules for all slices
extension:normSizeCode	N	0..1	(Complex)	Package size according to N-designation URL: http://fhir.de/StructureDefinition/normgroesse
extension	N	0..0
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension"
value[x]	S	1..1	string	Packaging of a formulation. Max Length:90
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	0..1	CodeableConcept	Medication in coded form or as free text if necessary Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pzn	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:atc-de	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ask	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: TI Arzneimittel SNOMED CT ValueSet (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
form	S	0..1	CodeableConcept	Form of Dispensing Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:edqm	SΣ	0..*	Coding	Code defined by a terminology system Binding: Medicine Doseform - IPS (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: Value Set Darreichungsform SNOMED CT (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:kbvDarreichungsform	SΣ	0..*	Coding	Code defined by a terminology system Binding: KBV_VS_SFHIR_KBV_DARREICHUNGSFORM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
amount	SΣ	0..1	Ratio	Amount of drug in package
numerator	SΣ	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred)
Slices for extension				Content/Rules for all slices
extension:packagingSize		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension"
value[x]	S	1..1	string	Package size according to divided quantity Max Length:7
extension:totalQuantity		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension"
value[x]	S	1..1	string	Total quantity of the formulation. Max Length:7
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣ	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred)
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
ingredient	S	0..*	BackboneElement	Active or inactive ingredients of the medication, including pharmaceutical substances as well as individual medicinal products in combination packs.
Slices for extension				Content/Rules for all slices
extension:darreichungsform		0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]	S	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Encoded description of the substance or component.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:ask	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:atc-de	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: TI Substance SNOMED CT ValueSet (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:pzn	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
item[x]:itemReference	S	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
strength	S	0..1	Ratio	Strength
Slices for extension				Content/Rules for all slices
extension:amountText		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension"
value[x]	S	1..1	string	Free-text amount of an ingredient in a formulation. Max Length:20
numerator	SΣ	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣ	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.extension:drugCategory.value[x]	required	TIDrugCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs
Medication.extension:normSizeCode.value[x]	required	KBV_VS_SFHIR_KBV_NORMGROESSE https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.code.coding:snomed	extensible	Pattern Value: SNOMED-CT Code null https://gematik.de/fhir/terminology/ValueSet/ti-medication-snomed-ct-vs
Medication.form	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.form.coding:edqm	preferred	Pattern Value: null http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform From http://tx.hl7europe.eu/r4
Medication.form.coding:snomed	preferred	Pattern Value: SNOMED-CT Code null https://gematik.de/fhir/terminology/ValueSet/ti-medicine-form-snomed-ct-vs
Medication.form.coding:kbvDarreichungsform	required	Pattern Value: null https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM
Medication.amount.numerator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.amount.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Medication.amount.denominator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.amount.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed	preferred	Pattern Value: SNOMED-CT Code null https://gematik.de/fhir/terminology/ValueSet/ti-substance-snomed-ct-vs
Medication.ingredient.strength.numerator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.ingredient.strength.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Medication.ingredient.strength.denominator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.ingredient.strength.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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())
epa-med-1	error	Medication	Medication code, name, or ingredients must be specified : code.exists() or ingredient.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EPAMedication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication			EPAMedication
meta		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..*	EPAMedicationPharmaceuticalProduct, EPAMedicationPZNIngredient	Enthaltene Medikationen
Slices for extension				Content/Rules for all slices
extension:rxPrescriptionProcessIdentifier		0..0
extension:isVaccine		0..0
extension:drugCategory		0..0
extension:manufacturingInstructions		0..0
extension:type		0..0
identifier		0..0
Slices for identifier				Content/Rules for all slices
identifier:EPAMedicationUniqueIdentifier		0..0
identifier:RxOriginatorProcessIdentifier		0..0
status		0..0
manufacturer		0..0
batch		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication	C	0..*	EPAMedication	Definition of a Medication Constraints: epa-med-1
id	Σ	0..1	id	Logical id of this artifact
contained	S	0..*	EPAMedicationPharmaceuticalProduct, EPAMedicationPZNIngredient	Enthaltene Medikationen
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:normSizeCode	N	0..1	(Complex)	Package size according to N-designation URL: http://fhir.de/StructureDefinition/normgroesse
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension"
value[x]	S	1..1	string	Packaging of a formulation. Max Length:90
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	0..1	CodeableConcept	Medication in coded form or as free text if necessary Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:pzn	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atc-de	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ask	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: TI Arzneimittel SNOMED CT ValueSet (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
form	S	0..1	CodeableConcept	Form of Dispensing Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:edqm	SΣ	0..*	Coding	Code defined by a terminology system Binding: Medicine Doseform - IPS (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: Value Set Darreichungsform SNOMED CT (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:kbvDarreichungsform	SΣ	0..*	Coding	Code defined by a terminology system Binding: KBV_VS_SFHIR_KBV_DARREICHUNGSFORM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
amount	SΣ	0..1	Ratio	Amount of drug in package
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:packagingSize		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension"
value[x]	S	1..1	string	Package size according to divided quantity Max Length:7
extension:totalQuantity		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension"
value[x]	S	1..1	string	Total quantity of the formulation. Max Length:7
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣ	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
ingredient	S	0..*	BackboneElement	Active or inactive ingredients of the medication, including pharmaceutical substances as well as individual medicinal products in combination packs.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:darreichungsform		0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]	S	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Encoded description of the substance or component.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:ask	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atc-de	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: TI Substance SNOMED CT ValueSet (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:pzn	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
item[x]:itemReference	S	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
isActive		0..1	boolean	Is it an active ingredient?
strength	S	0..1	Ratio	Strength
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:amountText		0..1	(Complex)	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension"
value[x]	S	1..1	string	Free-text amount of an ingredient in a formulation. Max Length:20
numerator	SΣ	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣ	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Medication.extension:drugCategory.value[x]	required	TIDrugCategoryVS https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs
Medication.extension:normSizeCode.value[x]	required	KBV_VS_SFHIR_KBV_NORMGROESSE https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.code.coding:snomed	extensible	Pattern Value: SNOMED-CT Code null https://gematik.de/fhir/terminology/ValueSet/ti-medication-snomed-ct-vs
Medication.manufacturer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Medication.form	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.form.coding:edqm	preferred	Pattern Value: null http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform From http://tx.hl7europe.eu/r4
Medication.form.coding:snomed	preferred	Pattern Value: SNOMED-CT Code null https://gematik.de/fhir/terminology/ValueSet/ti-medicine-form-snomed-ct-vs
Medication.form.coding:kbvDarreichungsform	required	Pattern Value: null https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM
Medication.amount.numerator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.amount.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Medication.amount.denominator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.amount.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed	preferred	Pattern Value: SNOMED-CT Code null https://gematik.de/fhir/terminology/ValueSet/ti-substance-snomed-ct-vs
Medication.ingredient.strength.numerator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.ingredient.strength.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Medication.ingredient.strength.denominator	preferred	UCUMCodes(a valid code from UCUM) http://hl7.org/fhir/ValueSet/ucum-units From the FHIR Standard
Medication.ingredient.strength.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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())
epa-med-1	error	Medication	Medication code, name, or ingredients must be specified : code.exists() or ingredient.exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()