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: dom-2, dom-3, dom-4, dom-5, dom-6, 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		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	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	SΣN	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
version	Σ	1..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:ask	SΣN	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
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/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	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-1
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
Slices for extension				Content/Rules for all slices
extension:packagingSize		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	N	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]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ask	SΣN	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	SΣN	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
version	Σ	1..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	SΣN	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	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
strength	SC	0..1	Ratio	Strength Constraints: rat-1
Slices for extension				Content/Rules for all slices
extension:amountText		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	Status	Usage	ValueSet	Version	Source
Medication.extension:drugCategory.​value[x]	Base	required	TI Drug Category ValueSet	📦1.0.7	TI Terminology v1.0
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
qty-3	error	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from EPAMedication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication			EPAMedication
meta		0..0		Metadata about the resource
implicitRules		0..0		A set of rules under which this content was created
language		0..0		Language of the resource content
text		0..0		Text summary of the resource, for human interpretation
contained		0..*	EPAMedicationPharmaceuticalProduct, EPAMedicationPZNIngredient	Enthaltene Medikationen
Slices for extension				Content/Rules for all slices
extension:rxPrescriptionProcessIdentifier		0..0		Optional Extensions Element
extension:isVaccine		0..0		Optional Extensions Element
extension:drugCategory		0..0		Optional Extensions Element
extension:manufacturingInstructions		0..0		Optional Extensions Element
extension:type		0..0		Medication Type
identifier		0..0		Business identifier for this medication
Slices for identifier				Content/Rules for all slices
identifier:EPAMedicationUniqueIdentifier		0..0		An identifier intended for computation
identifier:RxOriginatorProcessIdentifier		0..0		An identifier intended for computation
status		0..0		Status of Medication Information
manufacturer		0..0		Manufacturer of the Medication
batch		0..0		Batch Information
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication	C	0..*	EPAMedication	Definition of a Medication Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, 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		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging		0..1	(Complex)	Extension 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		Extension Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	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	SΣN	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	1..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	SΣN	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
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/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	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-1
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	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
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)	Extension 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		Extension Slice: Unordered, Open by value:url
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)	Extension 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		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	N	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]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ask	SΣN	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	SΣN	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	1..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	SΣN	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	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
isActive		0..1	boolean	Is it an active ingredient?
strength	SC	0..1	Ratio	Strength Constraints: rat-1
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)	Extension 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		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	Status	Usage	ValueSet	Version	Source
Medication.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Medication.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Medication.extension:drugCategory.​value[x]	Base	required	TI Drug Category ValueSet	📦1.0.7	TI Terminology v1.0
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.manufacturer.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
qty-3	error	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication	C	0..*	EPAMedication	Definition of a Medication Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, 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		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	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	SΣN	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
version	Σ	1..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:ask	SΣN	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
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/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	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-1
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
Slices for extension				Content/Rules for all slices
extension:packagingSize		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	N	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]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ask	SΣN	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	SΣN	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
version	Σ	1..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	SΣN	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	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
strength	SC	0..1	Ratio	Strength Constraints: rat-1
Slices for extension				Content/Rules for all slices
extension:amountText		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	Status	Usage	ValueSet	Version	Source
Medication.extension:drugCategory.​value[x]	Base	required	TI Drug Category ValueSet	📦1.0.7	TI Terminology v1.0
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
qty-3	error	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Differential View

This structure is derived from EPAMedication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication			EPAMedication
meta		0..0		Metadata about the resource
implicitRules		0..0		A set of rules under which this content was created
language		0..0		Language of the resource content
text		0..0		Text summary of the resource, for human interpretation
contained		0..*	EPAMedicationPharmaceuticalProduct, EPAMedicationPZNIngredient	Enthaltene Medikationen
Slices for extension				Content/Rules for all slices
extension:rxPrescriptionProcessIdentifier		0..0		Optional Extensions Element
extension:isVaccine		0..0		Optional Extensions Element
extension:drugCategory		0..0		Optional Extensions Element
extension:manufacturingInstructions		0..0		Optional Extensions Element
extension:type		0..0		Medication Type
identifier		0..0		Business identifier for this medication
Slices for identifier				Content/Rules for all slices
identifier:EPAMedicationUniqueIdentifier		0..0		An identifier intended for computation
identifier:RxOriginatorProcessIdentifier		0..0		An identifier intended for computation
status		0..0		Status of Medication Information
manufacturer		0..0		Manufacturer of the Medication
batch		0..0		Batch Information
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication	C	0..*	EPAMedication	Definition of a Medication Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, 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		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging		0..1	(Complex)	Extension 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		Extension Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	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	SΣN	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	1..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	SΣN	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
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	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/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	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-1
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	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
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)	Extension 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		Extension Slice: Unordered, Open by value:url
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)	Extension 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		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	N	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]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ask	SΣN	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	SΣN	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	1..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	SΣN	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	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
isActive		0..1	boolean	Is it an active ingredient?
strength	SC	0..1	Ratio	Strength Constraints: rat-1
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)	Extension 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		Extension Slice: Unordered, Open by value:url
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	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
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	Status	Usage	ValueSet	Version	Source
Medication.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Medication.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Medication.extension:drugCategory.​value[x]	Base	required	TI Drug Category ValueSet	📦1.0.7	TI Terminology v1.0
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.manufacturer.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
qty-3	error	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from EPAMedication

Summary

Prohibited: 15 elements