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Resource Profile: ISiKMedikationsInformation

Dieses Profil ermöglicht die Abbildung von Informationen zur Medikation eines Patienten in ISiK Szenarien.

Hinweis zur Auswahl des Profils: In Abgrenzung zu ISiKMedikationsVerabreichung (MedicationAdministration) wird mittels des vorliegenden Profils die Verabreichung eines Medikaments an einen Patienten mit einer lediglich Datums-genauen Angabe abgebildet (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe). Zur sekunden-genauen Angabe der Verabreichung eines Medikaments (im Sinne einer medizinischen Verabreichungsdokumentation durch medizinisches Personal) an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. Siehe entsprechende Profilseite für weitere Begründung.

Hinweis zur Pausierung einer Medikation (Best-Practice):

Für die Abbildung der Pausierung einer Medikation wird empfohlen, mehrere MedicationStatement-Ressourcen zu verwenden, anstatt eine bestehende zu überschreiben. Dies bringt folgende Vorteile:

• Korrekte Statusabbildung:
  Das status-Feld muss stets aktuell gepflegt werden, um den momentanen Zustand der Medikation systemweit sichtbar und durchsuchbar zu halten.

• Effiziente Abfragen über REST API:
  In Kombination mit effective[x] ermöglicht das status-Feld die gezielte Abfrage aller aktuell gültigen Medikationseinträge über die REST API.
  Wird stattdessen nur das dosage-Element verändert, ist keine zuverlässige Filterung möglich – alle MedicationStatements müssten abgerufen und manuell analysiert werden.

• Erhalt von Verlaufsinformationen:
  Wenn z.B. auch ein statusReason (z.B. „pausiert wegen Nebenwirkungen“) dokumentiert wird, ginge diese Information bei einem Update der bestehenden Ressource verloren, sobald die Medikation fortgesetzt wird.
  Durch neue MedicationStatement-Einträge bleibt die Verlaufshistorie erhalten.
  (Dieser Anwendungsfall ist aktuell nicht gefordert, aber zukünftig denkbar.)

Usages:

• Examples for this Profile: MedicationStatement/ExampleISiKMedikationsInformation1, MedicationStatement/ExampleISiKMedikationsInformation2, MedicationStatement/ExampleISiKMedikationsInformation3, MedicationStatement/ExampleISiKMedikationsInformation4... Show 7 more, MedicationStatement/ExampleISiKMedikationsInformation5, MedicationStatement/ExampleISiKMedikationsInformation6, MedicationStatement/ExampleISiKMedikationsInformationParkinson1, MedicationStatement/ExampleISiKMedikationsInformationParkinson2, MedicationStatement/ExampleISiKMedikationsInformationParkinson3, MedicationStatement/ExampleISiKMedikationsInformationParkinson4 and MedicationStatement/ExampleISiKMedikationsInformationParkinson5
• CapabilityStatements using this Profile: ISiK CapabilityStatement AMTS Akteur (Expanded), ISiK CapabilityStatement Medikation Server - Medikationsinformation and ISiK CapabilityStatement Medikationsinformation WRITE Rolle

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Must-Support Comments
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:acceptedRisk	S	0..1	(Complex)	akzeptiertes (in Kauf genommenes) Risiko URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk"
value[x]	S	1..1	string	Value of extension
extension:medikationsart	S	0..1	(Complex)	Therapieart der Medikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart"
value[x]		1..1	Coding	Value of extension Binding: ISiKMedikationsartVS (required)
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
extension:selbstmedikation	S	0..1	(Complex)	Selbstmedikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation"
value[x]	S	1..1	boolean	Value of extension
extension:behandlungsziel	S	0..1	(Complex)	Behandlungsziel (textuell) URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel"
value[x]	S	1..1	string	Value of extension
extension:medicationStatementReplaces	S	0..1	(Complex)	Welche Medikationsinformation wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces"
value[x]	S	1..1	Reference(MedicationStatement)	Value of extension
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist
status	?!SΣ	1..1	code	Status der Medikationsinformation Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	SΣ	1..1		Angabe des Medikaments Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:PZN	SΣ	0..*	ISiKPZNCoding	Code defined by a terminology system Required Pattern: At least the following
coding:ATC-DE	SΣ	0..*	ISiKATCCoding	Code defined by a terminology system Required Pattern: At least the following
coding:SCT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
text	SΣ	0..1	string	Plain text representation of the concept
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Referenz auf das Medikament (Medication-Ressource)
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
subject	SΣ	1..1	Reference(Patient)	Referenz auf den Patienten
reference	SΣC	1..1	string	Patienten-Link
context	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for effective[x]	SΣ	1..1		Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)
effective[x]:effectivePeriod	SΣ	0..1	Period	Zeitraum
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	SΣ	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
note	S	0..*	Annotation	Zusätzliche Anmerkungen zur Medikation
text	SΣ	1..1	markdown	Freitext-Notiz
dosage	S	0..*	​?pkp-2?	Dosierungsangaben
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	besondere Anweisungen für den Patienten
timing	Σ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	fester Zeitpunkt
repeat	ΣC	0..1	Element	Wiederholungs-Angaben Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	Σ	0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
value	Σ	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.
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣ	0..1	Range	Bereich für die Begrenzung
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣ	0..1	Period	begrenzender Zeitraum
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Anzahl Wiederholungen
countMax	SΣ	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	SΣ	0..1	decimal	Dauer der Verabreichung
durationMax	SΣ	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	SΣ	0..1	code	Einheit der Dauer Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	SΣ	0..1	positiveInt	maximale Frequenz
period	Σ	0..1	decimal	Zeitperiode zur Frequenz
periodMax	SΣ	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit	Σ	0..1	code	Einheit der Zeitperiode Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	Wochentag Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Tageszeit
when	Σ	0..*	code	Tageszeitpunkt codiert Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Bedarfsmedikation
site	SΣ	0..1	CodeableConcept	Körperstelle der Verabreichung Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	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://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
text	SΣ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	Route Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣ	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
doseAndRate	Σ	0..*	Element	Amount of medication administered
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
value	SΣ	0..1	decimal	Dosiswert
unit	SΣ	0..1	string	Menschenlesbare Dosis-Einheit
system	SΣC	0..1	uri	CodeSystem der Dosisangabe
code	SΣ	0..1	code	Code der Dosisangabe
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣ	0..1	Ratio	Raten-Verhältnis
numerator	SΣ	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..1	MedicationQuantity	Denominator value
rate[x]:rateRange	SΣ	0..1	Range	Raten-Bereich
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
rate[x]:rateQuantity	SΣ	0..1	MedicationQuantity	Rate
maxDosePerPeriod	SΣ	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)
numerator	SΣ	0..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	0..1	MedicationQuantity	Denominator value
maxDosePerAdministration	SΣ	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​dosage.route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	S	0..1	id	serverseitige, interne ID des Datensatzes
meta
versionId		0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated		0..1	instant	Zeitpunkt der letzten Änderung
implicitRules		0..0		Verweis auf die Regeln, nach denen die Ressource erstellt wurde
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:acceptedRisk	S	0..1	(Complex)	akzeptiertes (in Kauf genommenes) Risiko URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
value[x]	S	1..1	string	Value of extension
extension:medikationsart	S	0..1	(Complex)	Therapieart der Medikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
value[x]
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:selbstmedikation	S	0..1	(Complex)	Selbstmedikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
value[x]	S	1..1	boolean	Value of extension
extension:behandlungsziel	S	0..1	(Complex)	Behandlungsziel (textuell) URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
value[x]	S	1..1	string	Value of extension
extension:medicationStatementReplaces	S	0..1	(Complex)	Welche Medikationsinformation wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
value[x]	S	1..1	Reference(MedicationStatement)	Value of extension
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
partOf		0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist
status	S	1..1	code	Status der Medikationsinformation
Slices for medication[x]	S	1..1	CodeableConcept, Reference(Medication)	Angabe des Medikaments Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept	S	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:PZN	S	0..*	ISiKPZNCoding	Code defined by a terminology system Required Pattern: At least the following
coding:ATC-DE	S	0..*	ISiKATCCoding	Code defined by a terminology system Required Pattern: At least the following
coding:SCT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
text	S	0..1	string	Plain text representation of the concept
medication[x]:medicationReference	S	0..1	Reference(Medication)	Referenz auf das Medikament (Medication-Ressource)
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
subject	S	1..1	Reference(Patient)	Referenz auf den Patienten
reference	S	1..1	string	Patienten-Link
context	S	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for effective[x]	S	1..1	dateTime, Period	Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)
effective[x]:effectivePeriod	S	0..1	Period	Zeitraum
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	S	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
note	S	0..*	Annotation	Zusätzliche Anmerkungen zur Medikation
text	S	1..1	markdown	Freitext-Notiz
dosage	S	0..*	​?pkp-2?	Dosierungsangaben
text		0..1	string	Free text dosage instructions e.g. SIG
patientInstruction	S	0..1	string	besondere Anweisungen für den Patienten
timing
event	S	0..*	dateTime	fester Zeitpunkt
repeat		0..1	Element	Wiederholungs-Angaben
Slices for bounds[x]				Content/Rules for all slices
bounds[x]:boundsDuration		0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit
bounds[x]:boundsRange	S	0..1	Range	Bereich für die Begrenzung
low	S	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	S	0..1	Period	begrenzender Zeitraum
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	S	0..1	positiveInt	Anzahl Wiederholungen
countMax	S	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	S	0..1	decimal	Dauer der Verabreichung
durationMax	S	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	S	0..1	code	Einheit der Dauer
frequency		0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	S	0..1	positiveInt	maximale Frequenz
period		0..1	decimal	Zeitperiode zur Frequenz
periodMax	S	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit		0..1	code	Einheit der Zeitperiode
dayOfWeek		0..*	code	Wochentag
timeOfDay		0..*	time	Tageszeit
when		0..*	code	Tageszeitpunkt codiert
offset	S	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
Slices for asNeeded[x]		0..1	boolean, CodeableConcept	Take "as needed" (for x) Slice: Unordered, Open by type:$this
asNeeded[x]:asNeededBoolean	S	0..1	boolean	Bedarfsmedikation
site	S	0..1	CodeableConcept	Körperstelle der Verabreichung
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	S	0..1	string	Plain text representation of the concept
route	S	0..1	CodeableConcept	Route
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	S	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
coding:SNOMED-CT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	S	0..1	string	Plain text representation of the concept
doseAndRate
Slices for dose[x]				Content/Rules for all slices
dose[x]:doseQuantity		0..1	SimpleQuantity	Dosis
value	S	0..1	decimal	Dosiswert
unit	S	0..1	string	Menschenlesbare Dosis-Einheit
system	S	0..1	uri	CodeSystem der Dosisangabe
code	S	0..1	code	Code der Dosisangabe
dose[x]:doseRange	S	0..1	Range	Dosisbereich
low	S	0..1	MedicationQuantityDoseForm	Low limit
high	S	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]		0..1	Ratio, Range, SimpleQuantity(4.0.1)	Amount of medication per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio	S	0..1	Ratio	Raten-Verhältnis
numerator	S	1..1	MedicationQuantityDoseForm	Numerator value
denominator	S	1..1	MedicationQuantity	Denominator value
rate[x]:rateRange	S	0..1	Range	Raten-Bereich
low	S	0..1	MedicationQuantityDoseForm	Low limit
high	S	0..1	MedicationQuantityDoseForm	High limit
rate[x]:rateQuantity	S	0..1	MedicationQuantity	Rate
maxDosePerPeriod	S	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)
numerator	S	0..1	MedicationQuantityDoseForm	Numerator value
denominator	S	0..1	MedicationQuantity	Denominator value
maxDosePerAdministration	S	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​dosage.route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​dosage.route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:acceptedRisk	S	0..1	(Complex)	akzeptiertes (in Kauf genommenes) Risiko URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
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/isik/StructureDefinition/ExtensionISiKAcceptedRisk"
value[x]	S	1..1	string	Value of extension
extension:medikationsart	S	0..1	(Complex)	Therapieart der Medikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
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/isik/StructureDefinition/ExtensionISiKMedikationsart"
value[x]		1..1	Coding	Value of extension Binding: ISiKMedikationsartVS (required)
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
extension:selbstmedikation	S	0..1	(Complex)	Selbstmedikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
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/isik/StructureDefinition/ExtensionISiKSelbstmedikation"
value[x]	S	1..1	boolean	Value of extension
extension:behandlungsziel	S	0..1	(Complex)	Behandlungsziel (textuell) URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
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/isik/StructureDefinition/ExtensionISiKBehandlungsziel"
value[x]	S	1..1	string	Value of extension
extension:medicationStatementReplaces	S	0..1	(Complex)	Welche Medikationsinformation wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
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/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces"
value[x]	S	1..1	Reference(MedicationStatement)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist
status	?!SΣ	1..1	code	Status der Medikationsinformation Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Slices for medication[x]	SΣ	1..1		Angabe des Medikaments Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:PZN	SΣ	0..*	ISiKPZNCoding	Code defined by a terminology system Required Pattern: At least the following
coding:ATC-DE	SΣ	0..*	ISiKATCCoding	Code defined by a terminology system Required Pattern: At least the following
coding:SCT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
text	SΣ	0..1	string	Plain text representation of the concept
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Referenz auf das Medikament (Medication-Ressource)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(Patient)	Referenz auf den Patienten
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	SΣ	1..1		Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)
effective[x]:effectivePeriod	SΣ	0..1	Period	Zeitraum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	SΣ	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note	S	0..*	Annotation	Zusätzliche Anmerkungen zur Medikation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Freitext-Notiz
dosage	S	0..*	​?pkp-2?	Dosierungsangaben
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	SΣ	0..1	string	besondere Anweisungen für den Patienten
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	fester Zeitpunkt
repeat	ΣC	0..1	Element	Wiederholungs-Angaben Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
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 bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	Σ	0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
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	Σ	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	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣ	0..1	Range	Bereich für die Begrenzung
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
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)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
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)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣ	0..1	Period	begrenzender Zeitraum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Anzahl Wiederholungen
countMax	SΣ	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	SΣ	0..1	decimal	Dauer der Verabreichung
durationMax	SΣ	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	SΣ	0..1	code	Einheit der Dauer Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	SΣ	0..1	positiveInt	maximale Frequenz
period	Σ	0..1	decimal	Zeitperiode zur Frequenz
periodMax	SΣ	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit	Σ	0..1	code	Einheit der Zeitperiode Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	Wochentag Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Tageszeit
when	Σ	0..*	code	Tageszeitpunkt codiert Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Bedarfsmedikation
site	SΣ	0..1	CodeableConcept	Körperstelle der Verabreichung Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	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://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
text	SΣ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	Route Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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:$this
coding:EDQM	SΣ	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
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	Dosiswert
unit	SΣ	0..1	string	Menschenlesbare Dosis-Einheit
system	SΣC	0..1	uri	CodeSystem der Dosisangabe
code	SΣ	0..1	code	Code der Dosisangabe
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣ	0..1	Ratio	Raten-Verhältnis
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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..1	MedicationQuantity	Denominator value
rate[x]:rateRange	SΣ	0..1	Range	Raten-Bereich
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
rate[x]:rateQuantity	SΣ	0..1	MedicationQuantity	Rate
maxDosePerPeriod	SΣ	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)
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	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	0..1	MedicationQuantity	Denominator value
maxDosePerAdministration	SΣ	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationStatement.​meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationStatement.​extension:medicationStatementReplaces.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]:medicationReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​context.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​reasonReference.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.code	Base	preferred	TimingAbbreviation	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​dosage.route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG
MedicationStatement.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

Element	Short description	Notes
MedicationStatement.context	Referenz auf den Abteilungskontakt	Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext
MedicationStatement.context.reference		Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
MedicationStatement.dateAsserted	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation	Begründung des Must-Support: Nachvollziehbarkeit
MedicationStatement.dosage	Dosierungsangaben	Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert.
MedicationStatement.dosage.asNeeded[x]:asNeededBoolean	Bedarfsmedikation
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code	Code der Dosisangabe	Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können.
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system	CodeSystem der Dosisangabe	Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können.
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit	Menschenlesbare Dosis-Einheit	Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können.
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value	Dosiswert	Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können.
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange	Dosisbereich
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low
MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity	Rate	Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können.
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange	Raten-Bereich
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio	Raten-Verhältnis	Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können.
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator
MedicationStatement.dosage.maxDosePerAdministration	Maximaldosis pro Verabreichung
MedicationStatement.dosage.maxDosePerPeriod	Maximaldosis (Zähler) pro Zeitraum (Nenner)
MedicationStatement.dosage.maxDosePerPeriod.denominator
MedicationStatement.dosage.maxDosePerPeriod.numerator
MedicationStatement.dosage.patientInstruction	besondere Anweisungen für den Patienten
MedicationStatement.dosage.route	Route
MedicationStatement.dosage.route.coding
MedicationStatement.dosage.route.coding:EDQM
MedicationStatement.dosage.route.coding:SNOMED-CT
MedicationStatement.dosage.route.text
MedicationStatement.dosage.site	Körperstelle der Verabreichung
MedicationStatement.dosage.site.coding
MedicationStatement.dosage.site.coding:SNOMED-CT
MedicationStatement.dosage.site.text
MedicationStatement.dosage.timing.event	fester Zeitpunkt
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod	begrenzender Zeitraum
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange	Bereich für die Begrenzung
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value
MedicationStatement.dosage.timing.repeat.count	Anzahl Wiederholungen
MedicationStatement.dosage.timing.repeat.countMax	maximale Anzahl Wiederholungen
MedicationStatement.dosage.timing.repeat.duration	Dauer der Verabreichung
MedicationStatement.dosage.timing.repeat.durationMax	maximale Dauer der Verabreichung
MedicationStatement.dosage.timing.repeat.durationUnit	Einheit der Dauer
MedicationStatement.dosage.timing.repeat.frequencyMax	maximale Frequenz
MedicationStatement.dosage.timing.repeat.offset	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
MedicationStatement.dosage.timing.repeat.periodMax	maximale Zeitperiode zur Frequenz
MedicationStatement.effective[x]	Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt	Begründung des Must-Support: Basisinformation
MedicationStatement.effective[x]:effectiveDateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)	Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden.
MedicationStatement.effective[x]:effectivePeriod	Zeitraum	Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden.
MedicationStatement.effective[x]:effectivePeriod.end
MedicationStatement.effective[x]:effectivePeriod.start
MedicationStatement.extension
MedicationStatement.extension:acceptedRisk	akzeptiertes (in Kauf genommenes) Risiko	Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen.
MedicationStatement.extension:acceptedRisk.value[x]
MedicationStatement.extension:behandlungsziel	Behandlungsziel (textuell)	Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels.
MedicationStatement.extension:behandlungsziel.value[x]
MedicationStatement.extension:medicationStatementReplaces	Welche Medikationsinformation wird ersetzt?	Begründung des Must-Support: historische Nachvollziehbarkeit Hinweis: Welche Medikationsinformation wird ersetzt?
MedicationStatement.extension:medicationStatementReplaces.value[x]
MedicationStatement.extension:medicationStatementReplaces.value[x].reference
MedicationStatement.extension:medikationsart	Therapieart der Medikation	Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation.
MedicationStatement.extension:medikationsart.value[x].code
MedicationStatement.extension:medikationsart.value[x].display
MedicationStatement.extension:medikationsart.value[x].system
MedicationStatement.extension:selbstmedikation	Selbstmedikation	Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Flag zur Selbstmedikation.
MedicationStatement.extension:selbstmedikation.value[x]
MedicationStatement.id	serverseitige, interne ID des Datensatzes	bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.
MedicationStatement.medication[x]	Angabe des Medikaments	Begründung des Must-Support: Basisinformation. Siehe Slicing-Definition zur Wahlmöglichkeit zwischen codierter Angabe und Referenz auf Medication-Ressource.
MedicationStatement.medication[x]:medicationCodeableConcept	Medikament in codierter Form oder ggf. als Freitext	Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren.
MedicationStatement.medication[x]:medicationCodeableConcept.coding
MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE		Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere ATC-Codes existieren können, z.B. existieren für Aspirin 4 verschiedene Codes, je nachdem wofür das Medikament angewendet wird.
MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN		Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen.
MedicationStatement.medication[x]:medicationCodeableConcept.coding:SCT
MedicationStatement.medication[x]:medicationCodeableConcept.text
MedicationStatement.medication[x]:medicationReference	Referenz auf das Medikament (Medication-Ressource)	Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen
MedicationStatement.medication[x]:medicationReference.reference
MedicationStatement.note	Zusätzliche Anmerkungen zur Medikation	Begründung des Must-Support: Fachlich relevante Zusatzinformationen
MedicationStatement.note.text	Freitext-Notiz	Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein
MedicationStatement.reasonCode	Grund der Medikation (codiert)	Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII.
MedicationStatement.reasonCode.coding
MedicationStatement.reasonCode.coding.code
MedicationStatement.reasonCode.coding.display
MedicationStatement.reasonCode.coding.system
MedicationStatement.reasonCode.text
MedicationStatement.reasonReference	Grund der Medikation (Referenz)	Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII.
MedicationStatement.reasonReference.reference
MedicationStatement.status	Status der Medikationsinformation	Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard
MedicationStatement.subject	Referenz auf den Patienten	Begründung des Must-Support: Basisinformation
MedicationStatement.subject.reference	Patienten-Link	Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.

This structure is derived from MedicationStatement

Summary

Mandatory: 2 elements(16 nested mandatory elements)
Must-Support: 98 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• ISiKPZNCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding)
• ISiKATCCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding)
• ISiKSnomedCTCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding)
• Unable to summarise profile http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE (no profile found)
• ISiKCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
• Medication Quantity Dose Form (https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm)
• Medication Quantity (https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.medication[x]
• The element 1 is sliced based on the value of MedicationStatement.medication[x].coding
• The element 1 is sliced based on the value of MedicationStatement.effective[x]
• The element 1 is sliced based on the value of MedicationStatement.dosage.asNeeded[x]
• The element 1 is sliced based on the value of MedicationStatement.dosage.site.coding
• The element 1 is sliced based on the value of MedicationStatement.dosage.route.coding
• The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.rate[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:acceptedRisk	S	0..1	(Complex)	akzeptiertes (in Kauf genommenes) Risiko URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk"
value[x]	S	1..1	string	Value of extension
extension:medikationsart	S	0..1	(Complex)	Therapieart der Medikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart"
value[x]		1..1	Coding	Value of extension Binding: ISiKMedikationsartVS (required)
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
extension:selbstmedikation	S	0..1	(Complex)	Selbstmedikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation"
value[x]	S	1..1	boolean	Value of extension
extension:behandlungsziel	S	0..1	(Complex)	Behandlungsziel (textuell) URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel"
value[x]	S	1..1	string	Value of extension
extension:medicationStatementReplaces	S	0..1	(Complex)	Welche Medikationsinformation wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces"
value[x]	S	1..1	Reference(MedicationStatement)	Value of extension
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist
status	?!SΣ	1..1	code	Status der Medikationsinformation Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	SΣ	1..1		Angabe des Medikaments Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:PZN	SΣ	0..*	ISiKPZNCoding	Code defined by a terminology system Required Pattern: At least the following
coding:ATC-DE	SΣ	0..*	ISiKATCCoding	Code defined by a terminology system Required Pattern: At least the following
coding:SCT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
text	SΣ	0..1	string	Plain text representation of the concept
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Referenz auf das Medikament (Medication-Ressource)
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
subject	SΣ	1..1	Reference(Patient)	Referenz auf den Patienten
reference	SΣC	1..1	string	Patienten-Link
context	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for effective[x]	SΣ	1..1		Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)
effective[x]:effectivePeriod	SΣ	0..1	Period	Zeitraum
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	SΣ	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
note	S	0..*	Annotation	Zusätzliche Anmerkungen zur Medikation
text	SΣ	1..1	markdown	Freitext-Notiz
dosage	S	0..*	​?pkp-2?	Dosierungsangaben
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	besondere Anweisungen für den Patienten
timing	Σ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	fester Zeitpunkt
repeat	ΣC	0..1	Element	Wiederholungs-Angaben Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	Σ	0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
value	Σ	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.
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣ	0..1	Range	Bereich für die Begrenzung
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣ	0..1	Period	begrenzender Zeitraum
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Anzahl Wiederholungen
countMax	SΣ	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	SΣ	0..1	decimal	Dauer der Verabreichung
durationMax	SΣ	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	SΣ	0..1	code	Einheit der Dauer Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	SΣ	0..1	positiveInt	maximale Frequenz
period	Σ	0..1	decimal	Zeitperiode zur Frequenz
periodMax	SΣ	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit	Σ	0..1	code	Einheit der Zeitperiode Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	Wochentag Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Tageszeit
when	Σ	0..*	code	Tageszeitpunkt codiert Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Bedarfsmedikation
site	SΣ	0..1	CodeableConcept	Körperstelle der Verabreichung Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	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://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
text	SΣ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	Route Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣ	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
doseAndRate	Σ	0..*	Element	Amount of medication administered
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
value	SΣ	0..1	decimal	Dosiswert
unit	SΣ	0..1	string	Menschenlesbare Dosis-Einheit
system	SΣC	0..1	uri	CodeSystem der Dosisangabe
code	SΣ	0..1	code	Code der Dosisangabe
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣ	0..1	Ratio	Raten-Verhältnis
numerator	SΣ	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..1	MedicationQuantity	Denominator value
rate[x]:rateRange	SΣ	0..1	Range	Raten-Bereich
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
rate[x]:rateQuantity	SΣ	0..1	MedicationQuantity	Rate
maxDosePerPeriod	SΣ	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)
numerator	SΣ	0..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	0..1	MedicationQuantity	Denominator value
maxDosePerAdministration	SΣ	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​dosage.route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	S	0..1	id	serverseitige, interne ID des Datensatzes
meta
versionId		0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated		0..1	instant	Zeitpunkt der letzten Änderung
implicitRules		0..0		Verweis auf die Regeln, nach denen die Ressource erstellt wurde
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:acceptedRisk	S	0..1	(Complex)	akzeptiertes (in Kauf genommenes) Risiko URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
value[x]	S	1..1	string	Value of extension
extension:medikationsart	S	0..1	(Complex)	Therapieart der Medikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
value[x]
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:selbstmedikation	S	0..1	(Complex)	Selbstmedikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
value[x]	S	1..1	boolean	Value of extension
extension:behandlungsziel	S	0..1	(Complex)	Behandlungsziel (textuell) URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
value[x]	S	1..1	string	Value of extension
extension:medicationStatementReplaces	S	0..1	(Complex)	Welche Medikationsinformation wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
value[x]	S	1..1	Reference(MedicationStatement)	Value of extension
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
partOf		0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist
status	S	1..1	code	Status der Medikationsinformation
Slices for medication[x]	S	1..1	CodeableConcept, Reference(Medication)	Angabe des Medikaments Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept	S	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:PZN	S	0..*	ISiKPZNCoding	Code defined by a terminology system Required Pattern: At least the following
coding:ATC-DE	S	0..*	ISiKATCCoding	Code defined by a terminology system Required Pattern: At least the following
coding:SCT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
text	S	0..1	string	Plain text representation of the concept
medication[x]:medicationReference	S	0..1	Reference(Medication)	Referenz auf das Medikament (Medication-Ressource)
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
subject	S	1..1	Reference(Patient)	Referenz auf den Patienten
reference	S	1..1	string	Patienten-Link
context	S	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for effective[x]	S	1..1	dateTime, Period	Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)
effective[x]:effectivePeriod	S	0..1	Period	Zeitraum
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	S	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
note	S	0..*	Annotation	Zusätzliche Anmerkungen zur Medikation
text	S	1..1	markdown	Freitext-Notiz
dosage	S	0..*	​?pkp-2?	Dosierungsangaben
text		0..1	string	Free text dosage instructions e.g. SIG
patientInstruction	S	0..1	string	besondere Anweisungen für den Patienten
timing
event	S	0..*	dateTime	fester Zeitpunkt
repeat		0..1	Element	Wiederholungs-Angaben
Slices for bounds[x]				Content/Rules for all slices
bounds[x]:boundsDuration		0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit
bounds[x]:boundsRange	S	0..1	Range	Bereich für die Begrenzung
low	S	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	S	0..1	Period	begrenzender Zeitraum
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	S	0..1	positiveInt	Anzahl Wiederholungen
countMax	S	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	S	0..1	decimal	Dauer der Verabreichung
durationMax	S	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	S	0..1	code	Einheit der Dauer
frequency		0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	S	0..1	positiveInt	maximale Frequenz
period		0..1	decimal	Zeitperiode zur Frequenz
periodMax	S	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit		0..1	code	Einheit der Zeitperiode
dayOfWeek		0..*	code	Wochentag
timeOfDay		0..*	time	Tageszeit
when		0..*	code	Tageszeitpunkt codiert
offset	S	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
Slices for asNeeded[x]		0..1	boolean, CodeableConcept	Take "as needed" (for x) Slice: Unordered, Open by type:$this
asNeeded[x]:asNeededBoolean	S	0..1	boolean	Bedarfsmedikation
site	S	0..1	CodeableConcept	Körperstelle der Verabreichung
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	S	0..1	string	Plain text representation of the concept
route	S	0..1	CodeableConcept	Route
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	S	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
coding:SNOMED-CT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	S	0..1	string	Plain text representation of the concept
doseAndRate
Slices for dose[x]				Content/Rules for all slices
dose[x]:doseQuantity		0..1	SimpleQuantity	Dosis
value	S	0..1	decimal	Dosiswert
unit	S	0..1	string	Menschenlesbare Dosis-Einheit
system	S	0..1	uri	CodeSystem der Dosisangabe
code	S	0..1	code	Code der Dosisangabe
dose[x]:doseRange	S	0..1	Range	Dosisbereich
low	S	0..1	MedicationQuantityDoseForm	Low limit
high	S	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]		0..1	Ratio, Range, SimpleQuantity(4.0.1)	Amount of medication per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio	S	0..1	Ratio	Raten-Verhältnis
numerator	S	1..1	MedicationQuantityDoseForm	Numerator value
denominator	S	1..1	MedicationQuantity	Denominator value
rate[x]:rateRange	S	0..1	Range	Raten-Bereich
low	S	0..1	MedicationQuantityDoseForm	Low limit
high	S	0..1	MedicationQuantityDoseForm	High limit
rate[x]:rateQuantity	S	0..1	MedicationQuantity	Rate
maxDosePerPeriod	S	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)
numerator	S	0..1	MedicationQuantityDoseForm	Numerator value
denominator	S	0..1	MedicationQuantity	Denominator value
maxDosePerAdministration	S	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​dosage.route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​dosage.route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:acceptedRisk	S	0..1	(Complex)	akzeptiertes (in Kauf genommenes) Risiko URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
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/isik/StructureDefinition/ExtensionISiKAcceptedRisk"
value[x]	S	1..1	string	Value of extension
extension:medikationsart	S	0..1	(Complex)	Therapieart der Medikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
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/isik/StructureDefinition/ExtensionISiKMedikationsart"
value[x]		1..1	Coding	Value of extension Binding: ISiKMedikationsartVS (required)
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
extension:selbstmedikation	S	0..1	(Complex)	Selbstmedikation URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
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/isik/StructureDefinition/ExtensionISiKSelbstmedikation"
value[x]	S	1..1	boolean	Value of extension
extension:behandlungsziel	S	0..1	(Complex)	Behandlungsziel (textuell) URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
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/isik/StructureDefinition/ExtensionISiKBehandlungsziel"
value[x]	S	1..1	string	Value of extension
extension:medicationStatementReplaces	S	0..1	(Complex)	Welche Medikationsinformation wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces
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/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces"
value[x]	S	1..1	Reference(MedicationStatement)	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist
status	?!SΣ	1..1	code	Status der Medikationsinformation Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Slices for medication[x]	SΣ	1..1		Angabe des Medikaments Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:PZN	SΣ	0..*	ISiKPZNCoding	Code defined by a terminology system Required Pattern: At least the following
coding:ATC-DE	SΣ	0..*	ISiKATCCoding	Code defined by a terminology system Required Pattern: At least the following
coding:SCT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Required Pattern: At least the following
text	SΣ	0..1	string	Plain text representation of the concept
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Referenz auf das Medikament (Medication-Ressource)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(Patient)	Referenz auf den Patienten
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	SΣ	1..1		Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Zeitpunkt (Datum oder Datum + Uhrzeit)
effective[x]:effectivePeriod	SΣ	0..1	Period	Zeitraum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	SΣ	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note	S	0..*	Annotation	Zusätzliche Anmerkungen zur Medikation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Freitext-Notiz
dosage	S	0..*	​?pkp-2?	Dosierungsangaben
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	SΣ	0..1	string	besondere Anweisungen für den Patienten
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	fester Zeitpunkt
repeat	ΣC	0..1	Element	Wiederholungs-Angaben Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
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 bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	Σ	0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
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	Σ	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	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣ	0..1	Range	Bereich für die Begrenzung
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
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)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
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)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣ	0..1	Period	begrenzender Zeitraum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Anzahl Wiederholungen
countMax	SΣ	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	SΣ	0..1	decimal	Dauer der Verabreichung
durationMax	SΣ	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	SΣ	0..1	code	Einheit der Dauer Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	SΣ	0..1	positiveInt	maximale Frequenz
period	Σ	0..1	decimal	Zeitperiode zur Frequenz
periodMax	SΣ	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit	Σ	0..1	code	Einheit der Zeitperiode Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	Wochentag Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Tageszeit
when	Σ	0..*	code	Tageszeitpunkt codiert Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Bedarfsmedikation
site	SΣ	0..1	CodeableConcept	Körperstelle der Verabreichung Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	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://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
text	SΣ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	Route Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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:$this
coding:EDQM	SΣ	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED-CT	SΣ	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
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	Dosiswert
unit	SΣ	0..1	string	Menschenlesbare Dosis-Einheit
system	SΣC	0..1	uri	CodeSystem der Dosisangabe
code	SΣ	0..1	code	Code der Dosisangabe
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣ	0..1	Ratio	Raten-Verhältnis
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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..1	MedicationQuantity	Denominator value
rate[x]:rateRange	SΣ	0..1	Range	Raten-Bereich
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
rate[x]:rateQuantity	SΣ	0..1	MedicationQuantity	Rate
maxDosePerPeriod	SΣ	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)
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	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	0..1	MedicationQuantity	Denominator value
maxDosePerAdministration	SΣ	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationStatement.​meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationStatement.​extension:medicationStatementReplaces.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]:medicationReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​context.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​reasonReference.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.timing.code	Base	preferred	TimingAbbreviation	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​dosage.route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG
MedicationStatement.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 2 elements(16 nested mandatory elements)
Must-Support: 98 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• ISiKPZNCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding)
• ISiKATCCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding)
• ISiKSnomedCTCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding)
• Unable to summarise profile http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE (no profile found)
• ISiKCoding (https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
• Medication Quantity Dose Form (https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm)
• Medication Quantity (https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.medication[x]
• The element 1 is sliced based on the value of MedicationStatement.medication[x].coding
• The element 1 is sliced based on the value of MedicationStatement.effective[x]
• The element 1 is sliced based on the value of MedicationStatement.dosage.asNeeded[x]
• The element 1 is sliced based on the value of MedicationStatement.dosage.site.coding
• The element 1 is sliced based on the value of MedicationStatement.dosage.route.coding
• The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.rate[x]