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Resource Profile: ISiKMedikationsVerordnung

Dieses Profil ermöglicht die Abbildung von Medikationsverordnungen eines Patienten in ISiK Szenarien.

Usages:

• Examples for this Profile: MedicationRequest/ExampleISiKMedikationsVerordnung and MedicationRequest/ExampleISiKMedikationsVerordnung2
• CapabilityStatements using this Profile: ISiK CapabilityStatement AMTS Akteur (Expanded), ISiK CapabilityStatement Medikationsverordnung Rolle and ISiK CapabilityStatement Medikationsverordnung 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
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
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: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:medicationRequestReplaces	S	0..1	(Complex)	Welche Medikationsverordnung wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces"
value[x]	S	1..1	Reference(MedicationRequest)	Value of extension
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	Status der Verordnungsinformation Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!SΣ	1..1	code	Ziel der Verordnungsinformation Binding: medicationRequest Intent (required): The kind of medication order.
doNotPerform	?!SΣ	0..1	boolean	Nicht durchführen
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$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
encounter	S	0..1	Reference(Encounter)	Referenz auf den Abteilungskontakt
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
authoredOn	SΣ	0..1	dateTime	Erstellungsdatum der Verordnung
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Referenz auf die verordnende Person
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
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)	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
dosageInstruction	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, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	Σ	0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣ	0..1	Period	begrenzender Zeitraum
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Anzahl Wiederholungen
countMax	SΣ	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	SΣ	0..1	decimal	Dauer der Verabreichung
durationMax	SΣ	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	SΣ	0..1	code	Einheit der Dauer Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	SΣ	0..1	positiveInt	maximale Frequenz
period	Σ	0..1	decimal	Zeitperiode zur Frequenz
periodMax	SΣ	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit	Σ	0..1	code	Einheit der Zeitperiode Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	Wochentag Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Tageszeit
when	Σ	0..*	code	Tageszeitpunkt codiert Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$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:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣ	0..1	Ratio	Raten-Verhältnis
numerator	SΣ	1..1	MedicationQuantity	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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..1	MedicationQuantity	Denominator value
maxDosePerAdministration	SΣ	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
dispenseRequest	S	0..1	BackboneElement	angeforderte Abgabemenge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	MedicationQuantityDoseForm	angeforderte Abgabemenge
substitution	S	0..1	BackboneElement	Ersatz zulässig
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for allowed[x]		1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Whether substitution is allowed or not
priorPrescription		0..1	Reference(MedicationRequest)	Vorherige Verordnung bei fortgesetzter Therapie
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationRequest.dosageInstruction.​route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.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	MedicationRequest.dosageInstruction.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 MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
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: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:medicationRequestReplaces	S	0..1	(Complex)	Welche Medikationsverordnung wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
value[x]	S	1..1	Reference(MedicationRequest)	Value of extension
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
status	S	1..1	code	Status der Verordnungsinformation
intent	S	1..1	code	Ziel der Verordnungsinformation
doNotPerform	S	0..1	boolean	Nicht durchführen
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication to be taken 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
encounter	S	0..1	Reference(Encounter)	Referenz auf den Abteilungskontakt
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
authoredOn	S	0..1	dateTime	Erstellungsdatum der Verordnung
requester	S	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Referenz auf die verordnende Person
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
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)	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
dosageInstruction	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]: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:$this
coding:EDQM	S	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
coding:SNOMED-CT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	S	0..1	string	Plain text representation of the concept
doseAndRate
Slices for dose[x]				Content/Rules for all slices
dose[x]:doseQuantity		0..1	SimpleQuantity	Dosis
dose[x]:doseRange	S	0..1	Range	Dosisbereich
low	S	0..1	MedicationQuantityDoseForm	Low limit
high	S	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]		0..1	Ratio, Range, SimpleQuantity(4.0.1)	Amount of medication per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio	S	0..1	Ratio	Raten-Verhältnis
numerator	S	1..1	MedicationQuantity	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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	S	1..1	MedicationQuantity	Denominator value
maxDosePerAdministration	S	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
dispenseRequest	S	0..1	BackboneElement	angeforderte Abgabemenge
quantity	S	0..1	MedicationQuantityDoseForm	angeforderte Abgabemenge
substitution	S	0..1	BackboneElement	Ersatz zulässig
Slices for allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this
allowed[x]:allowedBoolean	S	0..1	boolean	Whether substitution is allowed or not
priorPrescription		0..1	Reference(MedicationRequest)	Vorherige Verordnung bei fortgesetzter Therapie
Documentation for this format

Terminology Bindings (Differential)

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
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: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:medicationRequestReplaces	S	0..1	(Complex)	Welche Medikationsverordnung wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
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/ExtensionISiKMedicationRequestReplaces"
value[x]	S	1..1	Reference(MedicationRequest)	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		0..*	Identifier	External ids for this request
status	?!SΣ	1..1	code	Status der Verordnungsinformation Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	Ziel der Verordnungsinformation Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	0..1	boolean	Nicht durchführen
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$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
encounter	S	0..1	Reference(Encounter)	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
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	Erstellungsdatum der Verordnung
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Referenz auf die verordnende Person
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
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
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)	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
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
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
dosageInstruction	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, Open 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]: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:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$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	MedicationQuantity	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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..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
dispenseRequest	S	0..1	BackboneElement	angeforderte Abgabemenge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity(4.0.1)	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	MedicationQuantityDoseForm	angeforderte Abgabemenge
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution	S	0..1	BackboneElement	Ersatz zulässig
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for allowed[x]		1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Whether substitution is allowed or not
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	Vorherige Verordnung bei fortgesetzter Therapie
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationRequest.extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationRequest.extension:medicationRequestReplaces.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.statusReason	Base	example	Medication request status reason codes	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.category	Base	example	Medication request category codes	📍4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.requester.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationRequest.dosageInstruction.​route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.1
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.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	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

Element	Short description	Notes
MedicationRequest.authoredOn	Erstellungsdatum der Verordnung	Begründung des Must-Support: Basisinformation
MedicationRequest.dispenseRequest	angeforderte Abgabemenge	Begründung des Must-Support: Basisinformation
MedicationRequest.dispenseRequest.quantity	angeforderte Abgabemenge	Begründung des Must-Support: Basisinformation
MedicationRequest.doNotPerform	Nicht durchführen	Begründung MS: Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt. Und wegen der Kompatibilität mit eRezept und ePA Profilen, welche die Angabe von ‘doNotPerform’ nicht verbieten.
MedicationRequest.dosageInstruction	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.
MedicationRequest.dosageInstruction.asNeeded[x]:asNeededBoolean	Bedarfsmedikation
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange	Dosisbereich
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low
MedicationRequest.dosageInstruction.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.
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange	Raten-Bereich
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low
MedicationRequest.dosageInstruction.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.
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator
MedicationRequest.dosageInstruction.maxDosePerAdministration	Maximaldosis pro Verabreichung
MedicationRequest.dosageInstruction.maxDosePerPeriod	Maximaldosis (Zähler) pro Zeitraum (Nenner)
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator
MedicationRequest.dosageInstruction.patientInstruction	besondere Anweisungen für den Patienten
MedicationRequest.dosageInstruction.route	Route
MedicationRequest.dosageInstruction.route.coding
MedicationRequest.dosageInstruction.route.coding:EDQM
MedicationRequest.dosageInstruction.route.coding:SNOMED-CT
MedicationRequest.dosageInstruction.route.text
MedicationRequest.dosageInstruction.site	Körperstelle der Verabreichung
MedicationRequest.dosageInstruction.site.coding
MedicationRequest.dosageInstruction.site.coding:SNOMED-CT
MedicationRequest.dosageInstruction.site.text
MedicationRequest.dosageInstruction.timing.event	fester Zeitpunkt
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod	begrenzender Zeitraum
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start
MedicationRequest.dosageInstruction.timing.repeat.count	Anzahl Wiederholungen
MedicationRequest.dosageInstruction.timing.repeat.countMax	maximale Anzahl Wiederholungen
MedicationRequest.dosageInstruction.timing.repeat.duration	Dauer der Verabreichung
MedicationRequest.dosageInstruction.timing.repeat.durationMax	maximale Dauer der Verabreichung
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	Einheit der Dauer
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	maximale Frequenz
MedicationRequest.dosageInstruction.timing.repeat.offset	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
MedicationRequest.dosageInstruction.timing.repeat.periodMax	maximale Zeitperiode zur Frequenz
MedicationRequest.encounter	Referenz auf den Abteilungskontakt	Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext
MedicationRequest.encounter.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.
MedicationRequest.extension
MedicationRequest.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.
MedicationRequest.extension:acceptedRisk.value[x]
MedicationRequest.extension:behandlungsziel	Behandlungsziel (textuell)	Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels.
MedicationRequest.extension:behandlungsziel.value[x]
MedicationRequest.extension:medicationRequestReplaces	Welche Medikationsverordnung wird ersetzt?	Begründung des Must-Support: historische Nachvollziehbarkeit ersetzter Verordnungen. Hinweis: Diese Extension dient der Abbildung einer Verordnung, die eine vorherige Medikation ersetzt - z.B. bei Unverträglichkeit, mangelnder Wirksamkeit oder Wechsel des Wirkstoffs. Abgrenzung: Im Gegensatz zum Feld 'priorPrescription', das eine Folgeverordnung bei fortgesetzter Therapie beschreibt, kennzeichnet diese Extension eine bewusste Ablösung der ursprünglichen Verordnung.
MedicationRequest.extension:medicationRequestReplaces.value[x]
MedicationRequest.extension:medicationRequestReplaces.value[x].reference
MedicationRequest.extension:medikationsart	Therapieart der Medikation	Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation.
MedicationRequest.extension:medikationsart.value[x].code
MedicationRequest.extension:medikationsart.value[x].display
MedicationRequest.extension:medikationsart.value[x].system
MedicationRequest.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.
MedicationRequest.intent	Ziel der Verordnungsinformation	Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard Hinweis: i.d.R. ‘order’
MedicationRequest.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.
MedicationRequest.medication[x]:medicationCodeableConcept.coding
MedicationRequest.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.
MedicationRequest.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.
MedicationRequest.medication[x]:medicationCodeableConcept.coding:SCT
MedicationRequest.medication[x]:medicationCodeableConcept.text
MedicationRequest.medication[x]:medicationReference	Referenz auf das Medikament (Medication-Ressource)	Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen
MedicationRequest.medication[x]:medicationReference.reference
MedicationRequest.note	Zusätzliche Anmerkungen zur Medikation	Begründung des Must-Support: Fachlich relevante Zusatzinformationen
MedicationRequest.note.text	Freitext-Notiz	Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein
MedicationRequest.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 Profil: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest
MedicationRequest.reasonCode.coding		Begründung des Must-Support: Falls der Grund kodierbar ist, sollte er auch kodiert werden.
MedicationRequest.reasonCode.coding.code		Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer einen Code um die Bedeutung des Codes zu definieren.
MedicationRequest.reasonCode.coding.display		Begründung des Must-Support: Ein Display Element ist für die Lesbarkeit der Information notwendig.
MedicationRequest.reasonCode.coding.system		Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer ein System um die Bedeutung des Codes zu definieren.
MedicationRequest.reasonCode.text
MedicationRequest.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.
MedicationRequest.reasonReference.reference		Begründung des Must-Support: Referenz auf die Diagnose oder Untersuchung, die die Medikation begründet.
MedicationRequest.requester	Referenz auf die verordnende Person	Begründung des Must-Support: Nachvollziehbarkeit
MedicationRequest.requester.reference
MedicationRequest.status	Status der Verordnungsinformation	Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard. Hinweis für Implementierende: Im Falle einer create-Operation kann der Server den .code in .status zunächst auf ‘on-hold’ setzen, z. B. im Falle einer asynchronen Prüfung, die im Rahmen einer textuellen Übergabe möglich ist. Ggf. kann hier zusätzlich ein Mechanismus etabliert werden, der eine anschließende Änderung des Status an den Client kommuniziert. Der Server kann zusätzlich den .code in .statusReason auf ‘clarif’ setzen (‘Clarification is required before the order can be acted upon.’), um anzuzeigen, dass eine Klärung erforderlich ist, bevor die Verordnung ausgeführt werden kann.
MedicationRequest.subject	Referenz auf den Patienten	Begründung des Must-Support: Basisinformation
MedicationRequest.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.
MedicationRequest.substitution	Ersatz zulässig	Begründung des Must-Support: Alignment mit dem (E-)Rezept
MedicationRequest.substitution.allowed[x]:allowedBoolean

This structure is derived from MedicationRequest

Summary

Mandatory: 1 element(13 nested mandatory elements)
Must-Support: 83 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/ExtensionISiKBehandlungsziel
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.asNeeded[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.site.coding
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.route.coding
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]
• The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
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: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:medicationRequestReplaces	S	0..1	(Complex)	Welche Medikationsverordnung wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces"
value[x]	S	1..1	Reference(MedicationRequest)	Value of extension
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	Status der Verordnungsinformation Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!SΣ	1..1	code	Ziel der Verordnungsinformation Binding: medicationRequest Intent (required): The kind of medication order.
doNotPerform	?!SΣ	0..1	boolean	Nicht durchführen
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$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
encounter	S	0..1	Reference(Encounter)	Referenz auf den Abteilungskontakt
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
authoredOn	SΣ	0..1	dateTime	Erstellungsdatum der Verordnung
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Referenz auf die verordnende Person
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
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)	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
dosageInstruction	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, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	Σ	0..1	Duration	Begrenzung der Dauer Required Pattern: At least the following
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣ	0..1	Period	begrenzender Zeitraum
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Anzahl Wiederholungen
countMax	SΣ	0..1	positiveInt	maximale Anzahl Wiederholungen
duration	SΣ	0..1	decimal	Dauer der Verabreichung
durationMax	SΣ	0..1	decimal	maximale Dauer der Verabreichung
durationUnit	SΣ	0..1	code	Einheit der Dauer Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequenz (Anzahl der Gaben pro Periode)
frequencyMax	SΣ	0..1	positiveInt	maximale Frequenz
period	Σ	0..1	decimal	Zeitperiode zur Frequenz
periodMax	SΣ	0..1	decimal	maximale Zeitperiode zur Frequenz
periodUnit	Σ	0..1	code	Einheit der Zeitperiode Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	Wochentag Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Tageszeit
when	Σ	0..*	code	Tageszeitpunkt codiert Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$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:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣ	0..1	Ratio	Raten-Verhältnis
numerator	SΣ	1..1	MedicationQuantity	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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..1	MedicationQuantity	Denominator value
maxDosePerAdministration	SΣ	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
dispenseRequest	S	0..1	BackboneElement	angeforderte Abgabemenge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	MedicationQuantityDoseForm	angeforderte Abgabemenge
substitution	S	0..1	BackboneElement	Ersatz zulässig
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for allowed[x]		1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Whether substitution is allowed or not
priorPrescription		0..1	Reference(MedicationRequest)	Vorherige Verordnung bei fortgesetzter Therapie
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationRequest.dosageInstruction.​route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.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	MedicationRequest.dosageInstruction.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 MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
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: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:medicationRequestReplaces	S	0..1	(Complex)	Welche Medikationsverordnung wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
value[x]	S	1..1	Reference(MedicationRequest)	Value of extension
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
status	S	1..1	code	Status der Verordnungsinformation
intent	S	1..1	code	Ziel der Verordnungsinformation
doNotPerform	S	0..1	boolean	Nicht durchführen
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication to be taken 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
encounter	S	0..1	Reference(Encounter)	Referenz auf den Abteilungskontakt
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
authoredOn	S	0..1	dateTime	Erstellungsdatum der Verordnung
requester	S	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Referenz auf die verordnende Person
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
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)	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
dosageInstruction	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]: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:$this
coding:EDQM	S	0..1	ISiKCoding	Code defined by a terminology system Binding: Medicine EDQM Route of Administration - IPS (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
coding:SNOMED-CT	S	0..1	ISiKSnomedCTCoding	Code defined by a terminology system Binding: SctRouteOfAdministration (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	S	0..1	string	Plain text representation of the concept
doseAndRate
Slices for dose[x]				Content/Rules for all slices
dose[x]:doseQuantity		0..1	SimpleQuantity	Dosis
dose[x]:doseRange	S	0..1	Range	Dosisbereich
low	S	0..1	MedicationQuantityDoseForm	Low limit
high	S	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]		0..1	Ratio, Range, SimpleQuantity(4.0.1)	Amount of medication per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio	S	0..1	Ratio	Raten-Verhältnis
numerator	S	1..1	MedicationQuantity	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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	S	1..1	MedicationQuantity	Denominator value
maxDosePerAdministration	S	0..1	MedicationQuantityDoseForm	Maximaldosis pro Verabreichung
dispenseRequest	S	0..1	BackboneElement	angeforderte Abgabemenge
quantity	S	0..1	MedicationQuantityDoseForm	angeforderte Abgabemenge
substitution	S	0..1	BackboneElement	Ersatz zulässig
Slices for allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this
allowed[x]:allowedBoolean	S	0..1	boolean	Whether substitution is allowed or not
priorPrescription		0..1	Reference(MedicationRequest)	Vorherige Verordnung bei fortgesetzter Therapie
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationRequest.dosageInstruction.​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
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
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: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:medicationRequestReplaces	S	0..1	(Complex)	Welche Medikationsverordnung wird ersetzt? URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces
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/ExtensionISiKMedicationRequestReplaces"
value[x]	S	1..1	Reference(MedicationRequest)	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		0..*	Identifier	External ids for this request
status	?!SΣ	1..1	code	Status der Verordnungsinformation Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	Ziel der Verordnungsinformation Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	0..1	boolean	Nicht durchführen
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medikament in codierter Form oder ggf. als Freitext Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$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
encounter	S	0..1	Reference(Encounter)	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
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	Erstellungsdatum der Verordnung
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Referenz auf die verordnende Person
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
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
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)	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
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
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
dosageInstruction	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, Open 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]: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:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantity	Dosis
dose[x]:doseRange	SΣ	0..1	Range	Dosisbereich
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	MedicationQuantityDoseForm	Low limit
high	SΣ	0..1	MedicationQuantityDoseForm	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Closed by type:$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	MedicationQuantity	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	1..1	MedicationQuantityDoseForm	Numerator value
denominator	SΣ	1..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
dispenseRequest	S	0..1	BackboneElement	angeforderte Abgabemenge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity(4.0.1)	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	MedicationQuantityDoseForm	angeforderte Abgabemenge
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution	S	0..1	BackboneElement	Ersatz zulässig
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for allowed[x]		1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	S	0..1	boolean	Whether substitution is allowed or not
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	Vorherige Verordnung bei fortgesetzter Therapie
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationRequest.extension:medikationsart.​value[x]	Base	required	ISiKMedikationsartVS	📦6.0.0-rc	This IG
MedicationRequest.extension:medicationRequestReplaces.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.statusReason	Base	example	Medication request status reason codes	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.category	Base	example	Medication request category codes	📍4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.requester.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	required	Medicine EDQM Route of Administration - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationRequest.dosageInstruction.​route.coding:SNOMED-CT	Base	required	SctRouteOfAdministration	📦6.0.0-rc	This IG
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.1
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.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	MedicationRequest.dosageInstruction.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 MedicationRequest

Summary

Mandatory: 1 element(13 nested mandatory elements)
Must-Support: 83 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/ExtensionISiKBehandlungsziel
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.asNeeded[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.site.coding
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.route.coding
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]
• The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]