ExtensionISiKMedikationsart
type: StructureDefinition
node role: treeRoot
resource.id:
  value: ExtensionISiKMedikationsart
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: StructureDefinition ExtensionISiKMedikationsart Name Flags Card. Type Description & Constraints Extension 0..* Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart" #xD; value[x] 1..1 Coding Value of extension Binding: ISiKMedikationsartVS (required) #xD; system 1..1 uri Identity of the terminology system #xD; code 1..1 code Symbol in syntax defined by the system #xD; Documentation for this format
structure definition.url:
  value: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
structure definition.version:
  value: 6.0.0
structure definition.name:
  value: ExtensionISiKMedikationsart
structure definition.title:
  value: ISiK Medikationsart
structure definition.status:
  value: active
structure definition.experimental:
  value: false
structure definition.date:
  value: 2026-07-01
structure definition.publisher:
  value: gematik GmbH
structure definition.contact:
  index: 0
  contact detail.name:
    value: gematik GmbH
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://gematik.de
structure definition.description:
  value: Diese Erweiterung ermöglicht die genaue Angabe der Art der Medikation, beispielsweise ob es sich um eine Dauermedikation, Bedarfsmedikation oder eine situative Medikation handelt. Dies trägt zur besseren Strukturierung von Medikationsplänen und zur eindeutigen Kommunikation über die Medikation bei.
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.kind:
  value: complex-type
structure definition.abstract:
  value: false
structure definition.context:
  index: 0
  structure definition.context.type:
    value: element
  structure definition.context.expression:
    value: MedicationStatement
structure definition.context:
  index: 1
  structure definition.context.type:
    value: element
  structure definition.context.expression:
    value: MedicationRequest
structure definition.type:
  value: Extension
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    extension.value string:
      value: 4.0.1
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: Extension
    element definition.path:
      value: Extension
    element definition.short:
      value: Extension
    element definition.definition:
      value: An Extension
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: Extension
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.condition:
      value: ele-1
      index: 0
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: ele-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: All FHIR elements must have a @value or children
      element definition.constraint.expression:
        value: hasValue() or (children().count() > id.count())
      element definition.constraint.xpath:
        value: @value|f:*|h:div
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/Element
        link: http://hl7.org/fhir/StructureDefinition/Element
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: ext-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: Must have either extensions or value[x], not both
      element definition.constraint.expression:
        value: extension.exists() != value.exists()
      element definition.constraint.xpath:
        value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/Extension
        link: http://hl7.org/fhir/StructureDefinition/Extension
    element definition.is modifier:
      value: false
  structure definition.snapshot.element:
    index: 1
    element.id:
      value: Extension.id
    element definition.path:
      value: Extension.id
    element definition.representation:
      value: xmlAttr
      index: 0
    element definition.short:
      value: Unique id for inter-element referencing
    element definition.definition:
      value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    element definition.min:
      value: 0
    element definition.max:
      value: 1
    element definition.base:
      element definition.base.path:
        value: Element.id
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: 1
    element definition.type:
      index: 0
      element.extension:
        index: 0
      element definition.type.code:
        value: http://hl7.org/fhirpath/System.String
    element definition.is modifier:
      value: false
    element definition.is summary:
      value: false
    element definition.mapping:
      index: 0
      element definition.mapping.identity:
        value: rim
      element definition.mapping.map:
        value: n/a
  structure definition.snapshot.element:
    index: 2
    element.id:
      value: Extension.extension
    element definition.path:
      value: Extension.extension
    element definition.slicing:
      element definition.slicing.discriminator:
        index: 0
      element definition.slicing.description:
        value: Extensions are always sliced by (at least) url
      element definition.slicing.rules:
        value: open
    element definition.short:
      value: Extension
    element definition.definition:
      value: An Extension
    element definition.min:
      value: 0
    element definition.max:
      value: 0
    element definition.base:
      element definition.base.path:
        value: Element.extension
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.type:
      index: 0
      element definition.type.code:
        value: Extension

value: string

value: value

value: url

index: 0
element definition.constraint.key:
  value: ele-1
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: All FHIR elements must have a @value or children
element definition.constraint.expression:
  value: hasValue() or (children().count() > id.count())
element definition.constraint.xpath:
  value: @value|f:*|h:div
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/Element
  link: http://hl7.org/fhir/StructureDefinition/Element

index: 1
element definition.constraint.key:
  value: ext-1
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: Must have either extensions or value[x], not both
element definition.constraint.expression:
  value: extension.exists() != value.exists()
element definition.constraint.xpath:
  value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension

value: false

value: false

index: 3
element.id:
  value: Extension.url
element definition.path:
  value: Extension.url
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: identifies the meaning of the extension
element definition.definition:
  value: Source of the definition for the extension code - a logical name or a URL.
element definition.comment:
  value: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Extension.url
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: uri
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.fixed uri:
  value: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 4
element.id:
  value: Extension.value[x]
element definition.path:
  value: Extension.value[x]
element definition.short:
  value: Value of extension
element definition.definition:
  value: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Extension.value[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS
    link: https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 5
element.id:
  value: Extension.value[x].id
element definition.path:
  value: Extension.value[x].id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 6
element.id:
  value: Extension.value[x].extension
element definition.path:
  value: Extension.value[x].extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.description:
    value: Extensions are always sliced by (at least) url
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 7
element.id:
  value: Extension.value[x].system
element definition.path:
  value: Extension.value[x].system
element definition.short:
  value: Identity of the terminology system
element definition.definition:
  value: The identification of the code system that defines the meaning of the symbol in the code.
element definition.comment:
  value: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
element definition.requirements:
  value: Need to be unambiguous about the source of the definition of the symbol.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.system
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.3
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./codeSystem
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

index: 8
element.id:
  value: Extension.value[x].version
element definition.path:
  value: Extension.value[x].version
element definition.short:
  value: Version of the system - if relevant
element definition.definition:
  value: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
element definition.comment:
  value: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.version
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.7
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./codeSystemVersion
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

index: 9
element.id:
  value: Extension.value[x].code
element definition.path:
  value: Extension.value[x].code
element definition.short:
  value: Symbol in syntax defined by the system
element definition.definition:
  value: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
element definition.requirements:
  value: Need to refer to a particular code in the system.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

index: 10
element.id:
  value: Extension.value[x].display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: Extension.value[x].display
element definition.short:
  value: Representation defined by the system
element definition.definition:
  value: A representation of the meaning of the code in the system, following the rules of the system.
element definition.requirements:
  value: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.display
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.2 - but note this is not well followed
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: CV.displayName
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

index: 11
element.id:
  value: Extension.value[x].userSelected
element definition.path:
  value: Extension.value[x].userSelected
element definition.short:
  value: If this coding was chosen directly by the user
element definition.definition:
  value: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
element definition.comment:
  value: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
element definition.requirements:
  value: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.userSelected
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: Sometimes implied by being first
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: CD.codingRationale
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

structure definition.differential.element:
  index: 0
  element.id:
    value: Extension
  element definition.path:
    value: Extension
structure definition.differential.element:
  index: 1
  element.id:
    value: Extension.extension
  element definition.path:
    value: Extension.extension
  element definition.max:
    value: 0
structure definition.differential.element:
  index: 2
  element.id:
    value: Extension.url
  element definition.path:
    value: Extension.url
  element definition.fixed uri:
    value: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart
structure definition.differential.element:
  index: 3
  element.id:
    value: Extension.value[x]
  element definition.path:
    value: Extension.value[x]
  element definition.min:
    value: 1
  element definition.type:
    index: 0
    element definition.type.code:
      value: Coding
  element definition.binding:
    element definition.binding.strength:
      value: required
    element definition.binding.value set:
      value: https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS
      link: https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS
structure definition.differential.element:
  index: 4
  element.id:
    value: Extension.value[x].system
  element definition.path:
    value: Extension.value[x].system
  element definition.min:
    value: 1
structure definition.differential.element:
  index: 5
  element.id:
    value: Extension.value[x].code
  element definition.path:
    value: Extension.value[x].code
  element definition.min:
    value: 1