ISiKMedikationsVerabreichung
type: StructureDefinition
node role: treeRoot
resource.id:
  value: ISiKMedikationsVerabreichung
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: StructureDefinition ISiKMedikationsVerabreichung Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient #xD; id S 0..1 id serverseitige, interne ID des Datensatzes #xD; meta #xD; versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes #xD; lastUpdated 0..1 instant Zeitpunkt der letzten Änderung #xD; implicitRules 0..0 Verweis auf die Regeln, nach denen die Ressource erstellt wurde #xD; status S 1..1 code Status der Verabreichungsinformation #xD; Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What was administered Slice: Unordered, Open by type:$this #xD; medication[x]:medicationCodeableConcept S 0..1 CodeableConcept Medikament in codierter Form oder ggf. als Freitext #xD; Slices for coding S 0..* Coding Code defined by a terminology system Slice: Unordered, Open by pattern:$this #xD; Slices for coding Content/Rules for all slices #xD; coding:PZN S 0..* ISiKPZNCoding Code defined by a terminology system Required Pattern: At least the following #xD; coding:ATC-DE S 0..* ISiKATCCoding Code defined by a terminology system Required Pattern: At least the following #xD; coding:SCT S 0..1 ISiKSnomedCTCoding Code defined by a terminology system Required Pattern: At least the following #xD; medication[x]:medicationReference S 0..1 Reference(Medication) Referenz auf das Medikament (Medication-Ressource) #xD; reference S 1..1 string Literal reference, Relative, internal or absolute URL #xD; subject S 1..1 Reference(Patient) Referenz auf den Patienten #xD; reference S 1..1 string Patienten-Link #xD; context S 0..1 Reference(Encounter | EpisodeOfCare) Referenz auf den Abteilungskontakt #xD; reference S 1..1 string Literal reference, Relative, internal or absolute URL #xD; Slices for effective[x] 1..1 dateTime, Period Start and end time of administration Slice: Un…
structure definition.url:
  value: https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerabreichung
structure definition.version:
  value: 6.0.0
structure definition.name:
  value: ISiKMedikationsVerabreichung
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: Dieses Profil ermöglicht die Abbildung der Verabreichung von Medikamenten für einen Patienten in ISiK Szenarien. Hinweis zur Auswahl des Profils: In Abgrenzung zu ISiKMedikationsInformation (MedicationStatement) wird mittels des vorliegenden Profils die Verabreichung eines Medikaments an einen Patienten mit einer Zeitpunkt-genauen Angabe abgebildet (.effectiveDateTime oder .effectivePeriod auf Sekundenebene gemäß der [FHIR-Core Vorgabe](https://hl7.org/fhir/R4/datatypes.html#dateTime)). D.h. die lediglich Datums-genaue Angabe ist im vorliegenden Profil nicht erlaubt. Das Profil ISiKMedikationsInformation (MedicationStatement) kann ebenfalls für die Abbildung der Verabreichung von Medikamenten für einen Patienten verwendet werden, wenn keine Zeitpunkt-genauen Angaben zur Verabreichung vorliegen, sondern lediglich Datums-genaue Angaben (einschließlich Granularität Jahr, Monat oder Tag). Begründung zur Profil- und Nutzungsdifferenzierung: Handelt es sich bei Erfassung um eine medizinische Verabreichungsdokumentation, dann ist ein genauer Zeitstempel zwingend. Die medizinische Verabreichungsdokumentation muss durch medizinisches Personal erfolgen. Angaben von Patienten und Angehörigen sind grundsätzlich keine medizinische Verabreichungsdokumentation und daher als MedicationStament zu erfassen(['report that such a sequence (or at least a part of it) did take place'](https://hl7.org/fhir/R4/medicationstatement.html)). **Hinweis zur Pausierung einer Medikation (Best-Practice):** Für die Abbildung der Pausierung einer Medikation wird empfohlen, **mehrere `MedicationAdministration`-Ressourcen** zu verwenden, anstatt eine bestehende zu überschreiben. Dies bringt folgende Vorteile: - **Korrekte Statusabbildung:** Das `status`-Feld muss stets aktuell gepflegt werden, um den momentanen Zustand der Medikation systemweit sichtbar und durchsuchbar zu halten. - **Effiziente Abfragen über REST API:** In Kombination mit `effective[x]` ermöglicht das `status`-Feld die gezielte Abfrage …
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: workflow
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/workflow
  structure definition.mapping.name:
    value: Workflow Pattern
structure definition.mapping:
  index: 1
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.mapping:
  index: 2
  structure definition.mapping.identity:
    value: w5
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/fivews
  structure definition.mapping.name:
    value: FiveWs Pattern Mapping
structure definition.mapping:
  index: 3
  structure definition.mapping.identity:
    value: v2
  structure definition.mapping.uri:
    value: http://hl7.org/v2
  structure definition.mapping.name:
    value: HL7 v2 Mapping
structure definition.mapping:
  index: 4
  structure definition.mapping.identity:
    value: w3c.prov
  structure definition.mapping.uri:
    value: http://www.w3.org/ns/prov
  structure definition.mapping.name:
    value: W3C PROV
structure definition.kind:
  value: resource
structure definition.abstract:
  value: false
structure definition.type:
  value: MedicationAdministration
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
  link: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
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: MedicationAdministration
    element definition.path:
      value: MedicationAdministration
    element definition.short:
      value: Administration of medication to a patient
    element definition.definition:
      value: Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: MedicationAdministration
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: dom-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      element definition.constraint.expression:
        value: contained.contained.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:contained)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: dom-3
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: 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
      element definition.constraint.expression:
        value: 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()
      element definition.constraint.xpath:
        value: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 2
      element definition.constraint.key:
        value: dom-4
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      element definition.constraint.expression:
        value: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 3
      element definition.constraint.key:
        value: dom-5
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a security label
      element definition.constraint.expression:
        value: contained.meta.security.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:security))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 4
      element.extension:
        index: 0
      element.extension:
        index: 1
      element definition.constraint.key:
        value: dom-6
      element definition.constraint.severity:
        value: warning
      element definition.constraint.human:
        value: A resource should have narrative for robust management
      element definition.constraint.expression:
        value: text.`div`.exists()
      element definition.constraint.xpath:
        value: exists(f:text/h:div)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    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: Entity. Role, or Act

value: true

value: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

index: 1
element definition.mapping.identity:
  value: workflow
element definition.mapping.map:
  value: Event

index: 2
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: SubstanceAdministration

index: 1
element.id:
  value: MedicationAdministration.id
element definition.path:
  value: MedicationAdministration.id
element definition.short:
  value: serverseitige, interne ID des Datensatzes
element definition.definition:
  value: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
element definition.comment:
  value: **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 `id`verfügen.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.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: id
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 2
element.id:
  value: MedicationAdministration.meta
element definition.path:
  value: MedicationAdministration.meta
element definition.short:
  value: Metadata about the resource
element definition.definition:
  value: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.meta
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Meta
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

index: 3
element.id:
  value: MedicationAdministration.meta.id
element definition.path:
  value: MedicationAdministration.meta.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: 4
element.id:
  value: MedicationAdministration.meta.extension
element definition.path:
  value: MedicationAdministration.meta.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: 5
element.id:
  value: MedicationAdministration.meta.versionId
element definition.path:
  value: MedicationAdministration.meta.versionId
element definition.short:
  value: Eindeutiger Name der serverseitigen Version des Datensatzes
element definition.definition:
  value: The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
element definition.comment:
  value: Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Meta.versionId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: id
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

index: 6
element.id:
  value: MedicationAdministration.meta.lastUpdated
element definition.path:
  value: MedicationAdministration.meta.lastUpdated
element definition.short:
  value: Zeitpunkt der letzten Änderung
element definition.definition:
  value: When the resource last changed - e.g. when the version changed.
element definition.comment:
  value: Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Meta.lastUpdated
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: instant
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

index: 7
element.id:
  value: MedicationAdministration.meta.source
element definition.path:
  value: MedicationAdministration.meta.source
element definition.short:
  value: Identifies where the resource comes from
element definition.definition:
  value: A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
element definition.comment:
  value: In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Meta.source
  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

index: 8
element.id:
  value: MedicationAdministration.meta.profile
element definition.path:
  value: MedicationAdministration.meta.profile
element definition.short:
  value: Profiles this resource claims to conform to
element definition.definition:
  value: A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
element definition.comment:
  value: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Meta.profile
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: canonical
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1
    index: 0
    link: 4.0
    link: .1
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

index: 9
element.id:
  value: MedicationAdministration.meta.security
element definition.path:
  value: MedicationAdministration.meta.security
element definition.short:
  value: Security Labels applied to this resource
element definition.definition:
  value: Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
element definition.comment:
  value: The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Meta.security
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
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: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SecurityLabels
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Security Labels from the Healthcare Privacy and Security Classification System.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/security-labels|4.0.1
    link: 4.0
    link: .1

index: 10
element.id:
  value: MedicationAdministration.meta.tag
element definition.path:
  value: MedicationAdministration.meta.tag
element definition.short:
  value: Tags applied to this resource
element definition.definition:
  value: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
element definition.comment:
  value: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Meta.tag
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
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: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Tags
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/common-tags|4.0.1
    link: 4.0
    link: .1

index: 11
element.id:
  value: MedicationAdministration.implicitRules
element definition.path:
  value: MedicationAdministration.implicitRules
element definition.short:
  value: Verweis auf die Regeln, nach denen die Ressource erstellt wurde
element definition.definition:
  value: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
element definition.comment:
  value: Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.
element definition.min:
  value: 0
element definition.max:
  value: 0
element definition.base:
  element definition.base.path:
    value: Resource.implicitRules
  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: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
element definition.is summary:
  value: true

index: 12
element.id:
  value: MedicationAdministration.language
element definition.path:
  value: MedicationAdministration.language
element definition.short:
  value: Language of the resource content
element definition.definition:
  value: The base language in which the resource is written.
element definition.comment:
  value: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.language
  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: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value canonical:
      value: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/languages|4.0.1
    link: 4.0
    link: .1

index: 13
element.id:
  value: MedicationAdministration.text
element definition.path:
  value: MedicationAdministration.text
element definition.short:
  value: Text summary of the resource, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
element definition.comment:
  value: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
element definition.alias:
  value: narrative
  index: 0
element definition.alias:
  value: html
  index: 1
element definition.alias:
  value: xhtml
  index: 2
element definition.alias:
  value: display
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
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.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text?

index: 14
element.id:
  value: MedicationAdministration.contained
element definition.path:
  value: MedicationAdministration.contained
element definition.short:
  value: Contained, inline Resources
element definition.definition:
  value: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
element definition.comment:
  value: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
element definition.alias:
  value: inline resources
  index: 0
element definition.alias:
  value: anonymous resources
  index: 1
element definition.alias:
  value: contained resources
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.contained
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Resource
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: 15
element.id:
  value: MedicationAdministration.extension
element definition.path:
  value: MedicationAdministration.extension
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 resource. 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: DomainResource.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: 16
element.id:
  value: MedicationAdministration.modifierExtension
element definition.path:
  value: MedicationAdministration.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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: DomainResource.modifierExtension
  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: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
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: 17
element.id:
  value: MedicationAdministration.identifier
element definition.path:
  value: MedicationAdministration.identifier
element definition.short:
  value: External identifier
element definition.definition:
  value: Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
element definition.comment:
  value: This is a business identifier, not a resource identifier.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
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.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.identifier
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.identifier
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .id

index: 18
element.id:
  value: MedicationAdministration.instantiates
element definition.path:
  value: MedicationAdministration.instantiates
element definition.short:
  value: Instantiates protocol or definition
element definition.definition:
  value: A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.instantiates
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
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: workflow
  element definition.mapping.map:
    value: Event.instantiates
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=DEFN].target[classCode=unspecified]

index: 19
element.id:
  value: MedicationAdministration.partOf
element definition.path:
  value: MedicationAdministration.partOf
element definition.short:
  value: Part of referenced event
element definition.definition:
  value: A larger event of which this particular event is a component or step.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.partOf
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1
    index: 1
    link: 4.0
    link: .1
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: workflow
  element definition.mapping.map:
    value: Event.partOf
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]

index: 20
element.id:
  value: MedicationAdministration.status
element definition.path:
  value: MedicationAdministration.status
element definition.short:
  value: Status der Verabreichungsinformation
element definition.definition:
  value: Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.
element definition.comment:
  value: Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.status
  element definition.base.min:
    value: 1
  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.must support:
  value: true
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationStatus
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: A set of codes indicating the current status of a MedicationAdministration.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.status
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.status
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-20-Completion Status
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .statusCode

index: 21
element.id:
  value: MedicationAdministration.statusReason
element definition.path:
  value: MedicationAdministration.statusReason
element definition.short:
  value: Reason administration not performed
element definition.definition:
  value: A code indicating why the administration was not performed.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.statusReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationNegationReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A set of codes indicating the reason why the MedicationAdministration is negated.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.statusReason
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value

index: 22
element.id:
  value: MedicationAdministration.category
element definition.path:
  value: MedicationAdministration.category
element definition.short:
  value: Type of medication usage
element definition.definition:
  value: Indicates where the medication is expected to be consumed or administered.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationCategory
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: A coded concept describing where the medication administered is expected to occur.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value

index: 23
element.id:
  value: MedicationAdministration.medication[x]
element definition.path:
  value: MedicationAdministration.medication[x]
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: type
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: closed
element definition.short:
  value: What was administered
element definition.definition:
  value: Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
element definition.comment:
  value: If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.medication[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Medication|4.0.1
    index: 0
    link: 4.0
    link: .1
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.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes identifying substance or product that can be administered.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/medication-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.what[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-5-Administered Code
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=CSM].role[classCode=ADMM]

index: 24
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept
element definition.path:
  value: MedicationAdministration.medication[x]
element definition.slice name:
  value: medicationCodeableConcept
element definition.short:
  value: Medikament in codierter Form oder ggf. als Freitext
element definition.definition:
  value: Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
element definition.comment:
  value: Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.medication[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes identifying substance or product that can be administered.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/medication-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.what[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-5-Administered Code
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=CSM].role[classCode=ADMM]

index: 25
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.id
element definition.path:
  value: MedicationAdministration.medication[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: 26
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.extension
element definition.path:
  value: MedicationAdministration.medication[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: 27
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding
element definition.path:
  value: MedicationAdministration.medication[x].coding
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 28
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN
element definition.path:
  value: MedicationAdministration.medication[x].coding
element definition.slice name:
  value: PZN
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding
element definition.pattern coding:
  coding.system:
    value: http://fhir.de/CodeSystem/ifa/pzn
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 29
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC-DE
element definition.path:
  value: MedicationAdministration.medication[x].coding
element definition.slice name:
  value: ATC-DE
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: 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.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding
element definition.pattern coding:
  coding.system:
    value: http://fhir.de/CodeSystem/bfarm/atc
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 30
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding:SCT
element definition.path:
  value: MedicationAdministration.medication[x].coding
element definition.slice name:
  value: SCT
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
element definition.pattern coding:
  coding.system:
    value: http://snomed.info/sct
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 31
element.id:
  value: MedicationAdministration.medication[x]:medicationCodeableConcept.text
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.medication[x].text
element definition.short:
  value: Plain text representation of the concept
element definition.definition:
  value: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
element definition.comment:
  value: Very often the text is the same as a displayName of one of the codings.
element definition.requirements:
  value: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.text
  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.9. But note many systems use C*E.2 for this
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./originalText[mediaType/code="text/plain"]/data
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

index: 32
element.id:
  value: MedicationAdministration.medication[x]:medicationReference
element definition.path:
  value: MedicationAdministration.medication[x]
element definition.slice name:
  value: medicationReference
element definition.short:
  value: Referenz auf das Medikament (Medication-Ressource)
element definition.definition:
  value: Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
element definition.comment:
  value: Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.medication[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Medication
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Medication
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.what[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-5-Administered Code
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=CSM].role[classCode=ADMM]

index: 33
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.id
element definition.path:
  value: MedicationAdministration.medication[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: 34
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.extension
element definition.path:
  value: MedicationAdministration.medication[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: 35
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.reference
element definition.path:
  value: MedicationAdministration.medication[x].reference
element definition.short:
  value: Literal reference, Relative, internal or absolute URL
element definition.definition:
  value: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
element definition.comment:
  value: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  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.condition:
  value: ref-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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 36
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.type
element definition.path:
  value: MedicationAdministration.medication[x].type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
element definition.comment:
  value: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  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.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 37
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.identifier
element definition.path:
  value: MedicationAdministration.medication[x].identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
element definition.comment:
  value: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
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: rim
  element definition.mapping.map:
    value: .identifier

index: 38
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.medication[x].display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.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: rim
  element definition.mapping.map:
    value: N/A

index: 39
element.id:
  value: MedicationAdministration.subject
element definition.path:
  value: MedicationAdministration.subject
element definition.short:
  value: Referenz auf den Patienten
element definition.definition:
  value: The person or animal or group receiving the medication.
element definition.comment:
  value: Begründung des Must-Support: Basisinformation
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.subject
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Patient
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.subject
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: PID-3-Patient ID List
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=SBJ].role[classCode=PAT]
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject

index: 40
element.id:
  value: MedicationAdministration.subject.id
element definition.path:
  value: MedicationAdministration.subject.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: 41
element.id:
  value: MedicationAdministration.subject.extension
element definition.path:
  value: MedicationAdministration.subject.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: 42
element.id:
  value: MedicationAdministration.subject.reference
element definition.path:
  value: MedicationAdministration.subject.reference
element definition.short:
  value: Patienten-Link
element definition.definition:
  value: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
element definition.comment:
  value: **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](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  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.condition:
  value: ref-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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 43
element.id:
  value: MedicationAdministration.subject.type
element definition.path:
  value: MedicationAdministration.subject.type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
element definition.comment:
  value: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  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.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 44
element.id:
  value: MedicationAdministration.subject.identifier
element definition.path:
  value: MedicationAdministration.subject.identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
element definition.comment:
  value: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
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: rim
  element definition.mapping.map:
    value: .identifier

index: 45
element.id:
  value: MedicationAdministration.subject.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.subject.display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.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: rim
  element definition.mapping.map:
    value: N/A

index: 46
element.id:
  value: MedicationAdministration.context
element definition.path:
  value: MedicationAdministration.context
element definition.short:
  value: Referenz auf den Abteilungskontakt
element definition.definition:
  value: The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.
element definition.comment:
  value: Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.context
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1
    index: 1
    link: 4.0
    link: .1
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.context
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.context
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: PV1-19-Visit Number
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]

index: 47
element.id:
  value: MedicationAdministration.context.id
element definition.path:
  value: MedicationAdministration.context.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: 48
element.id:
  value: MedicationAdministration.context.extension
element definition.path:
  value: MedicationAdministration.context.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: 49
element.id:
  value: MedicationAdministration.context.reference
element definition.path:
  value: MedicationAdministration.context.reference
element definition.short:
  value: Literal reference, Relative, internal or absolute URL
element definition.definition:
  value: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
element definition.comment:
  value: **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](https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung) sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  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.condition:
  value: ref-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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 50
element.id:
  value: MedicationAdministration.context.type
element definition.path:
  value: MedicationAdministration.context.type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
element definition.comment:
  value: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  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.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 51
element.id:
  value: MedicationAdministration.context.identifier
element definition.path:
  value: MedicationAdministration.context.identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
element definition.comment:
  value: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
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: rim
  element definition.mapping.map:
    value: .identifier

index: 52
element.id:
  value: MedicationAdministration.context.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.context.display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.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: rim
  element definition.mapping.map:
    value: N/A

index: 53
element.id:
  value: MedicationAdministration.supportingInformation
element definition.path:
  value: MedicationAdministration.supportingInformation
element definition.short:
  value: Additional information to support administration
element definition.definition:
  value: Additional information (for example, patient height and weight) that supports the administration of the medication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.supportingInformation
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    index: 0
    link: 4.0
    link: .1
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.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.context
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]

index: 54
element.id:
  value: MedicationAdministration.effective[x]
element definition.path:
  value: MedicationAdministration.effective[x]
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: type
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: closed
element definition.short:
  value: Start and end time of administration
element definition.definition:
  value: A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.effective[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.type:
  index: 1
  element definition.type.code:
    value: Period
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: workflow
  element definition.mapping.map:
    value: Event.occurrence[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .effectiveTime

index: 55
element.id:
  value: MedicationAdministration.effective[x]:effectiveDateTime
element definition.path:
  value: MedicationAdministration.effective[x]
element definition.slice name:
  value: effectiveDateTime
element definition.short:
  value: Zeitpunkt der Verabreichung
element definition.definition:
  value: A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
element definition.comment:
  value: Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: eine Zeitpunkt-genaue Angabe (.effectiveDateTime oder .effectivePeriod auf Sekundenebene gemäß der [FHIR-Core Vorgabe](https://hl7.org/fhir/R4/datatypes.html#dateTime)) MUSS hier seitens eines bestätigungsrelevanten Systems unterstützt werden. Für grobgranularere Angaben (z.B. nur Jahr, Monat oder Tag) SOLL das Profil ISiKMedikationsInformation (MedicationStatement) verwendet werden.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.effective[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.occurrence[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .effectiveTime

index: 56
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod
element definition.path:
  value: MedicationAdministration.effective[x]
element definition.slice name:
  value: effectivePeriod
element definition.short:
  value: Zeitraum der Verabreichung
element definition.definition:
  value: A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
element definition.comment:
  value: Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: eine Zeitpunkt-genaue Angabe (.effectiveDateTime oder .effectivePeriod auf Sekundenebene gemäß der [FHIR-Core Vorgabe](https://hl7.org/fhir/R4/datatypes.html#dateTime)) MUSS hier seitens eines bestätigungsrelevanten Systems unterstützt werden. Für grobgranularere Angaben (z.B. nur Jahr, Monat oder Tag) SOLL das Profil ISiKMedikationsInformation (MedicationStatement) verwendet werden.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.effective[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.occurrence[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .effectiveTime

index: 57
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod.id
element definition.path:
  value: MedicationAdministration.effective[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: 58
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod.extension
element definition.path:
  value: MedicationAdministration.effective[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: 59
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod.start
element definition.path:
  value: MedicationAdministration.effective[x].start
element definition.short:
  value: Starting time with inclusive boundary
element definition.definition:
  value: The start of the period. The boundary is inclusive.
element definition.comment:
  value: If the low element is missing, the meaning is that the low boundary is not known.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Period.start
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.condition:
  value: per-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.must support:
  value: true
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: DR.1
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./low

index: 60
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod.end
element definition.path:
  value: MedicationAdministration.effective[x].end
element definition.short:
  value: End time with inclusive boundary, if not ongoing
element definition.definition:
  value: The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
element definition.comment:
  value: The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Period.end
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.meaning when missing:
  value: If the end of the period is missing, it means that the period is ongoing
element definition.condition:
  value: per-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.must support:
  value: true
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: DR.2
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./high

index: 61
element.id:
  value: MedicationAdministration.performer
element definition.path:
  value: MedicationAdministration.performer
element definition.short:
  value: Durchführende Person(en) der Verabreichung
element definition.definition:
  value: Indicates who or what performed the medication administration and how they were involved.
element definition.comment:
  value: Begründung des Must-Support: Nachvollziehbarkeit
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.performer
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.actor
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=PRF]

index: 62
element.id:
  value: MedicationAdministration.performer.id
element definition.path:
  value: MedicationAdministration.performer.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: 63
element.id:
  value: MedicationAdministration.performer.extension
element definition.path:
  value: MedicationAdministration.performer.extension
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: 64
element.id:
  value: MedicationAdministration.performer.modifierExtension
element definition.path:
  value: MedicationAdministration.performer.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  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: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 65
element.id:
  value: MedicationAdministration.performer.function
element definition.path:
  value: MedicationAdministration.performer.function
element definition.short:
  value: Type of performance
element definition.definition:
  value: Distinguishes the type of involvement of the performer in the medication administration.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.performer.function
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationPerformerFunction
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A code describing the role an individual played in administering the medication.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.function
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: participation[typeCode=PRF].functionCode

index: 66
element.id:
  value: MedicationAdministration.performer.actor
element definition.path:
  value: MedicationAdministration.performer.actor
element definition.short:
  value: Referenz auf die verabreichende Person
element definition.definition:
  value: Indicates who or what performed the medication administration.
element definition.comment:
  value: Begründung des Must-Support: Nachvollziehbarkeit
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.performer.actor
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    index: 1
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    index: 2
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    index: 3
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    index: 4
    link: 4.0
    link: .1
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.actor
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .role

index: 67
element.id:
  value: MedicationAdministration.performer.actor.id
element definition.path:
  value: MedicationAdministration.performer.actor.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: 68
element.id:
  value: MedicationAdministration.performer.actor.extension
element definition.path:
  value: MedicationAdministration.performer.actor.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: 69
element.id:
  value: MedicationAdministration.performer.actor.reference
element definition.path:
  value: MedicationAdministration.performer.actor.reference
element definition.short:
  value: Literal reference, Relative, internal or absolute URL
element definition.definition:
  value: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
element definition.comment:
  value: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  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.condition:
  value: ref-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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 70
element.id:
  value: MedicationAdministration.performer.actor.type
element definition.path:
  value: MedicationAdministration.performer.actor.type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
element definition.comment:
  value: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  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.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 71
element.id:
  value: MedicationAdministration.performer.actor.identifier
element definition.path:
  value: MedicationAdministration.performer.actor.identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
element definition.comment:
  value: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
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: rim
  element definition.mapping.map:
    value: .identifier

index: 72
element.id:
  value: MedicationAdministration.performer.actor.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.performer.actor.display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.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: rim
  element definition.mapping.map:
    value: N/A

index: 73
element.id:
  value: MedicationAdministration.reasonCode
element definition.path:
  value: MedicationAdministration.reasonCode
element definition.short:
  value: Grund der Medikation (Referenz)
element definition.definition:
  value: A code indicating why the medication was given.
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.reasonCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A set of codes indicating the reason why the MedicationAdministration was made.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.reasonCode
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXE-27 Give Indication
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .reasonCode

index: 74
element.id:
  value: MedicationAdministration.reasonReference
element definition.path:
  value: MedicationAdministration.reasonReference
element definition.short:
  value: Grund der Medikation (Referenz)
element definition.definition:
  value: Condition or observation that supports why the medication was administered.
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.reasonReference
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Condition|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    index: 1
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1
    index: 2
    link: 4.0
    link: .1
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.reasonReference
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.why[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: no mapping

index: 75
element.id:
  value: MedicationAdministration.reasonReference.id
element definition.path:
  value: MedicationAdministration.reasonReference.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: 76
element.id:
  value: MedicationAdministration.reasonReference.extension
element definition.path:
  value: MedicationAdministration.reasonReference.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: 77
element.id:
  value: MedicationAdministration.reasonReference.reference
element definition.path:
  value: MedicationAdministration.reasonReference.reference
element definition.short:
  value: Literal reference, Relative, internal or absolute URL
element definition.definition:
  value: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
element definition.comment:
  value: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  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.condition:
  value: ref-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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 78
element.id:
  value: MedicationAdministration.reasonReference.type
element definition.path:
  value: MedicationAdministration.reasonReference.type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
element definition.comment:
  value: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  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.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 79
element.id:
  value: MedicationAdministration.reasonReference.identifier
element definition.path:
  value: MedicationAdministration.reasonReference.identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
element definition.comment:
  value: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
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: rim
  element definition.mapping.map:
    value: .identifier

index: 80
element.id:
  value: MedicationAdministration.reasonReference.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.reasonReference.display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.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: rim
  element definition.mapping.map:
    value: N/A

index: 81
element.id:
  value: MedicationAdministration.request
element definition.path:
  value: MedicationAdministration.request
element definition.short:
  value: Referenz auf die Verordnung
element definition.definition:
  value: The original request, instruction or authority to perform the administration.
element definition.comment:
  value: **Einschränkung der übergreifenden MS-Definition:** Verfügt ein bestätigungsrelevantes System nicht über die Möglichkeit zur Abbildung der zugrunde liegenden Verordnung einer Verabreichung, so MUSS dieses System die Information NICHT abbilden. Motivation zum eingeschränkten MS: Die referenzierte Verordnung (`MedicationRequest`) bildet in der Regel die Grundlage einer Verabreichung (`MedicationAdministration`). Aus fachlicher Sicht ist die Verknüpfung beider Ressourcen wesentlich, da sie die Nachvollziehbarkeit der therapeutischen Maßnahme unterstützt. Allerdings existieren in der Versorgungspraxis auch Systeme, die keine strukturierte Erfassung oder Referenzierung einer zugrundeliegenden Verordnung vorsehen. Daher wird `MedicationAdministration.request` in ISiK als eingeschränktes Must Support definiert, um eine einheitliche Implementierung zu fördern.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.request
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1
    index: 0
    link: 4.0
    link: .1
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.basedOn
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: ORC-2-Placer Order Number / ORC-3-Filler Order Number
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: InFullfillmentOf->SubstanceAdministration

index: 82
element.id:
  value: MedicationAdministration.device
element definition.path:
  value: MedicationAdministration.device
element definition.short:
  value: Device used to administer
element definition.definition:
  value: The device used in administering the medication to the patient. For example, a particular infusion pump.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.device
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    index: 0
    link: 4.0
    link: .1
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.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: PRT-10 Participation Device / RXR-3 Administrative Device
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: device->Access OR device->AssignedDevice

index: 83
element.id:
  value: MedicationAdministration.note
element definition.path:
  value: MedicationAdministration.note
element definition.short:
  value: Zusätzliche Anmerkungen zur Medikation
element definition.definition:
  value: Extra information about the medication administration that is not conveyed by the other attributes.
element definition.comment:
  value: Begründung des Must-Support: Fachlich relevante Zusatzinformationen
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.note
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Annotation
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.note
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value

index: 84
element.id:
  value: MedicationAdministration.note.id
element definition.path:
  value: MedicationAdministration.note.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: 85
element.id:
  value: MedicationAdministration.note.extension
element definition.path:
  value: MedicationAdministration.note.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: 86
element.id:
  value: MedicationAdministration.note.author[x]
element definition.path:
  value: MedicationAdministration.note.author[x]
element definition.short:
  value: Individual responsible for the annotation
element definition.definition:
  value: The individual responsible for making the annotation.
element definition.comment:
  value: Organization is used when there's no need for specific attribution as to who made the comment.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Annotation.author[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    index: 1
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    index: 2
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    index: 3
    link: 4.0
    link: .1
element definition.type:
  index: 1
  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: N/A
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.participant[typeCode=AUT].role

index: 87
element.id:
  value: MedicationAdministration.note.time
element definition.path:
  value: MedicationAdministration.note.time
element definition.short:
  value: When the annotation was made
element definition.definition:
  value: Indicates when this particular annotation was made.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Annotation.time
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
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: N/A
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.effectiveTime

index: 88
element.id:
  value: MedicationAdministration.note.text
element definition.path:
  value: MedicationAdministration.note.text
element definition.short:
  value: Freitext-Notiz
element definition.definition:
  value: The text of the annotation in markdown format.
element definition.comment:
  value: Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Annotation.text
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: markdown
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.must support:
  value: true
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: N/A
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text

index: 89
element.id:
  value: MedicationAdministration.dosage
element definition.path:
  value: MedicationAdministration.dosage
element definition.short:
  value: Dosierungsangaben
element definition.definition:
  value: Describes the medication dosage information details e.g. dose, rate, site, route, etc.
element definition.comment:
  value: 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
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
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: mad-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: SHALL have at least one of dosage.dose or dosage.rate[x]
  element definition.constraint.expression:
    value: dose.exists() or rate.exists()
  element definition.constraint.xpath:
    value: exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
    link: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
element definition.must support:
  value: true
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: component->SubstanceAdministrationEvent

index: 90
element.id:
  value: MedicationAdministration.dosage.id
element definition.path:
  value: MedicationAdministration.dosage.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: 91
element.id:
  value: MedicationAdministration.dosage.extension
element definition.path:
  value: MedicationAdministration.dosage.extension
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: 92
element.id:
  value: MedicationAdministration.dosage.modifierExtension
element definition.path:
  value: MedicationAdministration.dosage.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  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: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 93
element.id:
  value: MedicationAdministration.dosage.text
element definition.path:
  value: MedicationAdministration.dosage.text
element definition.short:
  value: Freitext-Dosierungsangabe
element definition.definition:
  value: Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered.
element definition.comment:
  value: Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden. Ein System KANN jedoch strukturierte Dosierungsinformationen in Freitext-Dosierungsinformationen umwandeln, um sie in einem Dokument oder einer Benutzeroberfläche anzuzeigen - dabei ist auf Konsistenzwahrung zu allen strukturierten Elementen zu achten. Hinweis: Diese Festlegung folgt und spezifiziert folgende MS-Festlegung aus dem [ISiK Basismodul](https://gemspec.gematik.de/ig/fhir/isik/basis/6.0.0-rc1/Index_Festlegungen.html/UebergreifendeFestlegungen_Must-Support-Flags): 'Systeme KÖNNEN es darüber hinaus ermöglichen, dass die jeweiligen Informationen vom Anwender ergänzt oder editiert werden.' Zum Beispiel kann die textuelle Information '1L Infusion mit Rate 50ml/h' in eine entsprechende, strukturierte Form überführt werden - d.h. in die Angabe von 'dose' und 'rateQuantity'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.text
  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.must support:
  value: true
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: .text

index: 94
element.id:
  value: MedicationAdministration.dosage.site
element definition.path:
  value: MedicationAdministration.dosage.site
element definition.short:
  value: Körperstelle der Verabreichung
element definition.definition:
  value: A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".
element definition.comment:
  value: If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.site
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationSite
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A coded concept describing the site location the medicine enters into or onto the body.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXR-2 Administration Site / RXR-6 Administration Site Modifier
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .approachSiteCode

index: 95
element.id:
  value: MedicationAdministration.dosage.site.id
element definition.path:
  value: MedicationAdministration.dosage.site.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: 96
element.id:
  value: MedicationAdministration.dosage.site.extension
element definition.path:
  value: MedicationAdministration.dosage.site.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: 97
element.id:
  value: MedicationAdministration.dosage.site.coding
element definition.path:
  value: MedicationAdministration.dosage.site.coding
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 98
element.id:
  value: MedicationAdministration.dosage.site.coding:SNOMED-CT
element definition.path:
  value: MedicationAdministration.dosage.site.coding
element definition.slice name:
  value: SNOMED-CT
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
element definition.pattern coding:
  coding.system:
    value: http://snomed.info/sct
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 99
element.id:
  value: MedicationAdministration.dosage.site.text
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.dosage.site.text
element definition.short:
  value: Plain text representation of the concept
element definition.definition:
  value: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
element definition.comment:
  value: Very often the text is the same as a displayName of one of the codings.
element definition.requirements:
  value: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.text
  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.must support:
  value: true
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.9. But note many systems use C*E.2 for this
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./originalText[mediaType/code="text/plain"]/data
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

index: 100
element.id:
  value: MedicationAdministration.dosage.route
element definition.path:
  value: MedicationAdministration.dosage.route
element definition.short:
  value: Route
element definition.definition:
  value: A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.route
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RouteOfAdministration
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/route-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXR-1-Route
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .routeCode

index: 101
element.id:
  value: MedicationAdministration.dosage.route.id
element definition.path:
  value: MedicationAdministration.dosage.route.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: 102
element.id:
  value: MedicationAdministration.dosage.route.extension
element definition.path:
  value: MedicationAdministration.dosage.route.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: 103
element.id:
  value: MedicationAdministration.dosage.route.coding
element definition.path:
  value: MedicationAdministration.dosage.route.coding
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
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.must support:
  value: true
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.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 104
element.id:
  value: MedicationAdministration.dosage.route.coding:EDQM
element definition.path:
  value: MedicationAdministration.dosage.route.coding
element definition.slice name:
  value: EDQM
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding
element definition.pattern coding:
  coding.system:
    value: http://standardterms.edqm.eu
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
    link: http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 105
element.id:
  value: MedicationAdministration.dosage.route.coding:SNOMED-CT
element definition.path:
  value: MedicationAdministration.dosage.route.coding
element definition.slice name:
  value: SNOMED-CT
element definition.short:
  value: Code defined by a terminology system
element definition.definition:
  value: A reference to a code defined by a terminology system.
element definition.comment:
  value: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
element definition.requirements:
  value: Allows for alternative encodings within a code system, and translations to other code systems.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.coding
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
element definition.pattern coding:
  coding.system:
    value: http://snomed.info/sct
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration
    link: https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.1-8, C*E.10-22
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: union(., ./translation)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

index: 106
element.id:
  value: MedicationAdministration.dosage.route.text
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: MedicationAdministration.dosage.route.text
element definition.short:
  value: Plain text representation of the concept
element definition.definition:
  value: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
element definition.comment:
  value: Very often the text is the same as a displayName of one of the codings.
element definition.requirements:
  value: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: CodeableConcept.text
  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.must support:
  value: true
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.9. But note many systems use C*E.2 for this
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./originalText[mediaType/code="text/plain"]/data
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

index: 107
element.id:
  value: MedicationAdministration.dosage.method
element definition.path:
  value: MedicationAdministration.dosage.method
element definition.short:
  value: How drug was administered
element definition.definition:
  value: A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.
element definition.comment:
  value: One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.method
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
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.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MedicationAdministrationMethod
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A coded concept describing the technique by which the medicine is administered.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXR-4-Administration Method
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .methodCode

index: 108
element.id:
  value: MedicationAdministration.dosage.dose
element definition.path:
  value: MedicationAdministration.dosage.dose
element definition.short:
  value: verabreichte Dosis
element definition.definition:
  value: The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.
element definition.comment:
  value: If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.dose
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-6 Administered Amount / RXA-7 Administered Units
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .doseQuantity

index: 109
element.id:
  value: MedicationAdministration.dosage.rate[x]
element definition.path:
  value: MedicationAdministration.dosage.rate[x]
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: type
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: closed
element definition.short:
  value: Dose quantity per unit of time
element definition.definition:
  value: Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
element definition.comment:
  value: If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.rate[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Ratio
element definition.type:
  index: 1
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1
    index: 0
    link: 4.0
    link: .1
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.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-12-Administered Per (Time Unit)
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .rateQuantity

index: 110
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio
element definition.path:
  value: MedicationAdministration.dosage.rate[x]
element definition.slice name:
  value: rateRatio
element definition.short:
  value: Verabreichungs-Rate (Verhältnis)
element definition.definition:
  value: Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.rate[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Ratio
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-12-Administered Per (Time Unit)
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .rateQuantity

index: 111
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio.id
element definition.path:
  value: MedicationAdministration.dosage.rate[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: 112
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio.extension
element definition.path:
  value: MedicationAdministration.dosage.rate[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: 113
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio.numerator
element definition.path:
  value: MedicationAdministration.dosage.rate[x].numerator
element definition.short:
  value: Numerator value
element definition.definition:
  value: The value of the numerator.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Ratio.numerator
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .numerator

index: 114
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio.denominator
element definition.path:
  value: MedicationAdministration.dosage.rate[x].denominator
element definition.short:
  value: Denominator value
element definition.definition:
  value: The value of the denominator.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Ratio.denominator
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .denominator

index: 115
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateQuantity
element definition.path:
  value: MedicationAdministration.dosage.rate[x]
element definition.slice name:
  value: rateQuantity
element definition.short:
  value: Verabreichungs-Rate
element definition.definition:
  value: Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.dosage.rate[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
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.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: RXA-12-Administered Per (Time Unit)
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .rateQuantity

index: 116
element.id:
  value: MedicationAdministration.eventHistory
element definition.path:
  value: MedicationAdministration.eventHistory
element definition.short:
  value: A list of events of interest in the lifecycle
element definition.definition:
  value: A summary of the events of interest that have occurred, such as when the administration was verified.
element definition.comment:
  value: This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: MedicationAdministration.eventHistory
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1
    index: 0
    link: 4.0
    link: .1
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.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

structure definition.differential.element:
  index: 0
  element.id:
    value: MedicationAdministration
  element definition.path:
    value: MedicationAdministration
structure definition.differential.element:
  index: 1
  element.id:
    value: MedicationAdministration.id
  element definition.path:
    value: MedicationAdministration.id
  element definition.short:
    value: serverseitige, interne ID des Datensatzes
  element definition.comment:
    value: **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 `id`verfügen.
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 2
  element.id:
    value: MedicationAdministration.meta.versionId
  element definition.path:
    value: MedicationAdministration.meta.versionId
  element definition.short:
    value: Eindeutiger Name der serverseitigen Version des Datensatzes
  element definition.comment:
    value: Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen.
structure definition.differential.element:
  index: 3
  element.id:
    value: MedicationAdministration.meta.lastUpdated
  element definition.path:
    value: MedicationAdministration.meta.lastUpdated
  element definition.short:
    value: Zeitpunkt der letzten Änderung
  element definition.comment:
    value: Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen.
structure definition.differential.element:
  index: 4
  element.id:
    value: MedicationAdministration.implicitRules
  element definition.path:
    value: MedicationAdministration.implicitRules
  element definition.short:
    value: Verweis auf die Regeln, nach denen die Ressource erstellt wurde
  element definition.comment:
    value: Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.
  element definition.max:
    value: 0
structure definition.differential.element:
  index: 5
  element.id:
    value: MedicationAdministration.status
  element definition.path:
    value: MedicationAdministration.status
  element definition.short:
    value: Status der Verabreichungsinformation
  element definition.comment:
    value: Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 6
  element.id:
    value: MedicationAdministration.medication[x]
  element definition.path:
    value: MedicationAdministration.medication[x]
  element definition.slicing:
    element definition.slicing.discriminator:
      index: 0
      element definition.slicing.discriminator.type:
        value: type
      element definition.slicing.discriminator.path:
        value: $this
    element definition.slicing.ordered:
      value: false
    element definition.slicing.rules:
      value: open
structure definition.differential.element:
  index: 7
  element.id:
    value: MedicationAdministration.medication[x]:medicationCodeableConcept
  element definition.path:
    value: MedicationAdministration.medication[x]
  element definition.slice name:
    value: medicationCodeableConcept
  element definition.short:
    value: Medikament in codierter Form oder ggf. als Freitext
  element definition.comment:
    value: Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren.
  element definition.min:
    value: 0
  element definition.max:
    value: 1
  element definition.type:
    index: 0
    element definition.type.code:
      value: CodeableConcept
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 8
  element.id:
    value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding
  element definition.path:
    value: MedicationAdministration.medication[x].coding
  element definition.slicing:
    element definition.slicing.discriminator:
      index: 0
      element definition.slicing.discriminator.type:
        value: pattern
      element definition.slicing.discriminator.path:
        value: $this
    element definition.slicing.rules:
      value: open
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 9
  element.id:
    value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN
  element definition.path:
    value: MedicationAdministration.medication[x].coding
  element definition.slice name:
    value: PZN
  element definition.comment:
    value: Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen.
  element definition.min:
    value: 0
  element definition.max:
    value: *
  element definition.type:
    index: 0
    element definition.type.code:
      value: Coding
    element definition.type.profile:
      value: https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding
      index: 0
      link: https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding
  element definition.pattern coding:
    coding.system:
      value: http://fhir.de/CodeSystem/ifa/pzn
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 10
  element.id:
    value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC-DE
  element definition.path:
    value: MedicationAdministration.medication[x].coding
  element definition.slice name:
    value: ATC-DE
  element definition.comment:
    value: 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.
  element definition.min:
    value: 0
  element definition.max:
    value: *
  element definition.type:
    index: 0
    element definition.type.code:
      value: Coding
    element definition.type.profile:
      value: https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding
      index: 0
      link: https://gematik.de/fhir/isik/StructureDefinition/ISiKATCCoding
  element definition.pattern coding:
    coding.system:
      value: http://fhir.de/CodeSystem/bfarm/atc
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 11
  element.id:
    value: MedicationAdministration.medication[x]:medicationCodeableConcept.coding:SCT
  element definition.path:
    value: MedicationAdministration.medication[x].coding
  element definition.slice name:
    value: SCT
  element definition.min:
    value: 0
  element definition.max:
    value: 1
  element definition.type:
    index: 0
    element definition.type.code:
      value: Coding
    element definition.type.profile:
      value: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
      index: 0
      link: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
  element definition.pattern coding:
    coding.system:
      value: http://snomed.info/sct
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 12
  element.id:
    value: MedicationAdministration.medication[x]:medicationReference

value: MedicationAdministration.medication[x]

value: medicationReference

value: Referenz auf das Medikament (Medication-Ressource)

value: Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen

value: 0

value: 1

index: 0
element definition.type.code:
  value: Reference
element definition.type.target profile:
  value: http://hl7.org/fhir/StructureDefinition/Medication
  index: 0
  link: http://hl7.org/fhir/StructureDefinition/Medication

value: true

index: 13
element.id:
  value: MedicationAdministration.medication[x]:medicationReference.reference
element definition.path:
  value: MedicationAdministration.medication[x].reference
element definition.min:
  value: 1
element definition.must support:
  value: true

index: 14
element.id:
  value: MedicationAdministration.subject
element definition.path:
  value: MedicationAdministration.subject
element definition.short:
  value: Referenz auf den Patienten
element definition.comment:
  value: Begründung des Must-Support: Basisinformation
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Patient
element definition.must support:
  value: true

index: 15
element.id:
  value: MedicationAdministration.subject.reference
element definition.path:
  value: MedicationAdministration.subject.reference
element definition.short:
  value: Patienten-Link
element definition.comment:
  value: **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](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
element definition.min:
  value: 1
element definition.must support:
  value: true

index: 16
element.id:
  value: MedicationAdministration.context
element definition.path:
  value: MedicationAdministration.context
element definition.short:
  value: Referenz auf den Abteilungskontakt
element definition.comment:
  value: Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext
element definition.must support:
  value: true

index: 17
element.id:
  value: MedicationAdministration.context.reference
element definition.path:
  value: MedicationAdministration.context.reference
element definition.comment:
  value: **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](https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung) sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
element definition.min:
  value: 1
element definition.must support:
  value: true

index: 18
element.id:
  value: MedicationAdministration.effective[x]
element definition.path:
  value: MedicationAdministration.effective[x]
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: type
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: open

index: 19
element.id:
  value: MedicationAdministration.effective[x]:effectiveDateTime
element definition.path:
  value: MedicationAdministration.effective[x]
element definition.slice name:
  value: effectiveDateTime
element definition.short:
  value: Zeitpunkt der Verabreichung
element definition.comment:
  value: Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: eine Zeitpunkt-genaue Angabe (.effectiveDateTime oder .effectivePeriod auf Sekundenebene gemäß der [FHIR-Core Vorgabe](https://hl7.org/fhir/R4/datatypes.html#dateTime)) MUSS hier seitens eines bestätigungsrelevanten Systems unterstützt werden. Für grobgranularere Angaben (z.B. nur Jahr, Monat oder Tag) SOLL das Profil ISiKMedikationsInformation (MedicationStatement) verwendet werden.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.must support:
  value: true

index: 20
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod
element definition.path:
  value: MedicationAdministration.effective[x]
element definition.slice name:
  value: effectivePeriod
element definition.short:
  value: Zeitraum der Verabreichung
element definition.comment:
  value: Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: eine Zeitpunkt-genaue Angabe (.effectiveDateTime oder .effectivePeriod auf Sekundenebene gemäß der [FHIR-Core Vorgabe](https://hl7.org/fhir/R4/datatypes.html#dateTime)) MUSS hier seitens eines bestätigungsrelevanten Systems unterstützt werden. Für grobgranularere Angaben (z.B. nur Jahr, Monat oder Tag) SOLL das Profil ISiKMedikationsInformation (MedicationStatement) verwendet werden.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.must support:
  value: true

index: 21
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod.start
element definition.path:
  value: MedicationAdministration.effective[x].start
element definition.must support:
  value: true

index: 22
element.id:
  value: MedicationAdministration.effective[x]:effectivePeriod.end
element definition.path:
  value: MedicationAdministration.effective[x].end
element definition.must support:
  value: true

index: 23
element.id:
  value: MedicationAdministration.performer
element definition.path:
  value: MedicationAdministration.performer
element definition.short:
  value: Durchführende Person(en) der Verabreichung
element definition.comment:
  value: Begründung des Must-Support: Nachvollziehbarkeit
element definition.must support:
  value: true

index: 24
element.id:
  value: MedicationAdministration.performer.actor
element definition.path:
  value: MedicationAdministration.performer.actor
element definition.short:
  value: Referenz auf die verabreichende Person
element definition.comment:
  value: Begründung des Must-Support: Nachvollziehbarkeit
element definition.must support:
  value: true

index: 25
element.id:
  value: MedicationAdministration.performer.actor.reference
element definition.path:
  value: MedicationAdministration.performer.actor.reference
element definition.min:
  value: 1
element definition.must support:
  value: true

index: 26
element.id:
  value: MedicationAdministration.reasonCode
element definition.path:
  value: MedicationAdministration.reasonCode
element definition.short:
  value: Grund der Medikation (Referenz)
element definition.comment:
  value: 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.
element definition.must support:
  value: true

index: 27
element.id:
  value: MedicationAdministration.reasonReference
element definition.path:
  value: MedicationAdministration.reasonReference
element definition.short:
  value: Grund der Medikation (Referenz)
element definition.comment:
  value: 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.
element definition.must support:
  value: true

index: 28
element.id:
  value: MedicationAdministration.reasonReference.reference
element definition.path:
  value: MedicationAdministration.reasonReference.reference
element definition.min:
  value: 1
element definition.must support:
  value: true

index: 29
element.id:
  value: MedicationAdministration.request
element definition.path:
  value: MedicationAdministration.request
element definition.short:
  value: Referenz auf die Verordnung
element definition.comment:
  value: **Einschränkung der übergreifenden MS-Definition:** Verfügt ein bestätigungsrelevantes System nicht über die Möglichkeit zur Abbildung der zugrunde liegenden Verordnung einer Verabreichung, so MUSS dieses System die Information NICHT abbilden. Motivation zum eingeschränkten MS: Die referenzierte Verordnung (`MedicationRequest`) bildet in der Regel die Grundlage einer Verabreichung (`MedicationAdministration`). Aus fachlicher Sicht ist die Verknüpfung beider Ressourcen wesentlich, da sie die Nachvollziehbarkeit der therapeutischen Maßnahme unterstützt. Allerdings existieren in der Versorgungspraxis auch Systeme, die keine strukturierte Erfassung oder Referenzierung einer zugrundeliegenden Verordnung vorsehen. Daher wird `MedicationAdministration.request` in ISiK als eingeschränktes Must Support definiert, um eine einheitliche Implementierung zu fördern.
element definition.must support:
  value: true

index: 30
element.id:
  value: MedicationAdministration.note
element definition.path:
  value: MedicationAdministration.note
element definition.short:
  value: Zusätzliche Anmerkungen zur Medikation
element definition.comment:
  value: Begründung des Must-Support: Fachlich relevante Zusatzinformationen
element definition.must support:
  value: true

index: 31
element.id:
  value: MedicationAdministration.note.text
element definition.path:
  value: MedicationAdministration.note.text
element definition.short:
  value: Freitext-Notiz
element definition.comment:
  value: Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein
element definition.must support:
  value: true

index: 32
element.id:
  value: MedicationAdministration.dosage
element definition.path:
  value: MedicationAdministration.dosage
element definition.short:
  value: Dosierungsangaben
element definition.comment:
  value: 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
element definition.must support:
  value: true

index: 33
element.id:
  value: MedicationAdministration.dosage.text
element definition.path:
  value: MedicationAdministration.dosage.text
element definition.short:
  value: Freitext-Dosierungsangabe
element definition.comment:
  value: Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden. Ein System KANN jedoch strukturierte Dosierungsinformationen in Freitext-Dosierungsinformationen umwandeln, um sie in einem Dokument oder einer Benutzeroberfläche anzuzeigen - dabei ist auf Konsistenzwahrung zu allen strukturierten Elementen zu achten. Hinweis: Diese Festlegung folgt und spezifiziert folgende MS-Festlegung aus dem [ISiK Basismodul](https://gemspec.gematik.de/ig/fhir/isik/basis/6.0.0-rc1/Index_Festlegungen.html/UebergreifendeFestlegungen_Must-Support-Flags): 'Systeme KÖNNEN es darüber hinaus ermöglichen, dass die jeweiligen Informationen vom Anwender ergänzt oder editiert werden.' Zum Beispiel kann die textuelle Information '1L Infusion mit Rate 50ml/h' in eine entsprechende, strukturierte Form überführt werden - d.h. in die Angabe von 'dose' und 'rateQuantity'.
element definition.must support:
  value: true

index: 34
element.id:
  value: MedicationAdministration.dosage.site
element definition.path:
  value: MedicationAdministration.dosage.site
element definition.short:
  value: Körperstelle der Verabreichung
element definition.must support:
  value: true

index: 35
element.id:
  value: MedicationAdministration.dosage.site.coding
element definition.path:
  value: MedicationAdministration.dosage.site.coding
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.rules:
    value: open
element definition.must support:
  value: true

index: 36
element.id:
  value: MedicationAdministration.dosage.site.coding:SNOMED-CT
element definition.path:
  value: MedicationAdministration.dosage.site.coding
element definition.slice name:
  value: SNOMED-CT
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
element definition.pattern coding:
  coding.system:
    value: http://snomed.info/sct
element definition.must support:
  value: true

index: 37
element.id:
  value: MedicationAdministration.dosage.site.text
element definition.path:
  value: MedicationAdministration.dosage.site.text
element definition.must support:
  value: true

index: 38
element.id:
  value: MedicationAdministration.dosage.route
element definition.path:
  value: MedicationAdministration.dosage.route
element definition.short:
  value: Route
element definition.must support:
  value: true

index: 39
element.id:
  value: MedicationAdministration.dosage.route.coding
element definition.path:
  value: MedicationAdministration.dosage.route.coding
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: pattern
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.rules:
    value: open
element definition.must support:
  value: true

index: 40
element.id:
  value: MedicationAdministration.dosage.route.coding:EDQM
element definition.path:
  value: MedicationAdministration.dosage.route.coding
element definition.slice name:
  value: EDQM
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKCoding
element definition.pattern coding:
  coding.system:
    value: http://standardterms.edqm.eu
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration
    link: http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration

index: 41
element.id:
  value: MedicationAdministration.dosage.route.coding:SNOMED-CT
element definition.path:
  value: MedicationAdministration.dosage.route.coding
element definition.slice name:
  value: SNOMED-CT
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding
element definition.pattern coding:
  coding.system:
    value: http://snomed.info/sct
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration
    link: https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration

index: 42
element.id:
  value: MedicationAdministration.dosage.route.text
element definition.path:
  value: MedicationAdministration.dosage.route.text
element definition.must support:
  value: true

index: 43
element.id:
  value: MedicationAdministration.dosage.dose
element definition.path:
  value: MedicationAdministration.dosage.dose
element definition.short:
  value: verabreichte Dosis
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
element definition.must support:
  value: true

index: 44
element.id:
  value: MedicationAdministration.dosage.rate[x]
element definition.path:
  value: MedicationAdministration.dosage.rate[x]
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: type
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: open

index: 45
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio
element definition.path:
  value: MedicationAdministration.dosage.rate[x]
element definition.slice name:
  value: rateRatio
element definition.short:
  value: Verabreichungs-Rate (Verhältnis)
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Ratio
element definition.must support:
  value: true

index: 46
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio.numerator
element definition.path:
  value: MedicationAdministration.dosage.rate[x].numerator
element definition.min:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantityDoseForm
element definition.must support:
  value: true

index: 47
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateRatio.denominator
element definition.path:
  value: MedicationAdministration.dosage.rate[x].denominator
element definition.min:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
element definition.must support:
  value: true

index: 48
element.id:
  value: MedicationAdministration.dosage.rate[x]:rateQuantity
element definition.path:
  value: MedicationAdministration.dosage.rate[x]
element definition.slice name:
  value: rateQuantity
element definition.short:
  value: Verabreichungs-Rate
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/MedicationQuantity
element definition.must support:
  value: true