| Active as of 2026-04-02 |
Definitions for the ISiKMedikationsInformation resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationStatement | |
| Definition | A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. |
| Short | Record of medication being taken by a patient |
| Comments | When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error. |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) |
| 2. MedicationStatement.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | serverseitige, interne ID des DatensatzesLogical id of this artifact |
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
| Control | 0..1 |
| Type | idstring |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| 4. MedicationStatement.implicitRules | |
| Definition | 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. |
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurdeA set of rules under which this content was created |
| Comments | 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. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
| Control | 0..01 |
| Type | uri |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. MedicationStatement.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationStatement.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 8. MedicationStatement.extension:acceptedRisk | |
| Slice Name | acceptedRisk |
| Definition | An Extension |
| Short | akzeptiertes (in Kauf genommenes) Risiko |
| Comments | Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Accepted Risk) (Extension Type: string) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 10. MedicationStatement.extension:acceptedRisk.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. MedicationStatement.extension:acceptedRisk.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk |
| 14. MedicationStatement.extension:acceptedRisk.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. MedicationStatement.extension:medikationsart | |
| Slice Name | medikationsart |
| Definition | An Extension |
| Short | Therapieart der Medikation |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Medikationsart) (Extension Type: Coding) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 18. MedicationStatement.extension:medikationsart.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 20. MedicationStatement.extension:medikationsart.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart |
| 22. MedicationStatement.extension:medikationsart.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see ISiKMedikationsartVS (required to https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS) |
| Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. MedicationStatement.extension:medikationsart.value[x].system | |
| Definition | The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Identity of the terminology system |
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. MedicationStatement.extension:medikationsart.value[x].code | |
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. MedicationStatement.extension:medikationsart.value[x].display | |
| Definition | A representation of the meaning of the code in the system, following the rules of the system. |
| Short | Representation defined by the system |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. MedicationStatement.extension:selbstmedikation | |
| Slice Name | selbstmedikation |
| Definition | An Extension |
| Short | Selbstmedikation |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Flag zur Selbstmedikation. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Selbstmedikation) (Extension Type: boolean) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 32. MedicationStatement.extension:selbstmedikation.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 34. MedicationStatement.extension:selbstmedikation.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation |
| 36. MedicationStatement.extension:selbstmedikation.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | boolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 38. MedicationStatement.extension:behandlungsziel | |
| Slice Name | behandlungsziel |
| Definition | An Extension |
| Short | Behandlungsziel (textuell) |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Behandlungsziel) (Extension Type: string) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 40. MedicationStatement.extension:behandlungsziel.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. MedicationStatement.extension:behandlungsziel.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel |
| 44. MedicationStatement.extension:behandlungsziel.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 46. MedicationStatement.extension:medicationStatementReplaces | |
| Slice Name | medicationStatementReplaces |
| Definition | An Extension |
| Short | Welche Medikationsinformation wird ersetzt? |
| Comments | Begründung des Must-Support: historische Nachvollziehbarkeit Hinweis: Welche Medikationsinformation wird ersetzt? |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK MedicationStatementReplaces) (Extension Type: Reference(MedicationStatement)) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 48. MedicationStatement.extension:medicationStatementReplaces.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 50. MedicationStatement.extension:medicationStatementReplaces.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces |
| 52. MedicationStatement.extension:medicationStatementReplaces.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Reference(MedicationStatement), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 54. MedicationStatement.extension:medicationStatementReplaces.value[x].reference | |
| Definition | 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. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 56. MedicationStatement.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| Requirements | 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. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 58. MedicationStatement.partOf | |
| Definition | A larger event of which this particular event is a component or step. |
| Short | Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation istPart of referenced event |
| Comments | Begründung des Must-Support: Abbildung der Zusammenhänge |
| Control | 0..* |
| Type | Reference(MedicationAdministration, MedicationDispense, MedicationStatement, Procedure, Observation) |
| Is Modifier | false |
| Summary | true |
| Requirements | This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 60. MedicationStatement.status | |
| Definition | A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed. |
| Short | Status der Medikationsinformationactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1)A coded concept indicating the current status of a MedicationStatement. |
| Type | code |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 62. MedicationStatement.medication[x] | |
| Definition | Identifies the medication being 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. |
| Short | Angabe des MedikamentsWhat medication was taken |
| Comments | Begründung des Must-Support: Basisinformation. Siehe Slicing-Definition zur Wahlmöglichkeit zwischen codierter Angabe und Referenz auf Medication-Ressource. 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. |
| Control | 1..1 |
| Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying the substance or product being taken. |
| Type | Choice of: CodeableConcept, Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 64. MedicationStatement.medication[x]:medicationCodeableConcept | |
| Slice Name | medicationCodeableConcept |
| Definition | Identifies the medication being 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. |
| Short | Medikament in codierter Form oder ggf. als FreitextWhat medication was taken |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren. 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. |
| Control | 01..1 |
| Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying the substance or product being taken. |
| Type | CodeableConcept, Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 66. MedicationStatement.medication[x]:medicationCodeableConcept.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 68. MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN | |
| Slice Name | PZN |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen. 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. |
| Control | 0..* |
| Type | Coding(ISiKPZNCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 70. MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE | |
| Slice Name | ATC-DE |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. 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. |
| Control | 0..* |
| Type | Coding(ISiKATCCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 72. MedicationStatement.medication[x]:medicationCodeableConcept.coding:SCT | |
| Slice Name | SCT |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..1* |
| Type | Coding(ISiKSnomedCTCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 74. MedicationStatement.medication[x]:medicationCodeableConcept.text | |
| Definition | 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. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 76. MedicationStatement.medication[x]:medicationReference | |
| Slice Name | medicationReference |
| Definition | Identifies the medication being 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. |
| Short | Referenz auf das Medikament (Medication-Ressource)What medication was taken |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen 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. |
| Control | 01..1 |
| Type | Reference(Medication, Medication), CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 78. MedicationStatement.medication[x]:medicationReference.reference | |
| Definition | 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. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 80. MedicationStatement.subject | |
| Definition | The person, animal or group who is/was taking the medication. |
| Short | Referenz auf den PatientenWho is/was taking the medication |
| Comments | Begründung des Must-Support: Basisinformation |
| Control | 1..1 |
| Type | Reference(Patient, Patient, Group) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 82. MedicationStatement.subject.reference | |
| Definition | 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. |
| Short | Patienten-LinkLiteral reference, Relative, internal or absolute URL |
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 84. MedicationStatement.context | |
| Definition | The encounter or episode of care that establishes the context for this MedicationStatement. |
| Short | Referenz auf den AbteilungskontaktEncounter / Episode associated with MedicationStatement |
| Comments | Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext |
| Control | 0..1 |
| Type | Reference(Encounter, EpisodeOfCare) |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 86. MedicationStatement.context.reference | |
| Definition | 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. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 88. MedicationStatement.effective[x] | |
| Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). |
| Short | Zeitpunkt oder Zeitraum, für den die MedikationsInformation giltThe date/time or interval when the medication is/was/will be taken |
| Comments | Begründung des Must-Support: Basisinformation This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. |
| Control | 10..1 |
| Type | Choice of: dateTime, Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.effective[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 90. MedicationStatement.effective[x]:effectiveDateTime | |
| Slice Name | effectiveDateTime |
| Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). |
| Short | Zeitpunkt (Datum oder Datum + Uhrzeit)The date/time or interval when the medication is/was/will be taken |
| Comments | Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. |
| Control | 0..1 |
| Type | dateTime, Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 92. MedicationStatement.effective[x]:effectivePeriod | |
| Slice Name | effectivePeriod |
| Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). |
| Short | ZeitraumThe date/time or interval when the medication is/was/will be taken |
| Comments | Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. |
| Control | 0..1 |
| Type | Period, dateTime |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 94. MedicationStatement.effective[x]:effectivePeriod.start | |
| Definition | The start of the period. The boundary is inclusive. |
| Short | Starting time with inclusive boundary |
| Comments | If the low element is missing, the meaning is that the low boundary is not known. |
| Control | 0..1 This element is affected by the following invariants: per-1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 96. MedicationStatement.effective[x]:effectivePeriod.end | |
| Definition | 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. |
| Short | End time with inclusive boundary, if not ongoing |
| Comments | 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. |
| Control | 0..1 This element is affected by the following invariants: per-1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Meaning if Missing | If the end of the period is missing, it means that the period is ongoing |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 98. MedicationStatement.dateAsserted | |
| Definition | The date when the medication statement was asserted by the information source. |
| Short | Datum der Feststellung/des Bekanntwerdens der MedikationsInformationWhen the statement was asserted? |
| Comments | Begründung des Must-Support: Nachvollziehbarkeit |
| Control | 0..1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 100. MedicationStatement.reasonCode | |
| Definition | A reason for why the medication is being/was taken. |
| Short | Grund der Medikation (codiert)Reason for why the medication is being/was taken |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference. |
| Control | 0..* |
| Binding | For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|4.0.1 (example to http://hl7.org/fhir/ValueSet/condition-code|4.0.1)A coded concept identifying why the medication is being taken. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 102. MedicationStatement.reasonCode.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 104. MedicationStatement.reasonCode.coding.system | |
| Definition | The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Identity of the terminology system |
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 106. MedicationStatement.reasonCode.coding.code | |
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 108. MedicationStatement.reasonCode.coding.display | |
| Definition | A representation of the meaning of the code in the system, following the rules of the system. |
| Short | Representation defined by the system |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 110. MedicationStatement.reasonCode.text | |
| Definition | 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. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 112. MedicationStatement.reasonReference | |
| Definition | Condition or observation that supports why the medication is being/was taken. |
| Short | Grund der Medikation (Referenz)Condition or observation that supports why the medication is being/was taken |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode. |
| Control | 0..* |
| Type | Reference(Condition, Observation, DiagnosticReport) |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 114. MedicationStatement.reasonReference.reference | |
| Definition | 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. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | 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. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 116. MedicationStatement.note | |
| Definition | Provides extra information about the medication statement that is not conveyed by the other attributes. |
| Short | Zusätzliche Anmerkungen zur MedikationFurther information about the statement |
| Comments | Begründung des Must-Support: Fachlich relevante Zusatzinformationen |
| Control | 0..* |
| Type | Annotation |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 118. MedicationStatement.note.text | |
| Definition | The text of the annotation in markdown format. |
| Short | Freitext-NotizThe annotation - text content (as markdown) |
| Comments | Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein |
| Control | 1..1 |
| Type | markdown |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 120. MedicationStatement.dosage | |
| Definition | Indicates how the medication is/was or should be taken by the patient. |
| Short | DosierungsangabenDetails of how medication is/was taken or should be taken |
| Comments | Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert. The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest. |
| Control | 0..* |
| Type | Dosage(http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 122. MedicationStatement.dosage.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | 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. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 124. MedicationStatement.dosage.text | |
| Definition | Free text dosage instructions e.g. SIG. |
| Short | Free text dosage instructions e.g. SIG |
| Comments | 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. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 126. MedicationStatement.dosage.patientInstruction | |
| Definition | Instructions in terms that are understood by the patient or consumer. |
| Short | besondere Anweisungen für den PatientenPatient or consumer oriented instructions |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 128. MedicationStatement.dosage.timing | |
| Definition | When medication should be administered. |
| Short | When medication should be administered |
| Comments | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. |
| Control | 0..1 |
| Type | Timing |
| Is Modifier | false |
| Summary | true |
| Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 130. MedicationStatement.dosage.timing.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | 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. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 132. MedicationStatement.dosage.timing.event | |
| Definition | Identifies specific times when the event occurs. |
| Short | fester ZeitpunktWhen the event occurs |
| Control | 0..* |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 134. MedicationStatement.dosage.timing.repeat | |
| Definition | A set of rules that describe when the event is scheduled. |
| Short | Wiederholungs-AngabenWhen the event is to occur |
| Control | 0..1 |
| Type | Element |
| Is Modifier | false |
| Summary | true |
| Requirements | Many timing schedules are determined by regular repetitions. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists())tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists())tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0)tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0)tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists())tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists())tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists())tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty())tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty()) |
| 136. MedicationStatement.dosage.timing.repeat.bounds[x] | |
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
| Short | Length/Range of lengths, or (Start and/or end) limits |
| Control | 0..1 |
| Type | Choice of: Duration, Range, Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 138. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration | |
| Slice Name | boundsDuration |
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
| Short | Begrenzung der DauerLength/Range of lengths, or (Start and/or end) limits |
| Control | 0..1 |
| Type | Duration, Period, Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 140. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 142. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.comparator | |
| Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..1 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 144. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 146. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 148. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange | |
| Slice Name | boundsRange |
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
| Short | Bereich für die BegrenzungLength/Range of lengths, or (Start and/or end) limits |
| Control | 0..1 |
| Type | Range, Period, Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 150. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 152. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 154. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 156. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 158. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 160. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 162. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 164. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 166. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 168. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 170. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 172. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 174. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod | |
| Slice Name | boundsPeriod |
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
| Short | begrenzender ZeitraumLength/Range of lengths, or (Start and/or end) limits |
| Control | 0..1 |
| Type | Period, Duration, Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 176. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start | |
| Definition | The start of the period. The boundary is inclusive. |
| Short | Starting time with inclusive boundary |
| Comments | If the low element is missing, the meaning is that the low boundary is not known. |
| Control | 0..1 This element is affected by the following invariants: per-1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 178. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end | |
| Definition | 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. |
| Short | End time with inclusive boundary, if not ongoing |
| Comments | 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. |
| Control | 0..1 This element is affected by the following invariants: per-1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Meaning if Missing | If the end of the period is missing, it means that the period is ongoing |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 180. MedicationStatement.dosage.timing.repeat.count | |
| Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. |
| Short | Anzahl WiederholungenNumber of times to repeat |
| Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Repetitions may be limited by end time or total occurrences. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 182. MedicationStatement.dosage.timing.repeat.countMax | |
| Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. |
| Short | maximale Anzahl WiederholungenMaximum number of times to repeat |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 184. MedicationStatement.dosage.timing.repeat.duration | |
| Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. |
| Short | Dauer der VerabreichungHow long when it happens |
| Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 186. MedicationStatement.dosage.timing.repeat.durationMax | |
| Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. |
| Short | maximale Dauer der VerabreichungHow long when it happens (Max) |
| Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 188. MedicationStatement.dosage.timing.repeat.durationUnit | |
| Definition | The units of time for the duration, in UCUM units. |
| Short | Einheit der Dauers | min | h | d | wk | mo | a - unit of time (UCUM) |
| Control | 0..1 |
| Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 190. MedicationStatement.dosage.timing.repeat.frequency | |
| Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. |
| Short | Frequenz (Anzahl der Gaben pro Periode)Event occurs frequency times per period |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 192. MedicationStatement.dosage.timing.repeat.frequencyMax | |
| Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. |
| Short | maximale FrequenzEvent occurs up to frequencyMax times per period |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 194. MedicationStatement.dosage.timing.repeat.period | |
| Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. |
| Short | Zeitperiode zur FrequenzEvent occurs frequency times per period |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 196. MedicationStatement.dosage.timing.repeat.periodMax | |
| Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. |
| Short | maximale Zeitperiode zur FrequenzUpper limit of period (3-4 hours) |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 198. MedicationStatement.dosage.timing.repeat.periodUnit | |
| Definition | The units of time for the period in UCUM units. |
| Short | Einheit der Zeitperiodes | min | h | d | wk | mo | a - unit of time (UCUM) |
| Control | 0..1 |
| Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 200. MedicationStatement.dosage.timing.repeat.dayOfWeek | |
| Definition | If one or more days of week is provided, then the action happens only on the specified day(s). |
| Short | Wochentagmon | tue | wed | thu | fri | sat | sun |
| Comments | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. |
| Control | 0..* |
| Binding | The codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1) |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 202. MedicationStatement.dosage.timing.repeat.timeOfDay | |
| Definition | Specified time of day for action to take place. |
| Short | TageszeitTime of day for action |
| Comments | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. |
| Control | 0..* |
| Type | time |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 204. MedicationStatement.dosage.timing.repeat.when | |
| Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. |
| Short | Tageszeitpunkt codiertCode for time period of occurrence |
| Comments | When more than one event is listed, the event is tied to the union of the specified events. |
| Control | 0..* |
| Binding | The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)Real world event relating to the schedule. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 206. MedicationStatement.dosage.timing.repeat.offset | |
| Definition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. |
| Short | zeitlicher Abstand der Gabe zum beschriebenen ZeitpunktMinutes from event (before or after) |
| Control | 0..1 |
| Type | unsignedInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 208. MedicationStatement.dosage.asNeeded[x] | |
| Definition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). |
| Short | Take "as needed" (for x) |
| Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1 (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1)A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
| Type | Choice of: boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.asNeeded[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 210. MedicationStatement.dosage.asNeeded[x]:asNeededBoolean | |
| Slice Name | asNeededBoolean |
| Definition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). |
| Short | BedarfsmedikationTake "as needed" (for x) |
| Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". |
| Control | 0..1 |
| Type | boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 212. MedicationStatement.dosage.site | |
| Definition | Body site to administer to. |
| Short | Körperstelle der VerabreichungBody site to administer to |
| Comments | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1)A coded concept describing the site location the medicine enters into or onto the body. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | A coded specification of the anatomic site where the medication first enters the body. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 214. MedicationStatement.dosage.site.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.site.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 216. MedicationStatement.dosage.site.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..1* |
| Type | Coding(ISiKSnomedCTCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 218. MedicationStatement.dosage.site.text | |
| Definition | 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. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 220. MedicationStatement.dosage.route | |
| Definition | How drug should enter body. |
| Short | RouteHow drug should enter body |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/route-codes|4.0.1)A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 222. MedicationStatement.dosage.route.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.route.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 224. MedicationStatement.dosage.route.coding:EDQM | |
| Slice Name | EDQM |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..1* |
| Binding | The codes SHALL be taken from For codes, see Medicine Route of Administration - IPS (required to http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration) |
| Type | Coding(ISiKCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 226. MedicationStatement.dosage.route.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | 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. |
| Control | 0..1* |
| Binding | The codes SHALL be taken from For codes, see SctRouteOfAdministration (required to https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration) |
| Type | Coding(ISiKSnomedCTCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 228. MedicationStatement.dosage.route.text | |
| Definition | 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. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 230. MedicationStatement.dosage.doseAndRate | |
| Definition | The amount of medication administered. |
| Short | Amount of medication administered |
| Control | 0..* |
| Type | Element |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 232. MedicationStatement.dosage.doseAndRate.dose[x] | |
| Definition | Amount of medication per dose. |
| Short | Amount of medication per dose |
| Comments | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. |
| Control | 0..1 |
| Type | Choice of: Range, Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Requirements | The amount of therapeutic or other substance given at one administration event. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.dose[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 234. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity | |
| Slice Name | doseQuantity |
| Definition | Amount of medication per dose. |
| Short | DosisAmount of medication per dose |
| Comments | Das Must-Support-Flag auf doseQuantity bedeutet, dass produzierende Systeme zur Kodierung der Dosisangaben nach eigenem Ermessen entweder den Datentyp Quantity oder Ratio verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity, SimpleQuantity), Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Requirements | The amount of therapeutic or other substance given at one administration event. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 236. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | DosiswertNumerical value (with implicit precision) |
| Comments | Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 238. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 240. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit | |
| Definition | A human-readable form of the unit. |
| Short | Menschenlesbare Dosis-EinheitUnit representation |
| Comments | Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 242. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | CodeSystem der DosisangabeSystem that defines coded unit form |
| Comments | Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Control | 0..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 244. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Code der DosisangabeCoded form of the unit |
| Comments | Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 0..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 246. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange | |
| Slice Name | doseRange |
| Definition | Amount of medication per dose. |
| Short | DosisbereichAmount of medication per dose |
| Comments | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. |
| Control | 0..1 |
| Type | Range, Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | The amount of therapeutic or other substance given at one administration event. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 248. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 250. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 252. MedicationStatement.dosage.doseAndRate.rate[x] | |
| Definition | Amount of medication per unit of time. |
| Short | Amount of medication per unit of time |
| Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. |
| Control | 0..1 |
| Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.rate[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 254. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio | |
| Slice Name | rateRatio |
| Definition | Amount of medication per unit of time. |
| Short | Raten-VerhältnisAmount of medication per unit of time |
| Comments | 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. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. |
| Control | 0..1 |
| Type | Ratio, Quantity(SimpleQuantity), Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 256. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator | |
| Definition | The value of the numerator. |
| Short | Numerator value |
| Control | 10..1 |
| Type | Quantity(Medication Quantity Dose Form) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 258. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator | |
| Definition | The value of the denominator. |
| Short | Denominator value |
| Control | 10..1 |
| Type | Quantity(Medication Quantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 260. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange | |
| Slice Name | rateRange |
| Definition | Amount of medication per unit of time. |
| Short | Raten-BereichAmount of medication per unit of time |
| Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. |
| Control | 0..1 |
| Type | Range, Quantity(SimpleQuantity), Ratio |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 262. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 264. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 266. MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity | |
| Slice Name | rateQuantity |
| Definition | Amount of medication per unit of time. |
| Short | RateAmount of medication per unit of time |
| Comments | 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. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity, SimpleQuantity), Ratio, Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 268. MedicationStatement.dosage.maxDosePerPeriod | |
| Definition | Upper limit on medication per unit of time. |
| Short | Maximaldosis (Zähler) pro Zeitraum (Nenner)Upper limit on medication per unit of time |
| Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". |
| Control | 0..1 |
| Type | Ratio |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 270. MedicationStatement.dosage.maxDosePerPeriod.numerator | |
| Definition | The value of the numerator. |
| Short | Numerator value |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 272. MedicationStatement.dosage.maxDosePerPeriod.denominator | |
| Definition | The value of the denominator. |
| Short | Denominator value |
| Control | 0..1 |
| Type | Quantity(Medication Quantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 274. MedicationStatement.dosage.maxDosePerAdministration | |
| Definition | Upper limit on medication per administration. |
| Short | Maximaldosis pro VerabreichungUpper limit on medication per administration |
| Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationStatement | |
| 2. MedicationStatement.id | |
| Short | serverseitige, interne ID des Datensatzes |
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine |
| Must Support | true |
| 4. MedicationStatement.meta | |
| 6. MedicationStatement.meta.versionId | |
| Short | Eindeutiger Name der serverseitigen Version des Datensatzes |
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine |
| 8. MedicationStatement.meta.lastUpdated | |
| Short | Zeitpunkt der letzten Änderung |
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein |
| 10. MedicationStatement.implicitRules | |
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurde |
| Comments | 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. |
| Control | 0..0 |
| 12. MedicationStatement.extension | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationStatement.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 14. MedicationStatement.extension:acceptedRisk | |
| Slice Name | acceptedRisk |
| Short | akzeptiertes (in Kauf genommenes) Risiko |
| Comments | Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen. |
| Control | 0..1 |
| Type | Extension(ISiK Accepted Risk) (Extension Type: string) |
| Must Support | true |
| 16. MedicationStatement.extension:acceptedRisk.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 18. MedicationStatement.extension:medikationsart | |
| Slice Name | medikationsart |
| Short | Therapieart der Medikation |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation. |
| Control | 0..1 |
| Type | Extension(ISiK Medikationsart) (Extension Type: Coding) |
| Must Support | true |
| 20. MedicationStatement.extension:medikationsart.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 22. MedicationStatement.extension:medikationsart.value[x].system | |
| Must Support | true |
| 24. MedicationStatement.extension:medikationsart.value[x].code | |
| Must Support | true |
| 26. MedicationStatement.extension:medikationsart.value[x].display | |
| Must Support | true |
| 28. MedicationStatement.extension:selbstmedikation | |
| Slice Name | selbstmedikation |
| Short | Selbstmedikation |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Flag zur Selbstmedikation. |
| Control | 0..1 |
| Type | Extension(ISiK Selbstmedikation) (Extension Type: boolean) |
| Must Support | true |
| 30. MedicationStatement.extension:selbstmedikation.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 32. MedicationStatement.extension:behandlungsziel | |
| Slice Name | behandlungsziel |
| Short | Behandlungsziel (textuell) |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels. |
| Control | 0..1 |
| Type | Extension(ISiK Behandlungsziel) (Extension Type: string) |
| Must Support | true |
| 34. MedicationStatement.extension:behandlungsziel.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 36. MedicationStatement.extension:medicationStatementReplaces | |
| Slice Name | medicationStatementReplaces |
| Short | Welche Medikationsinformation wird ersetzt? |
| Comments | Begründung des Must-Support: historische Nachvollziehbarkeit Hinweis: Welche Medikationsinformation wird ersetzt? |
| Control | 0..1 |
| Type | Extension(ISiK MedicationStatementReplaces) (Extension Type: Reference(MedicationStatement)) |
| Must Support | true |
| 38. MedicationStatement.extension:medicationStatementReplaces.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 40. MedicationStatement.extension:medicationStatementReplaces.value[x].reference | |
| Must Support | true |
| 42. MedicationStatement.partOf | |
| Short | Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist |
| Comments | Begründung des Must-Support: Abbildung der Zusammenhänge |
| 44. MedicationStatement.status | |
| Short | Status der Medikationsinformation |
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard |
| Must Support | true |
| 46. MedicationStatement.medication[x] | |
| Short | Angabe des Medikaments |
| Comments | Begründung des Must-Support: Basisinformation. Siehe Slicing-Definition zur Wahlmöglichkeit zwischen codierter Angabe und Referenz auf Medication-Ressource. |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 48. MedicationStatement.medication[x]:medicationCodeableConcept | |
| Slice Name | medicationCodeableConcept |
| Short | Medikament in codierter Form oder ggf. als Freitext |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren. |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 50. MedicationStatement.medication[x]:medicationCodeableConcept.coding | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN | |
| Slice Name | PZN |
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen. |
| Control | 0..* |
| Type | Coding(ISiKPZNCoding) |
| Must Support | true |
| Pattern Value | { |
| 54. MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE | |
| Slice Name | ATC-DE |
| Comments | 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. |
| Control | 0..* |
| Type | Coding(ISiKATCCoding) |
| Must Support | true |
| Pattern Value | { |
| 56. MedicationStatement.medication[x]:medicationCodeableConcept.coding:SCT | |
| Slice Name | SCT |
| Control | 0..1 |
| Type | Coding(ISiKSnomedCTCoding) |
| Must Support | true |
| Pattern Value | { |
| 58. MedicationStatement.medication[x]:medicationCodeableConcept.text | |
| Must Support | true |
| 60. MedicationStatement.medication[x]:medicationReference | |
| Slice Name | medicationReference |
| Short | Referenz auf das Medikament (Medication-Ressource) |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen |
| Control | 0..1 |
| Type | Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 62. MedicationStatement.medication[x]:medicationReference.reference | |
| Control | 1..? |
| Must Support | true |
| 64. MedicationStatement.subject | |
| Short | Referenz auf den Patienten |
| Comments | Begründung des Must-Support: Basisinformation |
| Type | Reference(Patient) |
| Must Support | true |
| 66. MedicationStatement.subject.reference | |
| Short | Patienten-Link |
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. |
| Control | 1..? |
| Must Support | true |
| 68. MedicationStatement.context | |
| Short | Referenz auf den Abteilungskontakt |
| Comments | Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext |
| Must Support | true |
| 70. MedicationStatement.context.reference | |
| Comments | Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. |
| Control | 1..? |
| Must Support | true |
| 72. MedicationStatement.effective[x] | |
| Short | Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt |
| Comments | Begründung des Must-Support: Basisinformation |
| Control | 1..? |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationStatement.effective[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 74. MedicationStatement.effective[x]:effectiveDateTime | |
| Slice Name | effectiveDateTime |
| Short | Zeitpunkt (Datum oder Datum + Uhrzeit) |
| Comments | Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. |
| Control | 0..1 |
| Type | dateTime |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| 76. MedicationStatement.effective[x]:effectivePeriod | |
| Slice Name | effectivePeriod |
| Short | Zeitraum |
| Comments | Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. |
| Control | 0..1 |
| Type | Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 78. MedicationStatement.effective[x]:effectivePeriod.start | |
| Must Support | true |
| 80. MedicationStatement.effective[x]:effectivePeriod.end | |
| Must Support | true |
| 82. MedicationStatement.dateAsserted | |
| Short | Datum der Feststellung/des Bekanntwerdens der MedikationsInformation |
| Comments | Begründung des Must-Support: Nachvollziehbarkeit |
| Must Support | true |
| 84. MedicationStatement.reasonCode | |
| Short | Grund der Medikation (codiert) |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. |
| Must Support | true |
| 86. MedicationStatement.reasonCode.coding | |
| Must Support | true |
| 88. MedicationStatement.reasonCode.coding.system | |
| Control | 1..? |
| Must Support | true |
| 90. MedicationStatement.reasonCode.coding.code | |
| Control | 1..? |
| Must Support | true |
| 92. MedicationStatement.reasonCode.coding.display | |
| Must Support | true |
| 94. MedicationStatement.reasonCode.text | |
| Must Support | true |
| 96. MedicationStatement.reasonReference | |
| Short | Grund der Medikation (Referenz) |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. |
| Must Support | true |
| 98. MedicationStatement.reasonReference.reference | |
| Control | 1..? |
| Must Support | true |
| 100. MedicationStatement.note | |
| Short | Zusätzliche Anmerkungen zur Medikation |
| Comments | Begründung des Must-Support: Fachlich relevante Zusatzinformationen |
| Must Support | true |
| 102. MedicationStatement.note.text | |
| Short | Freitext-Notiz |
| Comments | Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein |
| Must Support | true |
| 104. MedicationStatement.dosage | |
| Short | Dosierungsangaben |
| Comments | Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert. |
| Type | Dosage(http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE) |
| Must Support | true |
| 106. MedicationStatement.dosage.text | |
| Comments | 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. |
| 108. MedicationStatement.dosage.patientInstruction | |
| Short | besondere Anweisungen für den Patienten |
| Must Support | true |
| 110. MedicationStatement.dosage.timing | |
| 112. MedicationStatement.dosage.timing.event | |
| Short | fester Zeitpunkt |
| Must Support | true |
| 114. MedicationStatement.dosage.timing.repeat | |
| Short | Wiederholungs-Angaben |
| 116. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration | |
| Slice Name | boundsDuration |
| Short | Begrenzung der Dauer |
| Type | Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Pattern Value | { |
| 118. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value | |
| Control | 1..? |
| 120. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system | |
| Control | 1..? |
| 122. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code | |
| Control | 1..? |
| 124. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange | |
| Slice Name | boundsRange |
| Short | Bereich für die Begrenzung |
| Control | 0..1 |
| Type | Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 126. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low | |
| Must Support | true |
| Pattern Value | { |
| 128. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value | |
| Control | 1..? |
| Must Support | true |
| 130. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit | |
| Must Support | true |
| 132. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system | |
| Control | 1..? |
| Must Support | true |
| 134. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code | |
| Control | 1..? |
| Must Support | true |
| 136. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high | |
| Must Support | true |
| Pattern Value | { |
| 138. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value | |
| Control | 1..? |
| Must Support | true |
| 140. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit | |
| Must Support | true |
| 142. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system | |
| Control | 1..? |
| Must Support | true |
| 144. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code | |
| Control | 1..? |
| Must Support | true |
| 146. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod | |
| Slice Name | boundsPeriod |
| Short | begrenzender Zeitraum |
| Control | 0..1 |
| Type | Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 148. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start | |
| Must Support | true |
| 150. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end | |
| Must Support | true |
| 152. MedicationStatement.dosage.timing.repeat.count | |
| Short | Anzahl Wiederholungen |
| Must Support | true |
| 154. MedicationStatement.dosage.timing.repeat.countMax | |
| Short | maximale Anzahl Wiederholungen |
| Must Support | true |
| 156. MedicationStatement.dosage.timing.repeat.duration | |
| Short | Dauer der Verabreichung |
| Must Support | true |
| 158. MedicationStatement.dosage.timing.repeat.durationMax | |
| Short | maximale Dauer der Verabreichung |
| Must Support | true |
| 160. MedicationStatement.dosage.timing.repeat.durationUnit | |
| Short | Einheit der Dauer |
| Must Support | true |
| 162. MedicationStatement.dosage.timing.repeat.frequency | |
| Short | Frequenz (Anzahl der Gaben pro Periode) |
| 164. MedicationStatement.dosage.timing.repeat.frequencyMax | |
| Short | maximale Frequenz |
| Must Support | true |
| 166. MedicationStatement.dosage.timing.repeat.period | |
| Short | Zeitperiode zur Frequenz |
| 168. MedicationStatement.dosage.timing.repeat.periodMax | |
| Short | maximale Zeitperiode zur Frequenz |
| Must Support | true |
| 170. MedicationStatement.dosage.timing.repeat.periodUnit | |
| Short | Einheit der Zeitperiode |
| 172. MedicationStatement.dosage.timing.repeat.dayOfWeek | |
| Short | Wochentag |
| 174. MedicationStatement.dosage.timing.repeat.timeOfDay | |
| Short | Tageszeit |
| 176. MedicationStatement.dosage.timing.repeat.when | |
| Short | Tageszeitpunkt codiert |
| 178. MedicationStatement.dosage.timing.repeat.offset | |
| Short | zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt |
| Must Support | true |
| 180. MedicationStatement.dosage.asNeeded[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.asNeeded[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 182. MedicationStatement.dosage.asNeeded[x]:asNeededBoolean | |
| Slice Name | asNeededBoolean |
| Short | Bedarfsmedikation |
| Control | 0..1 |
| Type | boolean |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| 184. MedicationStatement.dosage.site | |
| Short | Körperstelle der Verabreichung |
| Must Support | true |
| 186. MedicationStatement.dosage.site.coding | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.site.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 188. MedicationStatement.dosage.site.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Control | 0..1 |
| Type | Coding(ISiKSnomedCTCoding) |
| Must Support | true |
| Pattern Value | { |
| 190. MedicationStatement.dosage.site.text | |
| Must Support | true |
| 192. MedicationStatement.dosage.route | |
| Short | Route |
| Must Support | true |
| 194. MedicationStatement.dosage.route.coding | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.route.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 196. MedicationStatement.dosage.route.coding:EDQM | |
| Slice Name | EDQM |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Medicine Route of Administration - IPS (required to http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration) |
| Type | Coding(ISiKCoding) |
| Must Support | true |
| Pattern Value | { |
| 198. MedicationStatement.dosage.route.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Control | 0..1 |
| Binding | The codes SHALL be taken from SctRouteOfAdministration (required to https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration) |
| Type | Coding(ISiKSnomedCTCoding) |
| Must Support | true |
| Pattern Value | { |
| 200. MedicationStatement.dosage.route.text | |
| Must Support | true |
| 202. MedicationStatement.dosage.doseAndRate | |
| 204. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity | |
| Slice Name | doseQuantity |
| Short | Dosis |
| Comments | Das Must-Support-Flag auf doseQuantity bedeutet, dass produzierende Systeme zur Kodierung der Dosisangaben nach eigenem Ermessen entweder den Datentyp Quantity oder Ratio verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. |
| Type | Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 206. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value | |
| Short | Dosiswert |
| Comments | Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 208. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit | |
| Short | Menschenlesbare Dosis-Einheit |
| Comments | Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 210. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system | |
| Short | CodeSystem der Dosisangabe |
| Comments | Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 212. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code | |
| Short | Code der Dosisangabe |
| Comments | Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 214. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange | |
| Slice Name | doseRange |
| Short | Dosisbereich |
| Control | 0..1 |
| Type | Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 216. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 218. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 220. MedicationStatement.dosage.doseAndRate.rate[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.rate[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 222. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio | |
| Slice Name | rateRatio |
| Short | Raten-Verhältnis |
| Comments | 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. |
| Control | 0..1 |
| Type | Ratio |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 224. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator | |
| Control | 1..? |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 226. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator | |
| Control | 1..? |
| Type | Quantity(Medication Quantity) |
| Must Support | true |
| 228. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange | |
| Slice Name | rateRange |
| Short | Raten-Bereich |
| Control | 0..1 |
| Type | Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 230. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 232. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 234. MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity | |
| Slice Name | rateQuantity |
| Short | Rate |
| Comments | 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. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 236. MedicationStatement.dosage.maxDosePerPeriod | |
| Short | Maximaldosis (Zähler) pro Zeitraum (Nenner) |
| Must Support | true |
| 238. MedicationStatement.dosage.maxDosePerPeriod.numerator | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 240. MedicationStatement.dosage.maxDosePerPeriod.denominator | |
| Type | Quantity(Medication Quantity) |
| Must Support | true |
| 242. MedicationStatement.dosage.maxDosePerAdministration | |
| Short | Maximaldosis pro Verabreichung |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationStatement | |||||
| Definition | A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. | ||||
| Short | Record of medication being taken by a patient | ||||
| Comments | When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error. | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists()) | ||||
| 2. MedicationStatement.id | |||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| Short | serverseitige, interne ID des Datensatzes | ||||
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 4. MedicationStatement.meta | |||||
| Definition | 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. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. MedicationStatement.meta.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 8. MedicationStatement.meta.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 10. MedicationStatement.meta.versionId | |||||
| Definition | 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. | ||||
| Short | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. MedicationStatement.meta.lastUpdated | |||||
| Definition | When the resource last changed - e.g. when the version changed. | ||||
| Short | Zeitpunkt der letzten Änderung | ||||
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein | ||||
| Control | 0..1 | ||||
| Type | instant | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 14. MedicationStatement.meta.source | |||||
| Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance 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. | ||||
| Short | Identifies where the resource comes from | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 16. MedicationStatement.meta.profile | |||||
| Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
| Short | Profiles this resource claims to conform to | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | canonical(StructureDefinition) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 18. MedicationStatement.meta.security | |||||
| Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||||
| Short | Security Labels applied to this resource | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 20. MedicationStatement.meta.tag | |||||
| Definition | 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. | ||||
| Short | Tags applied to this resource | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 22. MedicationStatement.implicitRules | |||||
| Definition | 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. | ||||
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurde | ||||
| Comments | 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. | ||||
| Control | 0..0 | ||||
| Type | uri | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 24. MedicationStatement.language | |||||
| Definition | The base language in which the resource is written. | ||||
| Short | Language of the resource content | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. MedicationStatement.text | |||||
| Definition | 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. | ||||
| Short | Text summary of the resource, for human interpretation | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. MedicationStatement.contained | |||||
| Definition | 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. | ||||
| Short | Contained, inline Resources | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 30. MedicationStatement.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 32. MedicationStatement.extension:acceptedRisk | |||||
| Slice Name | acceptedRisk | ||||
| Definition | An Extension | ||||
| Short | akzeptiertes (in Kauf genommenes) Risiko | ||||
| Comments | Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Accepted Risk) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 34. MedicationStatement.extension:acceptedRisk.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 36. MedicationStatement.extension:acceptedRisk.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 38. MedicationStatement.extension:acceptedRisk.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk | ||||
| 40. MedicationStatement.extension:acceptedRisk.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 42. MedicationStatement.extension:medikationsart | |||||
| Slice Name | medikationsart | ||||
| Definition | An Extension | ||||
| Short | Therapieart der Medikation | ||||
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Medikationsart) (Extension Type: Coding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 44. MedicationStatement.extension:medikationsart.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 46. MedicationStatement.extension:medikationsart.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 48. MedicationStatement.extension:medikationsart.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart | ||||
| 50. MedicationStatement.extension:medikationsart.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ISiKMedikationsartVS (required to https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS) | ||||
| Type | Coding | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. MedicationStatement.extension:medikationsart.value[x].id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 54. MedicationStatement.extension:medikationsart.value[x].extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 56. MedicationStatement.extension:medikationsart.value[x].system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity of the terminology system | ||||
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 58. MedicationStatement.extension:medikationsart.value[x].version | |||||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
| Short | Version of the system - if relevant | ||||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 60. MedicationStatement.extension:medikationsart.value[x].code | |||||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 62. MedicationStatement.extension:medikationsart.value[x].display | |||||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. MedicationStatement.extension:medikationsart.value[x].userSelected | |||||
| Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
| Short | If this coding was chosen directly by the user | ||||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 66. MedicationStatement.extension:selbstmedikation | |||||
| Slice Name | selbstmedikation | ||||
| Definition | An Extension | ||||
| Short | Selbstmedikation | ||||
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Flag zur Selbstmedikation. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Selbstmedikation) (Extension Type: boolean) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 68. MedicationStatement.extension:selbstmedikation.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 70. MedicationStatement.extension:selbstmedikation.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 72. MedicationStatement.extension:selbstmedikation.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKSelbstmedikation | ||||
| 74. MedicationStatement.extension:selbstmedikation.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | boolean | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. MedicationStatement.extension:behandlungsziel | |||||
| Slice Name | behandlungsziel | ||||
| Definition | An Extension | ||||
| Short | Behandlungsziel (textuell) | ||||
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Behandlungsziel) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 78. MedicationStatement.extension:behandlungsziel.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 80. MedicationStatement.extension:behandlungsziel.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 82. MedicationStatement.extension:behandlungsziel.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel | ||||
| 84. MedicationStatement.extension:behandlungsziel.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 86. MedicationStatement.extension:medicationStatementReplaces | |||||
| Slice Name | medicationStatementReplaces | ||||
| Definition | An Extension | ||||
| Short | Welche Medikationsinformation wird ersetzt? | ||||
| Comments | Begründung des Must-Support: historische Nachvollziehbarkeit Hinweis: Welche Medikationsinformation wird ersetzt? | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK MedicationStatementReplaces) (Extension Type: Reference(MedicationStatement)) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 88. MedicationStatement.extension:medicationStatementReplaces.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 90. MedicationStatement.extension:medicationStatementReplaces.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 92. MedicationStatement.extension:medicationStatementReplaces.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationStatementReplaces | ||||
| 94. MedicationStatement.extension:medicationStatementReplaces.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | Reference(MedicationStatement) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 96. MedicationStatement.extension:medicationStatementReplaces.value[x].id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 98. MedicationStatement.extension:medicationStatementReplaces.value[x].extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 100. MedicationStatement.extension:medicationStatementReplaces.value[x].reference | |||||
| Definition | 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. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 102. MedicationStatement.extension:medicationStatementReplaces.value[x].type | |||||
| Definition | 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). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 104. MedicationStatement.extension:medicationStatementReplaces.value[x].identifier | |||||
| Definition | 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. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 106. MedicationStatement.extension:medicationStatementReplaces.value[x].display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 108. MedicationStatement.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| Requirements | 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. | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 110. MedicationStatement.identifier | |||||
| Definition | Identifiers associated with this Medication Statement 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. | ||||
| Short | External identifier | ||||
| Comments | This is a business identifier, not a resource identifier. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..* | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 112. MedicationStatement.basedOn | |||||
| Definition | A plan, proposal or order that is fulfilled in whole or in part by this event. | ||||
| Short | Fulfils plan, proposal or order | ||||
| Control | 0..* | ||||
| Type | Reference(MedicationRequest, CarePlan, ServiceRequest) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 114. MedicationStatement.partOf | |||||
| Definition | A larger event of which this particular event is a component or step. | ||||
| Short | Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist | ||||
| Comments | Begründung des Must-Support: Abbildung der Zusammenhänge | ||||
| Control | 0..* | ||||
| Type | Reference(MedicationAdministration, MedicationDispense, MedicationStatement, Procedure, Observation) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 116. MedicationStatement.status | |||||
| Definition | A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed. | ||||
| Short | Status der Medikationsinformation | ||||
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from Medication Status Codes (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1)A coded concept indicating the current status of a MedicationStatement. | ||||
| Type | code | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 118. MedicationStatement.statusReason | |||||
| Definition | Captures the reason for the current state of the MedicationStatement. | ||||
| Short | Reason for current status | ||||
| Comments | This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see SNOMEDCTDrugTherapyStatusCodes (example to http://hl7.org/fhir/ValueSet/reason-medication-status-codes|4.0.1)A coded concept indicating the reason for the status of the statement. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 120. MedicationStatement.category | |||||
| Definition | Indicates where the medication is expected to be consumed or administered. | ||||
| Short | Type of medication usage | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from Medication usage category codes (preferred to http://hl7.org/fhir/ValueSet/medication-statement-category|4.0.1)A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 122. MedicationStatement.medication[x] | |||||
| Definition | Identifies the medication being 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. | ||||
| Short | Angabe des Medikaments | ||||
| Comments | Begründung des Must-Support: Basisinformation. Siehe Slicing-Definition zur Wahlmöglichkeit zwischen codierter Angabe und Referenz auf Medication-Ressource. | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying the substance or product being taken. | ||||
| Type | Choice of: CodeableConcept, Reference(Medication) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 124. MedicationStatement.medication[x]:medicationCodeableConcept | |||||
| Slice Name | medicationCodeableConcept | ||||
| Definition | Identifies the medication being 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. | ||||
| Short | Medikament in codierter Form oder ggf. als Freitext | ||||
| Comments | Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying the substance or product being taken. | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 126. MedicationStatement.medication[x]:medicationCodeableConcept.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 128. MedicationStatement.medication[x]:medicationCodeableConcept.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 130. MedicationStatement.medication[x]:medicationCodeableConcept.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 132. MedicationStatement.medication[x]:medicationCodeableConcept.coding:PZN | |||||
| Slice Name | PZN | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen. | ||||
| Control | 0..* | ||||
| Type | Coding(ISiKPZNCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 134. MedicationStatement.medication[x]:medicationCodeableConcept.coding:ATC-DE | |||||
| Slice Name | ATC-DE | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Coding(ISiKATCCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 136. MedicationStatement.medication[x]:medicationCodeableConcept.coding:SCT | |||||
| Slice Name | SCT | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Coding(ISiKSnomedCTCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 138. MedicationStatement.medication[x]:medicationCodeableConcept.text | |||||
| Definition | 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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 140. MedicationStatement.medication[x]:medicationReference | |||||
| Slice Name | medicationReference | ||||
| Definition | Identifies the medication being 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. | ||||
| Short | Referenz auf das Medikament (Medication-Ressource) | ||||
| Comments | Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen | ||||
| Control | 0..1 | ||||
| Type | Reference(Medication) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 142. MedicationStatement.medication[x]:medicationReference.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 144. MedicationStatement.medication[x]:medicationReference.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 146. MedicationStatement.medication[x]:medicationReference.reference | |||||
| Definition | 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. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 148. MedicationStatement.medication[x]:medicationReference.type | |||||
| Definition | 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). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 150. MedicationStatement.medication[x]:medicationReference.identifier | |||||
| Definition | 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. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 152. MedicationStatement.medication[x]:medicationReference.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 154. MedicationStatement.subject | |||||
| Definition | The person, animal or group who is/was taking the medication. | ||||
| Short | Referenz auf den Patienten | ||||
| Comments | Begründung des Must-Support: Basisinformation | ||||
| Control | 1..1 | ||||
| Type | Reference(Patient) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 156. MedicationStatement.subject.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 158. MedicationStatement.subject.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 160. MedicationStatement.subject.reference | |||||
| Definition | 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. | ||||
| Short | Patienten-Link | ||||
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 162. MedicationStatement.subject.type | |||||
| Definition | 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). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 164. MedicationStatement.subject.identifier | |||||
| Definition | 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. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 166. MedicationStatement.subject.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 168. MedicationStatement.context | |||||
| Definition | The encounter or episode of care that establishes the context for this MedicationStatement. | ||||
| Short | Referenz auf den Abteilungskontakt | ||||
| Comments | Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext | ||||
| Control | 0..1 | ||||
| Type | Reference(Encounter, EpisodeOfCare) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 170. MedicationStatement.context.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 172. MedicationStatement.context.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.context.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 174. MedicationStatement.context.reference | |||||
| Definition | 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. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 176. MedicationStatement.context.type | |||||
| Definition | 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). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 178. MedicationStatement.context.identifier | |||||
| Definition | 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. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 180. MedicationStatement.context.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 182. MedicationStatement.effective[x] | |||||
| Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). | ||||
| Short | Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt | ||||
| Comments | Begründung des Must-Support: Basisinformation | ||||
| Control | 1..1 | ||||
| Type | Choice of: dateTime, Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.effective[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 184. MedicationStatement.effective[x]:effectiveDateTime | |||||
| Slice Name | effectiveDateTime | ||||
| Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). | ||||
| Short | Zeitpunkt (Datum oder Datum + Uhrzeit) | ||||
| Comments | Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 186. MedicationStatement.effective[x]:effectivePeriod | |||||
| Slice Name | effectivePeriod | ||||
| Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). | ||||
| Short | Zeitraum | ||||
| Comments | Begründung des Must-Support: Basisinformation Festlegung zur Nutzung: An dieser Stelle KANN eine lediglich Datums-genaue Angabe (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der FHIR-Core Vorgabe seitens eines bestätigungsrelevanten Systems unterstützt werden. Es KANN auch eine Uhrzeit angegeben werden. Für sekunden-genaue Angaben zur Verabreichung eines Medikaments an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 188. MedicationStatement.effective[x]:effectivePeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 190. MedicationStatement.effective[x]:effectivePeriod.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.effective[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 192. MedicationStatement.effective[x]:effectivePeriod.start | |||||
| Definition | The start of the period. The boundary is inclusive. | ||||
| Short | Starting time with inclusive boundary | ||||
| Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
| Control | 0..1 This element is affected by the following invariants: per-1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 194. MedicationStatement.effective[x]:effectivePeriod.end | |||||
| Definition | 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. | ||||
| Short | End time with inclusive boundary, if not ongoing | ||||
| Comments | 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. | ||||
| Control | 0..1 This element is affected by the following invariants: per-1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 196. MedicationStatement.dateAsserted | |||||
| Definition | The date when the medication statement was asserted by the information source. | ||||
| Short | Datum der Feststellung/des Bekanntwerdens der MedikationsInformation | ||||
| Comments | Begründung des Must-Support: Nachvollziehbarkeit | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 198. MedicationStatement.informationSource | |||||
| Definition | The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest. | ||||
| Short | Person or organization that provided the information about the taking of this medication | ||||
| Control | 0..1 | ||||
| Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 200. MedicationStatement.derivedFrom | |||||
| Definition | Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement. | ||||
| Short | Additional supporting information | ||||
| Comments | Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from. | ||||
| Control | 0..* | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 202. MedicationStatement.reasonCode | |||||
| Definition | A reason for why the medication is being/was taken. | ||||
| Short | Grund der Medikation (codiert) | ||||
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see Condition/Problem/DiagnosisCodes (example to http://hl7.org/fhir/ValueSet/condition-code|4.0.1)A coded concept identifying why the medication is being taken. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 204. MedicationStatement.reasonCode.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 206. MedicationStatement.reasonCode.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.reasonCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 208. MedicationStatement.reasonCode.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 210. MedicationStatement.reasonCode.coding.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 212. MedicationStatement.reasonCode.coding.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.reasonCode.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 214. MedicationStatement.reasonCode.coding.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity of the terminology system | ||||
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 216. MedicationStatement.reasonCode.coding.version | |||||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
| Short | Version of the system - if relevant | ||||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 218. MedicationStatement.reasonCode.coding.code | |||||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 220. MedicationStatement.reasonCode.coding.display | |||||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 222. MedicationStatement.reasonCode.coding.userSelected | |||||
| Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
| Short | If this coding was chosen directly by the user | ||||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 224. MedicationStatement.reasonCode.text | |||||
| Definition | 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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 226. MedicationStatement.reasonReference | |||||
| Definition | Condition or observation that supports why the medication is being/was taken. | ||||
| Short | Grund der Medikation (Referenz) | ||||
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. | ||||
| Control | 0..* | ||||
| Type | Reference(Condition, Observation, DiagnosticReport) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 228. MedicationStatement.reasonReference.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 230. MedicationStatement.reasonReference.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.reasonReference.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 232. MedicationStatement.reasonReference.reference | |||||
| Definition | 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. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 234. MedicationStatement.reasonReference.type | |||||
| Definition | 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). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 236. MedicationStatement.reasonReference.identifier | |||||
| Definition | 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. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | 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). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 238. MedicationStatement.reasonReference.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 240. MedicationStatement.note | |||||
| Definition | Provides extra information about the medication statement that is not conveyed by the other attributes. | ||||
| Short | Zusätzliche Anmerkungen zur Medikation | ||||
| Comments | Begründung des Must-Support: Fachlich relevante Zusatzinformationen | ||||
| Control | 0..* | ||||
| Type | Annotation | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 242. MedicationStatement.note.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 244. MedicationStatement.note.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 246. MedicationStatement.note.author[x] | |||||
| Definition | The individual responsible for making the annotation. | ||||
| Short | Individual responsible for the annotation | ||||
| Comments | Organization is used when there's no need for specific attribution as to who made the comment. | ||||
| Control | 0..1 | ||||
| Type | Choice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 248. MedicationStatement.note.time | |||||
| Definition | Indicates when this particular annotation was made. | ||||
| Short | When the annotation was made | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 250. MedicationStatement.note.text | |||||
| Definition | The text of the annotation in markdown format. | ||||
| Short | Freitext-Notiz | ||||
| Comments | Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein | ||||
| Control | 1..1 | ||||
| Type | markdown | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 252. MedicationStatement.dosage | |||||
| Definition | Indicates how the medication is/was or should be taken by the patient. | ||||
| Short | Dosierungsangaben | ||||
| Comments | Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert. | ||||
| Control | 0..* | ||||
| Type | Dosage(http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 254. MedicationStatement.dosage.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 256. MedicationStatement.dosage.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 258. MedicationStatement.dosage.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 260. MedicationStatement.dosage.sequence | |||||
| Definition | Indicates the order in which the dosage instructions should be applied or interpreted. | ||||
| Short | The order of the dosage instructions | ||||
| Control | 0..1 | ||||
| Type | integer | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 262. MedicationStatement.dosage.text | |||||
| Definition | Free text dosage instructions e.g. SIG. | ||||
| Short | Free text dosage instructions e.g. SIG | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 264. MedicationStatement.dosage.additionalInstruction | |||||
| Definition | Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). | ||||
| Short | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | ||||
| Comments | Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see SNOMEDCTAdditionalDosageInstructions (example to http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1)A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 266. MedicationStatement.dosage.patientInstruction | |||||
| Definition | Instructions in terms that are understood by the patient or consumer. | ||||
| Short | besondere Anweisungen für den Patienten | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 268. MedicationStatement.dosage.timing | |||||
| Definition | When medication should be administered. | ||||
| Short | When medication should be administered | ||||
| Comments | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. | ||||
| Control | 0..1 | ||||
| Type | Timing | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 270. MedicationStatement.dosage.timing.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 272. MedicationStatement.dosage.timing.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 274. MedicationStatement.dosage.timing.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 276. MedicationStatement.dosage.timing.event | |||||
| Definition | Identifies specific times when the event occurs. | ||||
| Short | fester Zeitpunkt | ||||
| Control | 0..* | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 278. MedicationStatement.dosage.timing.repeat | |||||
| Definition | A set of rules that describe when the event is scheduled. | ||||
| Short | Wiederholungs-Angaben | ||||
| Control | 0..1 | ||||
| Type | Element | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Many timing schedules are determined by regular repetitions. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists())tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists())tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0)tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0)tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists())tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists())tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists())tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty()) | ||||
| 280. MedicationStatement.dosage.timing.repeat.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 282. MedicationStatement.dosage.timing.repeat.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 284. MedicationStatement.dosage.timing.repeat.bounds[x] | |||||
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
| Short | Length/Range of lengths, or (Start and/or end) limits | ||||
| Control | 0..1 | ||||
| Type | Choice of: Duration, Range, Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 286. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration | |||||
| Slice Name | boundsDuration | ||||
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
| Short | Begrenzung der Dauer | ||||
| Control | 0..1 | ||||
| Type | Duration | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 288. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 290. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 292. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 294. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.comparator | |||||
| Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 296. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 298. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 300. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 302. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange | |||||
| Slice Name | boundsRange | ||||
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
| Short | Bereich für die Begrenzung | ||||
| Control | 0..1 | ||||
| Type | Range | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 304. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 306. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 308. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low | |||||
| Definition | The low limit. The boundary is inclusive. | ||||
| Short | Low limit | ||||
| Comments | If the low element is missing, the low boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 310. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 312. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x].low.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 314. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 316. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.comparator | |||||
| Definition | Not allowed to be used in this context | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 318. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 320. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 322. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 324. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high | |||||
| Definition | The high limit. The boundary is inclusive. | ||||
| Short | High limit | ||||
| Comments | If the high element is missing, the high boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 326. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 328. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x].high.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 330. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 332. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.comparator | |||||
| Definition | Not allowed to be used in this context | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 334. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 336. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 338. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 340. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod | |||||
| Slice Name | boundsPeriod | ||||
| Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
| Short | begrenzender Zeitraum | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 342. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 344. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 346. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start | |||||
| Definition | The start of the period. The boundary is inclusive. | ||||
| Short | Starting time with inclusive boundary | ||||
| Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
| Control | 0..1 This element is affected by the following invariants: per-1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 348. MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end | |||||
| Definition | 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. | ||||
| Short | End time with inclusive boundary, if not ongoing | ||||
| Comments | 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. | ||||
| Control | 0..1 This element is affected by the following invariants: per-1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 350. MedicationStatement.dosage.timing.repeat.count | |||||
| Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. | ||||
| Short | Anzahl Wiederholungen | ||||
| Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Repetitions may be limited by end time or total occurrences. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 352. MedicationStatement.dosage.timing.repeat.countMax | |||||
| Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. | ||||
| Short | maximale Anzahl Wiederholungen | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 354. MedicationStatement.dosage.timing.repeat.duration | |||||
| Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. | ||||
| Short | Dauer der Verabreichung | ||||
| Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Some activities are not instantaneous and need to be maintained for a period of time. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 356. MedicationStatement.dosage.timing.repeat.durationMax | |||||
| Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. | ||||
| Short | maximale Dauer der Verabreichung | ||||
| Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Some activities are not instantaneous and need to be maintained for a period of time. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 358. MedicationStatement.dosage.timing.repeat.durationUnit | |||||
| Definition | The units of time for the duration, in UCUM units. | ||||
| Short | Einheit der Dauer | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 360. MedicationStatement.dosage.timing.repeat.frequency | |||||
| Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. | ||||
| Short | Frequenz (Anzahl der Gaben pro Periode) | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 362. MedicationStatement.dosage.timing.repeat.frequencyMax | |||||
| Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. | ||||
| Short | maximale Frequenz | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 364. MedicationStatement.dosage.timing.repeat.period | |||||
| Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. | ||||
| Short | Zeitperiode zur Frequenz | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 366. MedicationStatement.dosage.timing.repeat.periodMax | |||||
| Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. | ||||
| Short | maximale Zeitperiode zur Frequenz | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 368. MedicationStatement.dosage.timing.repeat.periodUnit | |||||
| Definition | The units of time for the period in UCUM units. | ||||
| Short | Einheit der Zeitperiode | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 370. MedicationStatement.dosage.timing.repeat.dayOfWeek | |||||
| Definition | If one or more days of week is provided, then the action happens only on the specified day(s). | ||||
| Short | Wochentag | ||||
| Comments | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. | ||||
| Control | 0..* | ||||
| Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1) | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 372. MedicationStatement.dosage.timing.repeat.timeOfDay | |||||
| Definition | Specified time of day for action to take place. | ||||
| Short | Tageszeit | ||||
| Comments | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. | ||||
| Control | 0..* | ||||
| Type | time | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 374. MedicationStatement.dosage.timing.repeat.when | |||||
| Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. | ||||
| Short | Tageszeitpunkt codiert | ||||
| Comments | When more than one event is listed, the event is tied to the union of the specified events. | ||||
| Control | 0..* | ||||
| Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)Real world event relating to the schedule. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 376. MedicationStatement.dosage.timing.repeat.offset | |||||
| Definition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. | ||||
| Short | zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt | ||||
| Control | 0..1 | ||||
| Type | unsignedInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 378. MedicationStatement.dosage.timing.code | |||||
| Definition | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). | ||||
| Short | BID | TID | QID | AM | PM | QD | QOD | + | ||||
| Comments | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1)Code for a known / defined timing pattern. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 380. MedicationStatement.dosage.asNeeded[x] | |||||
| Definition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). | ||||
| Short | Take "as needed" (for x) | ||||
| Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTMedicationAsNeededReasonCodes (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1)A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
| Type | Choice of: boolean, CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.asNeeded[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 382. MedicationStatement.dosage.asNeeded[x]:asNeededBoolean | |||||
| Slice Name | asNeededBoolean | ||||
| Definition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). | ||||
| Short | Bedarfsmedikation | ||||
| Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 384. MedicationStatement.dosage.site | |||||
| Definition | Body site to administer to. | ||||
| Short | Körperstelle der Verabreichung | ||||
| Comments | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example to http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1)A coded concept describing the site location the medicine enters into or onto the body. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | A coded specification of the anatomic site where the medication first enters the body. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 386. MedicationStatement.dosage.site.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 388. MedicationStatement.dosage.site.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 390. MedicationStatement.dosage.site.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.site.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 392. MedicationStatement.dosage.site.coding:SNOMED-CT | |||||
| Slice Name | SNOMED-CT | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Coding(ISiKSnomedCTCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 394. MedicationStatement.dosage.site.text | |||||
| Definition | 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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 396. MedicationStatement.dosage.route | |||||
| Definition | How drug should enter body. | ||||
| Short | Route | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTRouteCodes (example to http://hl7.org/fhir/ValueSet/route-codes|4.0.1)A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 398. MedicationStatement.dosage.route.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 400. MedicationStatement.dosage.route.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.route.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 402. MedicationStatement.dosage.route.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.route.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 404. MedicationStatement.dosage.route.coding:EDQM | |||||
| Slice Name | EDQM | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from Medicine Route of Administration - IPS (required to http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration) | ||||
| Type | Coding(ISiKCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 406. MedicationStatement.dosage.route.coding:SNOMED-CT | |||||
| Slice Name | SNOMED-CT | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from SctRouteOfAdministration (required to https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration) | ||||
| Type | Coding(ISiKSnomedCTCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 408. MedicationStatement.dosage.route.text | |||||
| Definition | 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. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 410. MedicationStatement.dosage.method | |||||
| Definition | Technique for administering medication. | ||||
| Short | Technique for administering medication | ||||
| Comments | Terminologies used often pre-coordinate this term with the route and or form of administration. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1)A coded concept describing the technique by which the medicine is administered. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 412. MedicationStatement.dosage.doseAndRate | |||||
| Definition | The amount of medication administered. | ||||
| Short | Amount of medication administered | ||||
| Control | 0..* | ||||
| Type | Element | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 414. MedicationStatement.dosage.doseAndRate.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 416. MedicationStatement.dosage.doseAndRate.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 418. MedicationStatement.dosage.doseAndRate.type | |||||
| Definition | The kind of dose or rate specified, for example, ordered or calculated. | ||||
| Short | The kind of dose or rate specified | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see DoseAndRateType (example to http://hl7.org/fhir/ValueSet/dose-rate-type|4.0.1)The kind of dose or rate specified. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | If the type is not populated, assume to be "ordered". | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 420. MedicationStatement.dosage.doseAndRate.dose[x] | |||||
| Definition | Amount of medication per dose. | ||||
| Short | Amount of medication per dose | ||||
| Comments | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. | ||||
| Control | 0..1 | ||||
| Type | Choice of: Range, Quantity(SimpleQuantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | The amount of therapeutic or other substance given at one administration event. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.dose[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 422. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity | |||||
| Slice Name | doseQuantity | ||||
| Definition | Amount of medication per dose. | ||||
| Short | Dosis | ||||
| Comments | Das Must-Support-Flag auf doseQuantity bedeutet, dass produzierende Systeme zur Kodierung der Dosisangaben nach eigenem Ermessen entweder den Datentyp Quantity oder Ratio verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | The amount of therapeutic or other substance given at one administration event. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 424. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 426. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.dose[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 428. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Dosiswert | ||||
| Comments | Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 430. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.comparator | |||||
| Definition | Not allowed to be used in this context | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 432. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Menschenlesbare Dosis-Einheit | ||||
| Comments | Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 434. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | CodeSystem der Dosisangabe | ||||
| Comments | Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 436. MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Code der Dosisangabe | ||||
| Comments | Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 438. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange | |||||
| Slice Name | doseRange | ||||
| Definition | Amount of medication per dose. | ||||
| Short | Dosisbereich | ||||
| Comments | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. | ||||
| Control | 0..1 | ||||
| Type | Range | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | The amount of therapeutic or other substance given at one administration event. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 440. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 442. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.dose[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 444. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low | |||||
| Definition | The low limit. The boundary is inclusive. | ||||
| Short | Low limit | ||||
| Comments | If the low element is missing, the low boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 446. MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high | |||||
| Definition | The high limit. The boundary is inclusive. | ||||
| Short | High limit | ||||
| Comments | If the high element is missing, the high boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 448. MedicationStatement.dosage.doseAndRate.rate[x] | |||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Amount of medication per unit of time | ||||
| Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
| Control | 0..1 | ||||
| Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.rate[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 450. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio | |||||
| Slice Name | rateRatio | ||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Raten-Verhältnis | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Ratio | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 452. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 454. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.rate[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 456. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator | |||||
| Definition | The value of the numerator. | ||||
| Short | Numerator value | ||||
| Control | 1..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 458. MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator | |||||
| Definition | The value of the denominator. | ||||
| Short | Denominator value | ||||
| Control | 1..1 | ||||
| Type | Quantity(Medication Quantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 460. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange | |||||
| Slice Name | rateRange | ||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Raten-Bereich | ||||
| Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
| Control | 0..1 | ||||
| Type | Range | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 462. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 464. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.rate[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 466. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low | |||||
| Definition | The low limit. The boundary is inclusive. | ||||
| Short | Low limit | ||||
| Comments | If the low element is missing, the low boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 468. MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high | |||||
| Definition | The high limit. The boundary is inclusive. | ||||
| Short | High limit | ||||
| Comments | If the high element is missing, the high boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 470. MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity | |||||
| Slice Name | rateQuantity | ||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Rate | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 472. MedicationStatement.dosage.maxDosePerPeriod | |||||
| Definition | Upper limit on medication per unit of time. | ||||
| Short | Maximaldosis (Zähler) pro Zeitraum (Nenner) | ||||
| Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". | ||||
| Control | 0..1 | ||||
| Type | Ratio | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 474. MedicationStatement.dosage.maxDosePerPeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 476. MedicationStatement.dosage.maxDosePerPeriod.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MedicationStatement.dosage.maxDosePerPeriod.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 478. MedicationStatement.dosage.maxDosePerPeriod.numerator | |||||
| Definition | The value of the numerator. | ||||
| Short | Numerator value | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 480. MedicationStatement.dosage.maxDosePerPeriod.denominator | |||||
| Definition | The value of the denominator. | ||||
| Short | Denominator value | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 482. MedicationStatement.dosage.maxDosePerAdministration | |||||
| Definition | Upper limit on medication per administration. | ||||
| Short | Maximaldosis pro Verabreichung | ||||
| Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 484. MedicationStatement.dosage.maxDosePerLifetime | |||||
| Definition | Upper limit on medication per lifetime of the patient. | ||||
| Short | Upper limit on medication per lifetime of the patient | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||