ISiK Medikation Implementierungsleitfaden
Version 6.0.0-rc1 - ballot

Resource Profile: ISiK Medikationsliste

Official URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsListe Version: 6.0.0-rc1
Active as of 2026-06-10 Computable Name: ISiKMedikationsListe

Dieses Profil ermöglicht die Zusammenführung einzelner MedikationsInformationen eines Patienten in ISiK Szenarien.

Die Medikationsliste verweist auf MedicationStatement-Ressourcen und bildet Medikationen ab, die aktuell eingenommen, im Krankenhaus verabreicht oder aus externen Quellen dokumentiert wurden - etwa durch Patientenangaben, Medikationspläne oder Entlassbriefe.

Die Wahl von ‘List.mode’ richtet sich danach, ob die Liste als dokumentierter Zustand oder als Arbeitsgrundlage verwendet wird. Pro Patient und fachlichem Kontext (z. B. Behandlungskontext) sollte in der Regel nur eine aktiv gepflegte Medikationsliste (‘List.mode = working’ und ‘List.status = current’) geführt werden.
Dies dient der Vermeidung konkurrierender Listen und stellt eine eindeutige fachliche Referenz sicher. Mehrere parallele Listen können in unterschiedlichen Kontexten oder für unterschiedliche Zwecke existieren, sollten jedoch klar voneinander abgegrenzt sein.

Im Unterschied zum eMP der ePA ist die ISiK-MedikationsListe dynamisch generierbar und systemseitig aktualisierbar. Sie kann auch Informationen enthalten, die außerhalb des eigenen Hauses erfasst wurden - sofern diese dem System strukturiert vorliegen (z.B. durch eMP-Import). Ein Import aus dem eMP ist möglich, aber nicht verpflichtend.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List C 0..* List A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code (Aktualitäts-)Status der Liste
Binding: ListStatus (required): The current state of the list.
... code SΣ 1..1 CodeableConcept Art der Liste.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:medications SΣ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: medications
...... display SΣ 0..1 string Representation defined by the system
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... reference SΣC 1..1 string Patienten-Link
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date SΣ 0..1 dateTime Erstellungsdatum der Liste
... entry SC 0..* BackboneElement Listeneintrag
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... deleted ?!C 0..1 boolean If this item is actually marked as deleted
.... date S 0..1 dateTime Datum des Listeneintrags
.... item S 1..1 Reference(MedicationStatement) Referenz auf die MedikationsInformation
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required Medikationslisten-Modes 📦6.0.0-rc1 This IG
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error List If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error List If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error List If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error List If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice List A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
lst-1 error List A list can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
lst-2 error List The deleted flag can only be used if the mode of the list is "changes" mode = 'changes' or entry.deleted.empty()
lst-3 error List An entry date can only be used if the mode of the list is "working" mode = 'working' or entry.date.empty()

This structure is derived from List

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List 0..* List A list is a curated collection of resources
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... implicitRules 0..0 Verweis auf die Regeln, nach denen die Ressource erstellt wurde
... mode S 1..1 code Listenmodus zur fachlichen Einordnung des Charakters der Medikationsliste.
Binding: Medikationslisten-Modes (required)
... code S 1..1 CodeableConcept Art der Liste.
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:medications S 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
...... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: medications
...... display S 0..1 string Representation defined by the system
... subject S 1..1 Reference(Patient) Referenz auf den Patienten
.... reference S 1..1 string Patienten-Link
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... date S 0..1 dateTime Erstellungsdatum der Liste
... entry S 0..* BackboneElement Listeneintrag
.... date S 0..1 dateTime Datum des Listeneintrags
.... item S 1..1 Reference(MedicationStatement) Referenz auf die MedikationsInformation
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
List.mode Base required Medikationslisten-Modes 📦6.0.0-rc1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List C 0..* List A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code (Aktualitäts-)Status der Liste
Binding: ListStatus (required): The current state of the list.
... mode ?!SΣ 1..1 code Listenmodus zur fachlichen Einordnung des Charakters der Medikationsliste.
Binding: Medikationslisten-Modes (required)
... title Σ 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code SΣ 1..1 CodeableConcept Art der Liste.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:medications SΣ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: medications
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Patienten-Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 0..1 dateTime Erstellungsdatum der Liste
... source Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
... orderedBy 0..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.
... note 0..* Annotation Comments about the list
... entry SC 0..* BackboneElement Listeneintrag
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag 0..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
.... deleted ?!C 0..1 boolean If this item is actually marked as deleted
.... date S 0..1 dateTime Datum des Listeneintrags
.... item S 1..1 Reference(MedicationStatement) Referenz auf die MedikationsInformation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
List.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
List.language Base preferred Common Languages 📍4.0.1 FHIR Std.
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required Medikationslisten-Modes 📦6.0.0-rc1 This IG
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
List.encounter.type Base extensible ResourceType 📍4.0.1 FHIR Std.
List.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
List.entry.flag Base example Patient Medicine Change Types 📍4.0.1 FHIR Std.
List.entry.item.type Base extensible ResourceType 📍4.0.1 FHIR Std.
List.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error List If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error List If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error List If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error List If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice List A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
lst-1 error List A list can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
lst-2 error List The deleted flag can only be used if the mode of the list is "changes" mode = 'changes' or entry.deleted.empty()
lst-3 error List An entry date can only be used if the mode of the list is "working" mode = 'working' or entry.date.empty()
ElementShort descriptionNotes
List.code Art der Liste.

Begründung des Must-Support: Dient der Differenzierung zu anderen Listen.

Hinweis: Es ist mindestens ein Coding mit dem Code ‘medications’ anzugeben. Weitere Codes, z.B. im Kontext anderer Spezifikationen oder Hauscodierungen sind zulässig.
List.code.coding
List.code.coding:medications
List.code.coding:medications.code
List.code.coding:medications.display
List.code.coding:medications.system
List.date Erstellungsdatum der Liste

Begründung des Must-Support: Basisinformation
List.encounter Referenz auf den Abteilungskontakt

Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext
List.encounter.reference

Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
List.entry Listeneintrag

Begründung des Must-Support: Abbildung einzelner MedikationsInformationen in der Liste
List.entry.date Datum des Listeneintrags

Begründung des Must-Support: Nachvollziehbarkeit

Hinweis: nur zulässig im Listenmodus 'working'
List.entry.item Referenz auf die MedikationsInformation

Begründung des Must-Support: Basisinformation (eigentlicher Zweck der Liste ist das Verbinden mehrerer MedikationsInformationen)
List.entry.item.reference
List.id serverseitige, interne ID des Datensatzes

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.
List.mode Listenmodus zur fachlichen Einordnung des Charakters der Medikationsliste.

Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard Die ISiKMedikationsListe stellt eine fachliche Zusammenführung von Medikationsinformationen dar. Die Wahl von List.mode hängt davon ab, ob ein definierter Zustand dokumentiert oder eine fortschreibbare Liste geführt wird. Beispiel: eingelesene Medikationspläne werden als snapshot repräsentiert. Kontinuierlich fortgeschriebene Listen, z.B. im Rahmen der hausinternen Behandlung, sind als ‘working’ codiert.
List.status (Aktualitäts-)Status der Liste

Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard
List.subject Referenz auf den Patienten

Begründung des Must-Support: Basisinformation
List.subject.reference Patienten-Link

Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.

This structure is derived from List

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 18 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of List.code.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List C 0..* List A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code (Aktualitäts-)Status der Liste
Binding: ListStatus (required): The current state of the list.
... code SΣ 1..1 CodeableConcept Art der Liste.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:medications SΣ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: medications
...... display SΣ 0..1 string Representation defined by the system
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... reference SΣC 1..1 string Patienten-Link
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date SΣ 0..1 dateTime Erstellungsdatum der Liste
... entry SC 0..* BackboneElement Listeneintrag
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... deleted ?!C 0..1 boolean If this item is actually marked as deleted
.... date S 0..1 dateTime Datum des Listeneintrags
.... item S 1..1 Reference(MedicationStatement) Referenz auf die MedikationsInformation
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required Medikationslisten-Modes 📦6.0.0-rc1 This IG
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error List If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error List If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error List If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error List If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice List A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
lst-1 error List A list can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
lst-2 error List The deleted flag can only be used if the mode of the list is "changes" mode = 'changes' or entry.deleted.empty()
lst-3 error List An entry date can only be used if the mode of the list is "working" mode = 'working' or entry.date.empty()

Differential View

This structure is derived from List

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List 0..* List A list is a curated collection of resources
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... implicitRules 0..0 Verweis auf die Regeln, nach denen die Ressource erstellt wurde
... mode S 1..1 code Listenmodus zur fachlichen Einordnung des Charakters der Medikationsliste.
Binding: Medikationslisten-Modes (required)
... code S 1..1 CodeableConcept Art der Liste.
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:medications S 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
...... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: medications
...... display S 0..1 string Representation defined by the system
... subject S 1..1 Reference(Patient) Referenz auf den Patienten
.... reference S 1..1 string Patienten-Link
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... date S 0..1 dateTime Erstellungsdatum der Liste
... entry S 0..* BackboneElement Listeneintrag
.... date S 0..1 dateTime Datum des Listeneintrags
.... item S 1..1 Reference(MedicationStatement) Referenz auf die MedikationsInformation
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
List.mode Base required Medikationslisten-Modes 📦6.0.0-rc1 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List C 0..* List A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code (Aktualitäts-)Status der Liste
Binding: ListStatus (required): The current state of the list.
... mode ?!SΣ 1..1 code Listenmodus zur fachlichen Einordnung des Charakters der Medikationsliste.
Binding: Medikationslisten-Modes (required)
... title Σ 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code SΣ 1..1 CodeableConcept Art der Liste.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:medications SΣ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: medications
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Patienten-Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 0..1 dateTime Erstellungsdatum der Liste
... source Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
... orderedBy 0..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.
... note 0..* Annotation Comments about the list
... entry SC 0..* BackboneElement Listeneintrag
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag 0..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
.... deleted ?!C 0..1 boolean If this item is actually marked as deleted
.... date S 0..1 dateTime Datum des Listeneintrags
.... item S 1..1 Reference(MedicationStatement) Referenz auf die MedikationsInformation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
List.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
List.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
List.language Base preferred Common Languages 📍4.0.1 FHIR Std.
List.status Base required ListStatus 📍4.0.1 FHIR Std.
List.mode Base required Medikationslisten-Modes 📦6.0.0-rc1 This IG
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
List.encounter.type Base extensible ResourceType 📍4.0.1 FHIR Std.
List.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
List.entry.flag Base example Patient Medicine Change Types 📍4.0.1 FHIR Std.
List.entry.item.type Base extensible ResourceType 📍4.0.1 FHIR Std.
List.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error List If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error List If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error List If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error List If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice List A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
lst-1 error List A list can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
lst-2 error List The deleted flag can only be used if the mode of the list is "changes" mode = 'changes' or entry.deleted.empty()
lst-3 error List An entry date can only be used if the mode of the list is "working" mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 18 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of List.code.coding

 

Other representations of profile: CSV, Excel, Schematron