ELGA e-Medikation (R4) ENTWURF
0.1.1 - ci-build

ELGA e-Medikation (R4) ENTWURF, published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-e-Medikation-R4/ and changes regularly. See the Directory of published versions

Resource Profile: ELGA e-Med Medikationsplan

Official URL: https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-emed-list-medikationsplan Version: 0.1.1
Draft as of 2026-02-17 Responsible: ELGA GmbH Computable Name: AtEmedListMedikationsplan

Beschreibung: Bildet den Medikationsplan eines ELGA-Teilnehmers ab ("List"-Ressource). Die Liste beinhaltet Referenzen auf 0..* Medikationsplaneinträge (MedicationRequests), die alle verordneten Arzneimittel und deren Dosierung abbilden. Die Reihenfolge der Listenelemente kann duch den User festgelegt werden. Jedes Listenelement enthält einen Änderungsstatus (weitere Elemente sind noch zu klären).

TODO: Invariante, dass überall in der List der gleiche Patient enthalten sein muss

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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..1 Identifier Logischer Identfier der Liste / des Medikationsplans. Verwendung zu prüfen.
... mode ?!SΣ 1..1 code Verpflichtende Angabe: working | snapshot | changes. https://hl7.org/fhir/R4/valueset-list-mode.html Der Medikationsplan ist ein laufend gepflegtes Dokument: working
Binding: ListMode (required): The processing mode that applies to this list.
... code SΣ 1..1 CodeableConcept Code, der den Typ der Liste beschreibt. https://hl7.org/fhir/R4/valueset-list-example-codes.html. Zu prüfen, ob/wie in Medikationsplan verwendet.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
..... display 1..1 string Representation defined by the system
Fixed Value: Medikationsplan
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(HL7® AT Core Patient Profile) Patient, für den der Medikationsplan erstellt werden soll, der über den Zentralen Patientenindex identifizierbar und Teilnehmer von ELGA e-Medikation ist.
... date SΣ 1..1 dateTime Letzte Aktualisierung des Medikationsplans.
... source SΣ 1..1 Reference(HL7® AT Core Practitioner Profile | HL7® AT Core PractitionerRole Profile) Arzt oder Ärztin, die den Medikationsplans erstellt und für den Inhalt verantwortlich ist. Eindeutig identifiziert über den GDA-Index und berechtigt auf die ELGA e-Medikation des Patienten zuzugreifen.
... orderedBy S 1..1 CodeableConcept Die Reihenfolge der Einträge im Medikationsplan ist fachlich relevant und wird durch den Ersteller vorgegeben. Mögliche Codes: user | system | event-date | entry-date| priority | alphabetic | category | patient (TODO: nur user oder andere Reihenfolge ermöglichen?)
Binding: ListOrderCodes (required)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 0..1 uri Identity of the terminology system
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: user
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... note S 0..* Annotation Freitextliche Anmerkungen zum Medikationsplan. TODO: prüfen, ob fachlich sinnvoll.
... entry SC 0..* BackboneElement Entries in the list
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag S 1..1 CodeableConcept Kennzeichnet die Art der Änderung des Medikationsplaneintrags: zB Unchanged | Changed | Cancelled | Prescribed | Ceased | Suspended.
Binding: PatientMedicineChangeTypes (required)
.... deleted ?!SC 0..1 boolean Gibt an, ob der referenzierte Medikationsplaneintrag zur Entfernung markiert wurde. Unklar, ob Löschen so abgebildet werden soll oder einfach der Eintrag nicht mehr enthalten ist.
.... date S 0..1 dateTime Datum der Aufnahme des Medikationsplaneintrags. Fachlich zu klären.
.... item S 1..1 Reference(ELGA e-Med Planeintrag) Referenz auf einen Medikationsplaneintrag.
... emptyReason SC 0..1 CodeableConcept Begründung, warum der Medikationsplan leer ist: https://hl7.org/fhir/R4/valueset-list-empty-reason.html eingeschränkt auf: <vbr> - notstarted: Intitalzustand <br> - nilknown: Patient nimmt derzeit keine Medikamente ein
Binding: ELGA e-Med Medikationsplan Empty Reason Value Set (required)

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 ListMode 📍4.0.1 FHIR Std.
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.orderedBy Base required List Order Codes 📦4.0.1 FHIR Std.
List.entry.flag Base required Patient Medicine Change Types 📦4.0.1 FHIR Std.
List.emptyReason Base required ELGA e-Med Medikationsplan Empty Reason Value Set 📦0.1.1 This IG

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 List
... identifier S 0..1 Identifier Logischer Identfier der Liste / des Medikationsplans. Verwendung zu prüfen.
... status S 1..1 code Verpflichtende Angabe: current | retired | entered-in-error. https://hl7.org/fhir/R4/valueset-list-status.html
... mode S 1..1 code Verpflichtende Angabe: working | snapshot | changes. https://hl7.org/fhir/R4/valueset-list-mode.html Der Medikationsplan ist ein laufend gepflegtes Dokument: working
... code S 1..1 CodeableConcept Code, der den Typ der Liste beschreibt. https://hl7.org/fhir/R4/valueset-list-example-codes.html. Zu prüfen, ob/wie in Medikationsplan verwendet.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
..... display 1..1 string Representation defined by the system
Fixed Value: Medikationsplan
... subject S 1..1 Reference(HL7® AT Core Patient Profile) Patient, für den der Medikationsplan erstellt werden soll, der über den Zentralen Patientenindex identifizierbar und Teilnehmer von ELGA e-Medikation ist.
... encounter 0..0 Verwendung zu prüfen.
... date S 1..1 dateTime Letzte Aktualisierung des Medikationsplans.
... source S 1..1 Reference(HL7® AT Core Practitioner Profile | HL7® AT Core PractitionerRole Profile) Arzt oder Ärztin, die den Medikationsplans erstellt und für den Inhalt verantwortlich ist. Eindeutig identifiziert über den GDA-Index und berechtigt auf die ELGA e-Medikation des Patienten zuzugreifen.
... orderedBy S 1..1 CodeableConcept Die Reihenfolge der Einträge im Medikationsplan ist fachlich relevant und wird durch den Ersteller vorgegeben. Mögliche Codes: user | system | event-date | entry-date| priority | alphabetic | category | patient (TODO: nur user oder andere Reihenfolge ermöglichen?)
Binding: ListOrderCodes (required)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: user
... note S 0..* Annotation Freitextliche Anmerkungen zum Medikationsplan. TODO: prüfen, ob fachlich sinnvoll.
... entry S 0..* BackboneElement Entries in the list
.... flag S 1..1 CodeableConcept Kennzeichnet die Art der Änderung des Medikationsplaneintrags: zB Unchanged | Changed | Cancelled | Prescribed | Ceased | Suspended.
Binding: PatientMedicineChangeTypes (required)
.... deleted S 0..1 boolean Gibt an, ob der referenzierte Medikationsplaneintrag zur Entfernung markiert wurde. Unklar, ob Löschen so abgebildet werden soll oder einfach der Eintrag nicht mehr enthalten ist.
.... date S 0..1 dateTime Datum der Aufnahme des Medikationsplaneintrags. Fachlich zu klären.
.... item S 1..1 Reference(ELGA e-Med Planeintrag) Referenz auf einen Medikationsplaneintrag.
... emptyReason S 0..1 CodeableConcept Begründung, warum der Medikationsplan leer ist: https://hl7.org/fhir/R4/valueset-list-empty-reason.html eingeschränkt auf: <vbr> - notstarted: Intitalzustand <br> - nilknown: Patient nimmt derzeit keine Medikamente ein
Binding: ELGA e-Med Medikationsplan Empty Reason Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
List.orderedBy Base required List Order Codes 📦4.0.1 FHIR Std.
List.entry.flag Base required Patient Medicine Change Types 📦4.0.1 FHIR Std.
List.emptyReason Base required ELGA e-Med Medikationsplan Empty Reason Value Set 📦0.1.1 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 Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..1 Identifier Logischer Identfier der Liste / des Medikationsplans. Verwendung zu prüfen.
... status ?!SΣ 1..1 code Verpflichtende Angabe: current | retired | entered-in-error. https://hl7.org/fhir/R4/valueset-list-status.html
Binding: ListStatus (required): The current state of the list.
... mode ?!SΣ 1..1 code Verpflichtende Angabe: working | snapshot | changes. https://hl7.org/fhir/R4/valueset-list-mode.html Der Medikationsplan ist ein laufend gepflegtes Dokument: working
Binding: ListMode (required): The processing mode that applies to this list.
... code SΣ 1..1 CodeableConcept Code, der den Typ der Liste beschreibt. https://hl7.org/fhir/R4/valueset-list-example-codes.html. Zu prüfen, ob/wie in Medikationsplan verwendet.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
..... display 1..1 string Representation defined by the system
Fixed Value: Medikationsplan
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(HL7® AT Core Patient Profile) Patient, für den der Medikationsplan erstellt werden soll, der über den Zentralen Patientenindex identifizierbar und Teilnehmer von ELGA e-Medikation ist.
... date SΣ 1..1 dateTime Letzte Aktualisierung des Medikationsplans.
... source SΣ 1..1 Reference(HL7® AT Core Practitioner Profile | HL7® AT Core PractitionerRole Profile) Arzt oder Ärztin, die den Medikationsplans erstellt und für den Inhalt verantwortlich ist. Eindeutig identifiziert über den GDA-Index und berechtigt auf die ELGA e-Medikation des Patienten zuzugreifen.
... orderedBy S 1..1 CodeableConcept Die Reihenfolge der Einträge im Medikationsplan ist fachlich relevant und wird durch den Ersteller vorgegeben. Mögliche Codes: user | system | event-date | entry-date| priority | alphabetic | category | patient (TODO: nur user oder andere Reihenfolge ermöglichen?)
Binding: ListOrderCodes (required)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 0..1 uri Identity of the terminology system
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: user
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... note S 0..* Annotation Freitextliche Anmerkungen zum Medikationsplan. TODO: prüfen, ob fachlich sinnvoll.
... entry SC 0..* BackboneElement Entries in the list
.... 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 S 1..1 CodeableConcept Kennzeichnet die Art der Änderung des Medikationsplaneintrags: zB Unchanged | Changed | Cancelled | Prescribed | Ceased | Suspended.
Binding: PatientMedicineChangeTypes (required)
.... deleted ?!SC 0..1 boolean Gibt an, ob der referenzierte Medikationsplaneintrag zur Entfernung markiert wurde. Unklar, ob Löschen so abgebildet werden soll oder einfach der Eintrag nicht mehr enthalten ist.
.... date S 0..1 dateTime Datum der Aufnahme des Medikationsplaneintrags. Fachlich zu klären.
.... item S 1..1 Reference(ELGA e-Med Planeintrag) Referenz auf einen Medikationsplaneintrag.
... emptyReason SC 0..1 CodeableConcept Begründung, warum der Medikationsplan leer ist: https://hl7.org/fhir/R4/valueset-list-empty-reason.html eingeschränkt auf: <vbr> - notstarted: Intitalzustand <br> - nilknown: Patient nimmt derzeit keine Medikamente ein
Binding: ELGA e-Med Medikationsplan Empty Reason Value Set (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 ListMode 📍4.0.1 FHIR Std.
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.orderedBy Base required List Order Codes 📦4.0.1 FHIR Std.
List.entry.flag Base required Patient Medicine Change Types 📦4.0.1 FHIR Std.
List.emptyReason Base required ELGA e-Med Medikationsplan Empty Reason Value Set 📦0.1.1 This IG

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()

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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..1 Identifier Logischer Identfier der Liste / des Medikationsplans. Verwendung zu prüfen.
... mode ?!SΣ 1..1 code Verpflichtende Angabe: working | snapshot | changes. https://hl7.org/fhir/R4/valueset-list-mode.html Der Medikationsplan ist ein laufend gepflegtes Dokument: working
Binding: ListMode (required): The processing mode that applies to this list.
... code SΣ 1..1 CodeableConcept Code, der den Typ der Liste beschreibt. https://hl7.org/fhir/R4/valueset-list-example-codes.html. Zu prüfen, ob/wie in Medikationsplan verwendet.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
..... display 1..1 string Representation defined by the system
Fixed Value: Medikationsplan
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(HL7® AT Core Patient Profile) Patient, für den der Medikationsplan erstellt werden soll, der über den Zentralen Patientenindex identifizierbar und Teilnehmer von ELGA e-Medikation ist.
... date SΣ 1..1 dateTime Letzte Aktualisierung des Medikationsplans.
... source SΣ 1..1 Reference(HL7® AT Core Practitioner Profile | HL7® AT Core PractitionerRole Profile) Arzt oder Ärztin, die den Medikationsplans erstellt und für den Inhalt verantwortlich ist. Eindeutig identifiziert über den GDA-Index und berechtigt auf die ELGA e-Medikation des Patienten zuzugreifen.
... orderedBy S 1..1 CodeableConcept Die Reihenfolge der Einträge im Medikationsplan ist fachlich relevant und wird durch den Ersteller vorgegeben. Mögliche Codes: user | system | event-date | entry-date| priority | alphabetic | category | patient (TODO: nur user oder andere Reihenfolge ermöglichen?)
Binding: ListOrderCodes (required)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 0..1 uri Identity of the terminology system
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: user
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... note S 0..* Annotation Freitextliche Anmerkungen zum Medikationsplan. TODO: prüfen, ob fachlich sinnvoll.
... entry SC 0..* BackboneElement Entries in the list
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag S 1..1 CodeableConcept Kennzeichnet die Art der Änderung des Medikationsplaneintrags: zB Unchanged | Changed | Cancelled | Prescribed | Ceased | Suspended.
Binding: PatientMedicineChangeTypes (required)
.... deleted ?!SC 0..1 boolean Gibt an, ob der referenzierte Medikationsplaneintrag zur Entfernung markiert wurde. Unklar, ob Löschen so abgebildet werden soll oder einfach der Eintrag nicht mehr enthalten ist.
.... date S 0..1 dateTime Datum der Aufnahme des Medikationsplaneintrags. Fachlich zu klären.
.... item S 1..1 Reference(ELGA e-Med Planeintrag) Referenz auf einen Medikationsplaneintrag.
... emptyReason SC 0..1 CodeableConcept Begründung, warum der Medikationsplan leer ist: https://hl7.org/fhir/R4/valueset-list-empty-reason.html eingeschränkt auf: <vbr> - notstarted: Intitalzustand <br> - nilknown: Patient nimmt derzeit keine Medikamente ein
Binding: ELGA e-Med Medikationsplan Empty Reason Value Set (required)

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 ListMode 📍4.0.1 FHIR Std.
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.orderedBy Base required List Order Codes 📦4.0.1 FHIR Std.
List.entry.flag Base required Patient Medicine Change Types 📦4.0.1 FHIR Std.
List.emptyReason Base required ELGA e-Med Medikationsplan Empty Reason Value Set 📦0.1.1 This IG

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 List
... identifier S 0..1 Identifier Logischer Identfier der Liste / des Medikationsplans. Verwendung zu prüfen.
... status S 1..1 code Verpflichtende Angabe: current | retired | entered-in-error. https://hl7.org/fhir/R4/valueset-list-status.html
... mode S 1..1 code Verpflichtende Angabe: working | snapshot | changes. https://hl7.org/fhir/R4/valueset-list-mode.html Der Medikationsplan ist ein laufend gepflegtes Dokument: working
... code S 1..1 CodeableConcept Code, der den Typ der Liste beschreibt. https://hl7.org/fhir/R4/valueset-list-example-codes.html. Zu prüfen, ob/wie in Medikationsplan verwendet.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
..... display 1..1 string Representation defined by the system
Fixed Value: Medikationsplan
... subject S 1..1 Reference(HL7® AT Core Patient Profile) Patient, für den der Medikationsplan erstellt werden soll, der über den Zentralen Patientenindex identifizierbar und Teilnehmer von ELGA e-Medikation ist.
... encounter 0..0 Verwendung zu prüfen.
... date S 1..1 dateTime Letzte Aktualisierung des Medikationsplans.
... source S 1..1 Reference(HL7® AT Core Practitioner Profile | HL7® AT Core PractitionerRole Profile) Arzt oder Ärztin, die den Medikationsplans erstellt und für den Inhalt verantwortlich ist. Eindeutig identifiziert über den GDA-Index und berechtigt auf die ELGA e-Medikation des Patienten zuzugreifen.
... orderedBy S 1..1 CodeableConcept Die Reihenfolge der Einträge im Medikationsplan ist fachlich relevant und wird durch den Ersteller vorgegeben. Mögliche Codes: user | system | event-date | entry-date| priority | alphabetic | category | patient (TODO: nur user oder andere Reihenfolge ermöglichen?)
Binding: ListOrderCodes (required)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: user
... note S 0..* Annotation Freitextliche Anmerkungen zum Medikationsplan. TODO: prüfen, ob fachlich sinnvoll.
... entry S 0..* BackboneElement Entries in the list
.... flag S 1..1 CodeableConcept Kennzeichnet die Art der Änderung des Medikationsplaneintrags: zB Unchanged | Changed | Cancelled | Prescribed | Ceased | Suspended.
Binding: PatientMedicineChangeTypes (required)
.... deleted S 0..1 boolean Gibt an, ob der referenzierte Medikationsplaneintrag zur Entfernung markiert wurde. Unklar, ob Löschen so abgebildet werden soll oder einfach der Eintrag nicht mehr enthalten ist.
.... date S 0..1 dateTime Datum der Aufnahme des Medikationsplaneintrags. Fachlich zu klären.
.... item S 1..1 Reference(ELGA e-Med Planeintrag) Referenz auf einen Medikationsplaneintrag.
... emptyReason S 0..1 CodeableConcept Begründung, warum der Medikationsplan leer ist: https://hl7.org/fhir/R4/valueset-list-empty-reason.html eingeschränkt auf: <vbr> - notstarted: Intitalzustand <br> - nilknown: Patient nimmt derzeit keine Medikamente ein
Binding: ELGA e-Med Medikationsplan Empty Reason Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
List.orderedBy Base required List Order Codes 📦4.0.1 FHIR Std.
List.entry.flag Base required Patient Medicine Change Types 📦4.0.1 FHIR Std.
List.emptyReason Base required ELGA e-Med Medikationsplan Empty Reason Value Set 📦0.1.1 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 Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..1 Identifier Logischer Identfier der Liste / des Medikationsplans. Verwendung zu prüfen.
... status ?!SΣ 1..1 code Verpflichtende Angabe: current | retired | entered-in-error. https://hl7.org/fhir/R4/valueset-list-status.html
Binding: ListStatus (required): The current state of the list.
... mode ?!SΣ 1..1 code Verpflichtende Angabe: working | snapshot | changes. https://hl7.org/fhir/R4/valueset-list-mode.html Der Medikationsplan ist ein laufend gepflegtes Dokument: working
Binding: ListMode (required): The processing mode that applies to this list.
... code SΣ 1..1 CodeableConcept Code, der den Typ der Liste beschreibt. https://hl7.org/fhir/R4/valueset-list-example-codes.html. Zu prüfen, ob/wie in Medikationsplan verwendet.
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 736378000
..... display 1..1 string Representation defined by the system
Fixed Value: Medikationsplan
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(HL7® AT Core Patient Profile) Patient, für den der Medikationsplan erstellt werden soll, der über den Zentralen Patientenindex identifizierbar und Teilnehmer von ELGA e-Medikation ist.
... date SΣ 1..1 dateTime Letzte Aktualisierung des Medikationsplans.
... source SΣ 1..1 Reference(HL7® AT Core Practitioner Profile | HL7® AT Core PractitionerRole Profile) Arzt oder Ärztin, die den Medikationsplans erstellt und für den Inhalt verantwortlich ist. Eindeutig identifiziert über den GDA-Index und berechtigt auf die ELGA e-Medikation des Patienten zuzugreifen.
... orderedBy S 1..1 CodeableConcept Die Reihenfolge der Einträge im Medikationsplan ist fachlich relevant und wird durch den Ersteller vorgegeben. Mögliche Codes: user | system | event-date | entry-date| priority | alphabetic | category | patient (TODO: nur user oder andere Reihenfolge ermöglichen?)
Binding: ListOrderCodes (required)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 0..1 uri Identity of the terminology system
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: user
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... note S 0..* Annotation Freitextliche Anmerkungen zum Medikationsplan. TODO: prüfen, ob fachlich sinnvoll.
... entry SC 0..* BackboneElement Entries in the list
.... 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 S 1..1 CodeableConcept Kennzeichnet die Art der Änderung des Medikationsplaneintrags: zB Unchanged | Changed | Cancelled | Prescribed | Ceased | Suspended.
Binding: PatientMedicineChangeTypes (required)
.... deleted ?!SC 0..1 boolean Gibt an, ob der referenzierte Medikationsplaneintrag zur Entfernung markiert wurde. Unklar, ob Löschen so abgebildet werden soll oder einfach der Eintrag nicht mehr enthalten ist.
.... date S 0..1 dateTime Datum der Aufnahme des Medikationsplaneintrags. Fachlich zu klären.
.... item S 1..1 Reference(ELGA e-Med Planeintrag) Referenz auf einen Medikationsplaneintrag.
... emptyReason SC 0..1 CodeableConcept Begründung, warum der Medikationsplan leer ist: https://hl7.org/fhir/R4/valueset-list-empty-reason.html eingeschränkt auf: <vbr> - notstarted: Intitalzustand <br> - nilknown: Patient nimmt derzeit keine Medikamente ein
Binding: ELGA e-Med Medikationsplan Empty Reason Value Set (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 ListMode 📍4.0.1 FHIR Std.
List.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.orderedBy Base required List Order Codes 📦4.0.1 FHIR Std.
List.entry.flag Base required Patient Medicine Change Types 📦4.0.1 FHIR Std.
List.emptyReason Base required ELGA e-Med Medikationsplan Empty Reason Value Set 📦0.1.1 This IG

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()

 

Other representations of profile: CSV, Excel, Schematron