mii-pr-mtb-systemtherapie-medication-statement
type: StructureDefinition
node role: treeRoot
id:
  v: mii-pr-mtb-systemtherapie-medication-statement
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition mii-pr-mtb-systemtherapie-medication-statement Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient #xD; dosage 0..1 DosageDE(1.0.3) Dosierung #xD; doseAndRate #xD; type S 0..1 CodeableConcept Dosisdichte #xD; coding #xD; system 0..1 uri Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-dosisdichte #xD; code 0..1 code Symbol in syntax defined by the system Binding: MII VS Dosisdichte (required) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable
    l: mii-ex-meta-license-codeable
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/spdx-license
        l: spdx-license
      code:
        v: CC-BY-4.0
      display:
        v: Creative Commons Attribution 4.0 International
url:
  v: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemtherapie-medication-statement
  l: mii-pr-mtb-systemtherapie-medication-statement
version:
  v: 2026.0.0
name:
  v: MII_PR_MTB_Systemische_Therapie_Medication_Statement
title:
  v: MII PR MTB Systemtherapie Medication Statement
status:
  v: active
date:
  v: 2026-02-09T10:07:17+00:00
publisher:
  v: Medizininformatik-Initiative
contact:
  name:
    v: Medizininformatik-Initiative
  telecom:
    system:
      v: url
    value:
      v: https://www.medizininformatik-initiative.de
description:
  v: Medication Statement zur MTB-Systemtherapie mit Wirkstoff und Dosis
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 276
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: oBDS
  name:
    v: Mapping FHIR zu oBDS
kind:
  v: resource
abstract:
  v: false
type:
  v: MedicationStatement
  l: MedicationStatement
base definition:
  v: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation
  l: mii-pr-onko-systemische-therapie-medikation
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 2026.0.1
  element:
    id:
      v: MedicationStatement
    path:
      v: MedicationStatement
    short:
      v: Record of medication being taken by a patient
    definition:
      v: 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.
    comment:
      v: 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.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: MedicationStatement
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act
    mapping:
      identity:
        v: workflow
      map:
        v: Event
    mapping:
      identity:
        v: rim
      map:
        v: SubstanceAdministration
  element:
    id:
      v: MedicationStatement.id
    path:
      v: MedicationStatement.id
    short:
      v: Logical id of this artifact
    definition:
      v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
    comment:
      v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Boolean
v: true

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

v: 0

v: 1

path:
  v: Resource.id
min:
  v: 0
max:
  v: 1

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    l: structuredefinition-fhir-type
  value: Url
    v: id
    l: id
code:
  v: http://hl7.org/fhirpath/System.String
  l: System.String

v: true

v: true

id:
  v: MedicationStatement.meta
path:
  v: MedicationStatement.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.meta.id
path:
  v: MedicationStatement.meta.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.meta.extension
path:
  v: MedicationStatement.meta.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.meta.versionId
path:
  v: MedicationStatement.meta.versionId
short:
  v: Version specific identifier
definition:
  v: 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.
comment:
  v: The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.versionId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.meta.lastUpdated
path:
  v: MedicationStatement.meta.lastUpdated
short:
  v: When the resource version last changed
definition:
  v: When the resource last changed - e.g. when the version changed.
comment:
  v: This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.lastUpdated
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.meta.source
path:
  v: MedicationStatement.meta.source
short:
  v: Identifies where the resource comes from
definition:
  v: A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.meta.profile
path:
  v: MedicationStatement.meta.profile
short:
  v: Profiles this resource claims to conform to
definition:
  v: A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.profile
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: canonical
    l: canonical
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/StructureDefinition
    l: StructureDefinition
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.meta.security
path:
  v: MedicationStatement.meta.security
short:
  v: Security Labels applied to this resource
definition:
  v: Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.security
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SecurityLabels
  strength:
    v: extensible
  description:
    v: Security Labels from the Healthcare Privacy and Security Classification System.
  value set:
    v: http://hl7.org/fhir/ValueSet/security-labels
    l: security-labels
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding

id:
  v: MedicationStatement.meta.tag
path:
  v: MedicationStatement.meta.tag
short:
  v: Tags applied to this resource
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.tag
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Tags
  strength:
    v: example
  description:
    v: Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
  value set:
    v: http://hl7.org/fhir/ValueSet/common-tags
    l: common-tags
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding

id:
  v: MedicationStatement.implicitRules
path:
  v: MedicationStatement.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.language
path:
  v: MedicationStatement.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages
    l: languages
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.text
path:
  v: MedicationStatement.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: MedicationStatement.contained
path:
  v: MedicationStatement.contained
short:
  v: Contained, inline Resources
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: Entity. Role, or Act
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.extension
path:
  v: MedicationStatement.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.modifierExtension
path:
  v: MedicationStatement.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.identifier
path:
  v: MedicationStatement.identifier
short:
  v: Identifikator
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Identifikator
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Identifier
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Ein Identifikator für den Medikationseintrag
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Identifikator für den Medikationseintrag
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: An identifier for this medication statement
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: This is a business identifier, not a resource identifier.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX / EI (occasionally, more often EI maps to a resource id or a URL)
mapping:
  identity:
    v: rim
  map:
    v: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
mapping:
  identity:
    v: servd
  map:
    v: Identifier
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id

id:
  v: MedicationStatement.basedOn
path:
  v: MedicationStatement.basedOn
short:
  v: Therapieplan oder Therapieempfehlung
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Basiert auf
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Based on
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Referenz auf den CarePlan (Therapieplan) oder MedicationRequest (Therapieempfehlung) auf dem diese Medikation basiert.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Plan oder eine Anforderung, die durch den Medikationseintrag erfüllt wird.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A plan, proposal or order that is fulfilled in whole or in part by this event.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
requirements:
  v: Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    l: CarePlan
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]

id:
  v: MedicationStatement.partOf
path:
  v: MedicationStatement.partOf
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  rules:
    v: open
short:
  v: Teil von
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Teil von
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Part of
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A larger event of which this particular event is a component or step.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
requirements:
  v: 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.
min:
  v: 1
max:
  v: *
base:
  path:
    v: MedicationStatement.partOf
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
    l: MedicationAdministration
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
    l: MedicationDispense
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    l: MedicationStatement
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    l: Procedure
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: workflow
  map:
    v: Event.partOf
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]

id:
  v: MedicationStatement.partOf:systemischeTherapie
path:
  v: MedicationStatement.partOf
slice name:
  v: systemischeTherapie
short:
  v: Teil von
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Teil von
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Part of
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A larger event of which this particular event is a component or step.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.partOf
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie
    l: mii-pr-onko-systemische-therapie
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: workflow
  map:
    v: Event.partOf
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]

id:
  v: MedicationStatement.status
path:
  v: MedicationStatement.status
short:
  v: Status
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Status
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Status
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementStatus
  strength:
    v: required
  description:
    v: A coded concept indicating the current status of a MedicationStatement.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/medication-statement-status
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode

id:
  v: MedicationStatement.statusReason
path:
  v: MedicationStatement.statusReason
short:
  v: Reason for current status
definition:
  v: Captures the reason for the current state of the MedicationStatement.
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.statusReason
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementStatusReason
  strength:
    v: example
  description:
    v: A coded concept indicating the reason for the status of the statement.
  value set:
    v: http://hl7.org/fhir/ValueSet/reason-medication-status-codes
    l: reason-medication-status-codes
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: workflow
  map:
    v: Event.statusReason
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde

id:
  v: MedicationStatement.category
path:
  v: MedicationStatement.category
short:
  v: Kategorie
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Kategorie
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Category
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Eine Kategorie, die dem Medikationseintrag zugeordnet ist.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Eine Kategorie, die dem Medikationseintrag zugeordnet ist.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A category assigned to the medication statement.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementCategory
  strength:
    v: preferred
  description:
    v: A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-statement-category
    l: medication-statement-category
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value

id:
  v: MedicationStatement.category.id
path:
  v: MedicationStatement.category.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.category.extension
path:
  v: MedicationStatement.category.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.category.coding
path:
  v: MedicationStatement.category.coding
slicing:
  discriminator:
    type:
      v: pattern
    path:
      v: $this
  rules:
    v: open
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: MedicationStatement.category.coding:usageCategory
path:
  v: MedicationStatement.category.coding
slice name:
  v: usageCategory
short:
  v: Kategorie Anwendungsbereich
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Kategorie Anwendungsbereich
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Usage Category
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Usage Category for the medication statement.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/medication-statement-category
    l: medication-statement-category
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-statement-category
    l: medication-statement-category
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: MedicationStatement.category.coding:contextCode
path:
  v: MedicationStatement.category.coding
slice name:
  v: contextCode
short:
  v: Kategorie Kontext
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Kategorie Kontext
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Context Category
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: ambulanter Kontakt | stationärer Aufenthalt | stationäre Aufnahme | stationäre Entlassung
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: ambulanter Kontakt | stationärer Aufenthalt | stationäre Aufnahme | stationäre Entlassung
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: outpatient contact | inpatient stay | inpatient admission | inpatient discharge
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
    l: FallkontextBeiDokumentenerstellung
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext
    l: fallkontext
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: MedicationStatement.category.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationStatement.category.text
short:
  v: Plain text representation of the concept
definition:
  v: 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.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: MedicationStatement.medication[x]
path:
  v: MedicationStatement.medication[x]
slicing:
  discriminator:
    type:
      v: type
    path:
      v: $this
  rules:
    v: open
short:
  v: Medikation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medikation
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medication
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Das Medikament, welches Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medikation, welche Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The medication that the statement is about. Code or a reference to a Medication resource.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Medication
    l: Medication
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationCode
  strength:
    v: example
  description:
    v: A coded concept identifying the substance or product being taken.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-codes
    l: medication-codes
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=CSM].role[classCode=ADMM or MANU]

id:
  v: MedicationStatement.medication[x]:medicationReference
path:
  v: MedicationStatement.medication[x]
slice name:
  v: medicationReference
short:
  v: Medikation Referenz
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medikation Referenz
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medication Reference
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Referenz auf ein Medication-Ressource.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Referenz auf eine Medication-Ressource.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Reference to a Medication resource.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication
    l: Medication
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=CSM].role[classCode=ADMM or MANU]

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept
path:
  v: MedicationStatement.medication[x]
slice name:
  v: medicationCodeableConcept
short:
  v: Medikation Code
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medikation Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medication code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Code für das Medikament, welches Gegenstand des Eintrags ist.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Code für das Medikament, welches Gegenstand des Eintrags ist.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Code for the medication that the statement is about.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationCode
  strength:
    v: example
  description:
    v: A coded concept identifying the substance or product being taken.
  value set:
    v: http://hl7.org/fhir/ValueSet/medication-codes
    l: medication-codes
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=CSM].role[classCode=ADMM or MANU]

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.extension
path:
  v: MedicationStatement.medication[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding
path:
  v: MedicationStatement.medication[x].coding
slicing:
  discriminator:
    type:
      v: pattern
    path:
      v: $this
  rules:
    v: open
short:
  v: Wirkstoff der systemischen Medikation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Wirkstoff/ Substanz der systemischen Medikation
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Wirkstoff der systemischen onkologischen Medikation. Nach Möglichkeit als ATC-kodiert anzugeben. Wirkstoffe sind einzeln zu kodieren. Kombinationstherapien können über MedicationStatement.partOf in übergeordneten MedicationStatements gruppiert werden - in diesem Fall ist bei jedem Wirkstoff unter `MedicationStatement.note.text` das Kürzel des (z.B. chemotherapeutischen) Protokolls zu hinterlegen.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Wirkstoff / Substanz der systemischen onkologischen Medikation gemäß 16.4 oBDS 2021.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 1
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding.extension
path:
  v: MedicationStatement.medication[x].coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding.system
path:
  v: MedicationStatement.medication[x].coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: 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.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding.version
path:
  v: MedicationStatement.medication[x].coding.version
short:
  v: Version of the system - if relevant
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding.code
path:
  v: MedicationStatement.medication[x].coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: 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).
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
mapping:
  identity:
    v: oBDS
  map:
    v: 16.4
  comment:
    v: Systemische Therapie Substanz

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding.userSelected
path:
  v: MedicationStatement.medication[x].coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: 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.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer
path:
  v: MedicationStatement.medication[x].coding
slice name:
  v: Pharmazentralnummer
short:
  v: PZN Code
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: PZN Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: PZN code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Ein Verweis auf einen von der Pharmazentralnummer (PZN) definierten Code
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Verweis auf einen von der Pharmazentralnummer definierten Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A reference to a code defined by Pharmazentralnummer
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://fhir.de/CodeSystem/ifa/pzn
    l: pzn
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.extension
path:
  v: MedicationStatement.medication[x].coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system
path:
  v: MedicationStatement.medication[x].coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: 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.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.version
path:
  v: MedicationStatement.medication[x].coding.version
short:
  v: Version of the system - if relevant
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code
path:
  v: MedicationStatement.medication[x].coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: 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).
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.userSelected
path:
  v: MedicationStatement.medication[x].coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: 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.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe
path:
  v: MedicationStatement.medication[x].coding
slice name:
  v: atcClassDe
short:
  v: ATC Klassifikation deutsche Version
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: ATC Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: ATC code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Verweis auf einen von der deutschen Fassung der Anatomisch-Therapeutisch-Chemischen Klassifikation definierten Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A reference to a code defined by the German edition of the Anatomical Therapeutic Chemical classification system
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://fhir.de/CodeSystem/bfarm/atc
    l: atc
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/mii-vs-medikation-atc
    l: mii-vs-medikation-atc
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.extension
path:
  v: MedicationStatement.medication[x].coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system
path:
  v: MedicationStatement.medication[x].coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: 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.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.version
path:
  v: MedicationStatement.medication[x].coding.version
short:
  v: Version of the system - if relevant
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code
path:
  v: MedicationStatement.medication[x].coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: 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).
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.userSelected
path:
  v: MedicationStatement.medication[x].coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: 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.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn
path:
  v: MedicationStatement.medication[x].coding
slice name:
  v: atcClassEn
short:
  v: Anatomical Therapeutic Chemical Classification System
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: ATC WHO Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: ATC WHO code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: ATC Classification International WHO Version
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Verweis auf einen von der WHO Anatomisch-Therapeutisch-Chemischen Klassifikation definierten Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A reference to a code defined by the WHO edition of the Anatomical Therapeutic Chemical classification system
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://www.whocc.no/atc
    l: atc
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.extension
path:
  v: MedicationStatement.medication[x].coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system
path:
  v: MedicationStatement.medication[x].coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: 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.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.version
path:
  v: MedicationStatement.medication[x].coding.version
short:
  v: Version of the system - if relevant
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code
path:
  v: MedicationStatement.medication[x].coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: 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).
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.userSelected
path:
  v: MedicationStatement.medication[x].coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: 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.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:UNII
path:
  v: MedicationStatement.medication[x].coding
slice name:
  v: UNII
short:
  v: Unique Ingredient Identifier
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Unique Ingredient Identifier
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Unique Ingredient Identifier
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Global Susbstance Registration System Unique Ingredient Identifier. Soll nur eingesetzt werden, wenn weder ATC-Code noch PZN existiert, z.B. bei experimentellen Krebsmedikamenten.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Unique Ingredient Identifier (UNII) aus dem Global Substance Registration System der amerikanischen Food & Drug Administration
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A Unique Ingredient Identifier (UNII) from the american Food & Drug Administration's Global Substance Registration System
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
pattern: Coding
  system:
    v: http://fdasis.nlm.nih.gov
    l: fdasis.nlm.nih.gov
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  strength:
    v: extensible
  value set:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-systemische-therapie-substanzen-unii
    l: mii-vs-onko-systemische-therapie-substanzen-unii
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:UNII.extension
path:
  v: MedicationStatement.medication[x].coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:UNII.system
path:
  v: MedicationStatement.medication[x].coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: 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.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:UNII.version
path:
  v: MedicationStatement.medication[x].coding.version
short:
  v: Version of the system - if relevant
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:UNII.code
path:
  v: MedicationStatement.medication[x].coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: 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).
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

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

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.coding:UNII.userSelected
path:
  v: MedicationStatement.medication[x].coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: 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.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: MedicationStatement.medication[x]:medicationCodeableConcept.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationStatement.medication[x].text
short:
  v: Plain text representation of the concept
definition:
  v: 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.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: MedicationStatement.subject
path:
  v: MedicationStatement.subject
short:
  v: Who is/was taking the medication
definition:
  v: The person, animal or group who is/was taking the medication.
comment:
  v: References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: MedicationStatement.context
path:
  v: MedicationStatement.context
short:
  v: Kontext
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Kontext
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Context
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Fall oder Kontakt in Verbindung mit dem Medikationseintrag
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Fall oder Kontakt in Verbindung mit dem Medikationseintrag
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Encounter / Episode associated with MedicationStatement
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    l: EpisodeOfCare
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]

id:
  v: MedicationStatement.effective[x]
path:
  v: MedicationStatement.effective[x]
slicing:
  discriminator:
    type:
      v: type
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: open
short:
  v: Zeitpunkt oder Zeitraum
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Zeitpunkt oder Zeitraum
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Date or period
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The interval of time during which it is being asserted that the patient is/was/will be taking the medication.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: MedicationStatement.effective[x]:effectiveDateTime
path:
  v: MedicationStatement.effective[x]
slice name:
  v: effectiveDateTime
short:
  v: Zeitpunkt
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Zeitpunkt
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Date time
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The date time when the medication was or will be taken.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: MedicationStatement.effective[x]:effectivePeriod
path:
  v: MedicationStatement.effective[x]
slice name:
  v: effectivePeriod
short:
  v: Zeitraum
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Zeitraum
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Period
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The interval of time during which the patient is/was/will be taking the medication.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

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

id:
  v: MedicationStatement.effective[x]:effectivePeriod.extension
path:
  v: MedicationStatement.effective[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.effective[x]:effectivePeriod.start
path:
  v: MedicationStatement.effective[x].start
short:
  v: Startdatum der systemischen Medikation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Startdatum der systemischen Medikation
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Startdatum der systemischen Medikation gemäß 16.7 oBDS 2021.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Startdatum der systemischen Medikation gemäß 16.7 oBDS 2021.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: If the low element is missing, the meaning is that the low boundary is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Period.start
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
condition:
  v: ele-1
condition:
  v: per-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR.1
mapping:
  identity:
    v: rim
  map:
    v: ./low

id:
  v: MedicationStatement.effective[x]:effectivePeriod.end
path:
  v: MedicationStatement.effective[x].end
short:
  v: Enddatum der systemischen Medikation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Enddatum der systemischen Medikation
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Enddatum der systemischen Medikation gemäß 16.9 oBDS 2021.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Enddatum der systemischen Medikation gemäß 16.9 oBDS 2021.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Period.end
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
meaning when missing:
  v: If the end of the period is missing, it means that the period is ongoing
condition:
  v: ele-1
condition:
  v: per-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR.2
mapping:
  identity:
    v: rim
  map:
    v: ./high

id:
  v: MedicationStatement.dateAsserted
path:
  v: MedicationStatement.dateAsserted
short:
  v: Datum Bestätigung
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Datum Bestätigung
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Date asserted
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Das Datum, an dem der Medikationseintrag von der Informationsquelle bestätigt wurde.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Das Datum, an dem der Medikationseintrag von der Informationsquelle bestätigt wurde.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The date when the medication statement was asserted by the information source.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.dateAsserted
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].time

id:
  v: MedicationStatement.informationSource
path:
  v: MedicationStatement.informationSource
short:
  v: Informationsquelle
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Informationsquelle
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Information source
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Die Person oder Organisation, die die Information über die Einnahme dieses Medikaments bereitgestellt hat.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Die Person oder Organisation, die die Information über die Einnahme dieses Medikaments bereitgestellt hat.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The person or organization that provided the information about the taking of this medication.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.informationSource
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    l: PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.source
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)

id:
  v: MedicationStatement.derivedFrom
path:
  v: MedicationStatement.derivedFrom
short:
  v: Additional supporting information
definition:
  v: Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.derivedFrom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]

id:
  v: MedicationStatement.reasonCode
path:
  v: MedicationStatement.reasonCode
short:
  v: Grund Code
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Grund Code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Reason code
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Grund für den Medikationseintrag als Code.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Grund für den Medikationseintrag als Code.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Reason for the medication statement as a code.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationReason
  strength:
    v: example
  description:
    v: A coded concept identifying why the medication is being taken.
  value set:
    v: http://hl7.org/fhir/ValueSet/condition-code
    l: condition-code
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonCode
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode

id:
  v: MedicationStatement.reasonReference
path:
  v: MedicationStatement.reasonReference
short:
  v: Grund Referenz
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Grund Referenz
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Reason reference
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Grund für den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Grund für den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Condition or observation that supports why the medication is being/was taken
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    l: DiagnosticReport
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonReference
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value

id:
  v: MedicationStatement.note
path:
  v: MedicationStatement.note
short:
  v: Hinweis
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Hinweis
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Note
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Zusätzliche Informationen zum Medikationseintrag als Freitext.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Zusätzliche Informationen zum Medikationseintrag als Freitext.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Additional information about the medication statement as free text.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value

id:
  v: MedicationStatement.note.id
path:
  v: MedicationStatement.note.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.note.extension
path:
  v: MedicationStatement.note.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.note.author[x]
path:
  v: MedicationStatement.note.author[x]
short:
  v: Individual responsible for the annotation
definition:
  v: The individual responsible for making the annotation.
comment:
  v: Organization is used when there's no need for specific attribution as to who made the comment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Annotation.author[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.participant[typeCode=AUT].role

id:
  v: MedicationStatement.note.time
path:
  v: MedicationStatement.note.time
short:
  v: When the annotation was made
definition:
  v: Indicates when this particular annotation was made.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Annotation.time
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.effectiveTime

id:
  v: MedicationStatement.note.text
path:
  v: MedicationStatement.note.text
short:
  v: Protokoll
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Protokoll der systemischen Medikation
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Protokoll der systemischen Medikation. Bei Angabe eines Schemas sind alle Wirkstoffe in einzelnen Ressourcen unter MedicationStatement.medication[x] gesondert zu kodieren
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Protokoll der systemischen Medikation gemäß 16.6 oBDS 2021.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Annotation.text
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: markdown
    l: markdown
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.text
mapping:
  identity:
    v: oBDS
  map:
    v: 16.6
  comment:
    v: Systemische Therapie Protokoll

id:
  v: MedicationStatement.dosage
path:
  v: MedicationStatement.dosage
short:
  v: Dosierung
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Dosierung
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Dosage
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Details zur Dosierung des Medikamentes.
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Details zur Dosierung des Medikamentes.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Details of how the medication is/was taken or should be taken.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.dosage
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
    l: Dosage
  profile:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE
    l: DosageDE
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: DosageStructuredOrFreeTextWarning
  severity:
    v: warning
  human:
    v: Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.
  expression:
    v: (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
  source:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE
    l: DosageDE
constraint:
  key:
    v: DosageStructuredRequiresBoth
  severity:
    v: error
  human:
    v: Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden.
  expression:
    v: (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
  source:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE
    l: DosageDE
constraint:
  key:
    v: DosageDoseUnitSameCode
  severity:
    v: error
  human:
    v: Die Dosiereinheit muss über alle Dosierungen gleich sein.
  expression:
    v: (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( %resource.dosageInstruction.doseAndRate.dose.ofType(Quantity).code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).low.code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
  source:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE
    l: DosageDE
constraint:
  key:
    v: DosageWarnungViererschemaInText
  severity:
    v: warning
  human:
    v: Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann.
  expression:
    v: text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
  source:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE
    l: DosageDE
constraint:
  key:
    v: FreeTextSingleDosageOnlyWarning
  severity:
    v: warning
  human:
    v: Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren.
  expression:
    v: ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
  source:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE
    l: DosageDE
constraint:
  key:
    v: dsg-1
  severity:
    v: error
  human:
    v: If present, dosage must include free text or structured data
  expression:
    v: text.exists() or doseAndRate.exists()
  source:
    v: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement
    l: MedicationStatement
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
mapping:
  identity:
    v: rim
  map:
    v: refer dosageInstruction mapping

id:
  v: MedicationStatement.dosage.id
path:
  v: MedicationStatement.dosage.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.extension
path:
  v: MedicationStatement.dosage.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.dosage.modifierExtension
path:
  v: MedicationStatement.dosage.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.dosage.sequence
path:
  v: MedicationStatement.dosage.sequence
short:
  v: The order of the dosage instructions
definition:
  v: Indicates the order in which the dosage instructions should be applied or interpreted.
comment:
  v: 32 bit number; for values larger than this, use decimal
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.sequence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: integer
    l: integer
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: TQ1-1
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.text
path:
  v: MedicationStatement.dosage.text
short:
  v: Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
definition:
  v: Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'. Als Quelle dient hier ausschließlich der Arzt oder Apotheker
comment:
  v: Die Freitextdosierung sollte nur angegeben werden, wenn aufgrund der Komplexität keine strukturierte Dosierung möglich ist, um widersprüchliche Anweisungen zu vermeiden.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: RXO-6; RXE-21
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.additionalInstruction
path:
  v: MedicationStatement.dosage.additionalInstruction
short:
  v: Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
definition:
  v: 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").
comment:
  v: 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.
requirements:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Dosage.additionalInstruction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: AdditionalInstruction
  strength:
    v: example
  description:
    v: A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
  value set:
    v: http://hl7.org/fhir/ValueSet/additional-instruction-codes
    l: additional-instruction-codes
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: v2
  map:
    v: RXO-7
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.patientInstruction
path:
  v: MedicationStatement.dosage.patientInstruction
short:
  v: Patient or consumer oriented instructions
definition:
  v: Instructions in terms that are understood by the patient or consumer.
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.patientInstruction
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: RXO-7
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: MedicationStatement.dosage.timing
path:
  v: MedicationStatement.dosage.timing
short:
  v: Wann das Medikament verabreicht werden soll
definition:
  v: Wann das Medikament verabreicht werden soll.
comment:
  v: Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen. Falls eine strukturierte Dosierung als Text abgebildet werden soll ist dafür die GeneratedDosageInstructionsMeta Extension zu verwenden.
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Dosage.timing
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Timing
    l: Timing
  profile:
    v: http://ig.fhir.de/igs/medication/StructureDefinition/TimingDE
    l: TimingDE
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: QSET<TS> (GTS)
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: MedicationStatement.dosage.timing.id
path:
  v: MedicationStatement.dosage.timing.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.dosage.timing.extension
path:
  v: MedicationStatement.dosage.timing.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.dosage.timing.modifierExtension
path:
  v: MedicationStatement.dosage.timing.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *