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

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

Data Type Profile: AtElgaEmedDosageTimedAdministration

Official URL: https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-dosage-timed-administration Version: 0.1.1
Draft as of 2026-09-03 Responsible: ELGA GmbH Computable Name: AtElgaEmedDosageTimedAdministration

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Dosage 0..* AtElgaEmedDosageDosierung How the medication is/was taken or should be taken
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DosageCategory 1..* (Complex) AT ELGA e-Medikation Extension Dosierungskategorie
URL: https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ELGA Dosage Category Status ValueSet (required): Code für die Art der Dosierung
Fixed Value: As shown (Timed Administration)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: timed
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... sequence SΣ 1..1 integer Die Reihenfolge der Dosierungsanweisungen. Entfällt bei Einzeldosierung.
... timing SΣ 0..1 AtElgaEmedTiming Zeitpunkt oder Zeitraum der Einnahme des Medikaments. Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event SΣ 0..* dateTime Zeitpunkt der Einnahme.
.... repeat SΣC 0..1 Element Wiederholungsangaben zur Einnahme
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
..... Slices for extension Content/Rules for all slices
...... extension:TimingDayOfMonth S 0..1 positiveInt Day of Month for schedule
URL: http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth
..... Slices for bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
...... boundsDuration Duration
...... boundsRange Range
...... boundsPeriod Period
...... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
..... period SΣ 0..1 decimal Intervall der Einnahme, z.B. alle 4 Stunden.
..... timeOfDay Σ 1..* time Time of day for action
..... when SΣ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
..... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
... Slices for asNeeded[x] Σ 0..1 boolean Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Bedarfsmedikation: Ja/Nein
... route SΣ 0..1 CodeableConcept Art der Anwendung der Arznei. (z.B. oral, nasal, intravenös, subkutan). Kann bei codierten Arzneien aus der ASP-Liste entnommen werden.
Binding: https://termgit.elga.gv.at/CodeSystem/medikationartanwendung (required)
... method SΣ 0..1 CodeableConcept Verabreichungsmethode, z.B. Infusion, Injektion, Tablette, Salbe etc.
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
... doseAndRate SΣ 0..1 Element Menge des verabreichten Medikaments
.... Slices for dose[x] Σ 0..1 Menge des verabreichten Medikaments pro Zeiteinheit.
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseRange SΣ 0..1 Range Dosierungsspanne wird mit low und high angegeben, z.B. 5-10 mg.
..... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Mapping auf doseQuantity

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Dosage.extension:DosageCategory.​value[x] Base required ELGA Dosage Category Status ValueSet 📦0.1.1 This IG
Dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
Dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
Dosage.route Base required https://termgit.elga.gv.at/CodeSystem/medikationartanwendung Not State Unknown
Dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error Dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error Dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error Dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error Dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error Dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error Dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error Dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error Dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error Dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from AtElgaEmedDosageDosierung

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Dosage AtElgaEmedDosageDosierung
... Slices for extension Content/Rules for all slices
.... extension:DosageCategory 1..* AtElgaEmedExtensionDosageCategory AT ELGA e-Medikation Extension Dosierungskategorie
..... value[x] 1..1 CodeableConcept Value of extension
Fixed Value: As shown (Timed Administration)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: timed
... timing
.... repeat
..... timeOfDay 1..* time Time of day for action

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Dosage 0..* AtElgaEmedDosageDosierung How the medication is/was taken or should be taken
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DosageCategory 1..* (Complex) AT ELGA e-Medikation Extension Dosierungskategorie
URL: https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ELGA Dosage Category Status ValueSet (required): Code für die Art der Dosierung
Fixed Value: As shown (Timed Administration)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: timed
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... text SΣ 0..1 string Freitext-Dosierungsanweisung, wenn keine strukturierte Angabe möglich ist.
... additionalInstruction Σ 0..* CodeableConcept Codierte Anweisungen oder Warnhinweise für den Patienten, z.B. zur Einnahme oder zur Aufbewahrung des Arzneimittels. (ex): https://hl7.org/fhir/R4/valueset-additional-instruction-codes.html.
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
... patientInstruction Σ 0..1 string Freitext Anweisungen für den Patienten, z.B. zur Einnahme oder zur Aufbewahrung des Arzneimittels.
... timing SΣ 0..1 AtElgaEmedTiming Zeitpunkt oder Zeitraum der Einnahme des Medikaments. Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event SΣ 0..* dateTime Zeitpunkt der Einnahme.
.... repeat SΣC 0..1 Element Wiederholungsangaben zur Einnahme
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:TimingDayOfMonth S 0..1 positiveInt Day of Month for schedule
URL: http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth
..... Slices for bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
...... boundsDuration Duration
...... boundsRange Range
...... boundsPeriod Period
...... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... start ΣC 0..1 dateTime Zeitraum der Einnahme: Start.
....... end ΣC 0..1 dateTime Zeitraum der Einnahme: Ende.
..... count Σ 0..1 positiveInt Number of times to repeat
..... countMax Σ 0..1 positiveInt Maximum number of times to repeat
..... duration Σ 0..1 decimal How long when it happens
..... durationMax Σ 0..1 decimal How long when it happens (Max)
..... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
..... frequency Σ 0..1 positiveInt Häufigkeit der Einnahme, z.B. 3 mal täglich.
..... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
..... period SΣ 0..1 decimal Intervall der Einnahme, z.B. alle 4 Stunden.
..... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
..... periodUnit Σ 0..1 code Einheit des Intervalls der Einnahme, z.B. h für Stunden, d für Tage.
Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationfrequenz (required)
..... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
..... timeOfDay Σ 1..* time Time of day for action
..... when SΣ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
..... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
... Slices for asNeeded[x] Σ 0..1 boolean Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Bedarfsmedikation: Ja/Nein
... site Σ 0..1 CodeableConcept Körperstelle, an der das Medikament angewendet wird, z.B. Haut, Auge, Ohr etc.
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
... route SΣ 0..1 CodeableConcept Art der Anwendung der Arznei. (z.B. oral, nasal, intravenös, subkutan). Kann bei codierten Arzneien aus der ASP-Liste entnommen werden.
Binding: https://termgit.elga.gv.at/CodeSystem/medikationartanwendung (required)
... method SΣ 0..1 CodeableConcept Verabreichungsmethode, z.B. Infusion, Injektion, Tablette, Salbe etc.
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
... doseAndRate SΣ 0..1 Element Menge des verabreichten Medikaments
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type Σ 0..1 CodeableConcept Art der Dosierung, z.B. berechnet, wie verordnet (ex): https://hl7.org/fhir/R4/valueset-dose-rate-type.html
Binding: DoseAndRateType (example): The kind of dose or rate specified.
.... Slices for dose[x] Σ 0..1 Menge des verabreichten Medikaments pro Zeiteinheit.
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseRange SΣ 0..1 Range Dosierungsspanne wird mit low und high angegeben, z.B. 5-10 mg.
..... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Mapping auf doseQuantity
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Binding: https://termgit.elga.gv.at/ValueSet-elga-medikationmengenart (required)
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... rate[x] Σ 0..1 Amount of medication per unit of time
..... rateRatio Ratio
..... rateRange Range
..... rateQuantity Quantity(SimpleQuantity)
... maxDosePerPeriod Σ 0..1 Ratio Maximale Menge pro Zeiteinheit
... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Maximal Menge pro Abgabe
... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Maximale Lebenszeitdosis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Dosage.extension:DosageCategory.​value[x] Base required ELGA Dosage Category Status ValueSet 📦0.1.1 This IG
Dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
Dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
Dosage.timing.repeat.​periodUnit Base required https://termgit.elga.gv.at/ValueSet/elga-medikationfrequenz Not State Unknown
Dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
Dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
Dosage.timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
Dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
Dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
Dosage.route Base required https://termgit.elga.gv.at/CodeSystem/medikationartanwendung Not State Unknown
Dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
Dosage.doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
Dosage.doseAndRate.dose[x]:doseQuantity.​unit Base required https://termgit.elga.gv.at/ValueSet-elga-medikationmengenart Not State Unknown

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error Dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error Dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error Dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error Dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error Dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error Dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error Dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error Dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error Dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from AtElgaEmedDosageDosierung

Summary

Mandatory: 0 element(1 nested mandatory element)
Fixed: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Dosage 0..* AtElgaEmedDosageDosierung How the medication is/was taken or should be taken
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DosageCategory 1..* (Complex) AT ELGA e-Medikation Extension Dosierungskategorie
URL: https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ELGA Dosage Category Status ValueSet (required): Code für die Art der Dosierung
Fixed Value: As shown (Timed Administration)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: timed
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... sequence SΣ 1..1 integer Die Reihenfolge der Dosierungsanweisungen. Entfällt bei Einzeldosierung.
... timing SΣ 0..1 AtElgaEmedTiming Zeitpunkt oder Zeitraum der Einnahme des Medikaments. Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event SΣ 0..* dateTime Zeitpunkt der Einnahme.
.... repeat SΣC 0..1 Element Wiederholungsangaben zur Einnahme
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
..... Slices for extension Content/Rules for all slices
...... extension:TimingDayOfMonth S 0..1 positiveInt Day of Month for schedule
URL: http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth
..... Slices for bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
...... boundsDuration Duration
...... boundsRange Range
...... boundsPeriod Period
...... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
..... period SΣ 0..1 decimal Intervall der Einnahme, z.B. alle 4 Stunden.
..... timeOfDay Σ 1..* time Time of day for action
..... when SΣ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
..... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
... Slices for asNeeded[x] Σ 0..1 boolean Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Bedarfsmedikation: Ja/Nein
... route SΣ 0..1 CodeableConcept Art der Anwendung der Arznei. (z.B. oral, nasal, intravenös, subkutan). Kann bei codierten Arzneien aus der ASP-Liste entnommen werden.
Binding: https://termgit.elga.gv.at/CodeSystem/medikationartanwendung (required)
... method SΣ 0..1 CodeableConcept Verabreichungsmethode, z.B. Infusion, Injektion, Tablette, Salbe etc.
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
... doseAndRate SΣ 0..1 Element Menge des verabreichten Medikaments
.... Slices for dose[x] Σ 0..1 Menge des verabreichten Medikaments pro Zeiteinheit.
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseRange SΣ 0..1 Range Dosierungsspanne wird mit low und high angegeben, z.B. 5-10 mg.
..... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Mapping auf doseQuantity

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Dosage.extension:DosageCategory.​value[x] Base required ELGA Dosage Category Status ValueSet 📦0.1.1 This IG
Dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
Dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
Dosage.route Base required https://termgit.elga.gv.at/CodeSystem/medikationartanwendung Not State Unknown
Dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error Dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error Dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error Dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error Dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error Dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error Dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error Dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error Dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error Dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Differential View

This structure is derived from AtElgaEmedDosageDosierung

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Dosage AtElgaEmedDosageDosierung
... Slices for extension Content/Rules for all slices
.... extension:DosageCategory 1..* AtElgaEmedExtensionDosageCategory AT ELGA e-Medikation Extension Dosierungskategorie
..... value[x] 1..1 CodeableConcept Value of extension
Fixed Value: As shown (Timed Administration)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: timed
... timing
.... repeat
..... timeOfDay 1..* time Time of day for action

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Dosage 0..* AtElgaEmedDosageDosierung How the medication is/was taken or should be taken
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DosageCategory 1..* (Complex) AT ELGA e-Medikation Extension Dosierungskategorie
URL: https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ELGA Dosage Category Status ValueSet (required): Code für die Art der Dosierung
Fixed Value: As shown (Timed Administration)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: timed
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... text SΣ 0..1 string Freitext-Dosierungsanweisung, wenn keine strukturierte Angabe möglich ist.
... additionalInstruction Σ 0..* CodeableConcept Codierte Anweisungen oder Warnhinweise für den Patienten, z.B. zur Einnahme oder zur Aufbewahrung des Arzneimittels. (ex): https://hl7.org/fhir/R4/valueset-additional-instruction-codes.html.
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
... patientInstruction Σ 0..1 string Freitext Anweisungen für den Patienten, z.B. zur Einnahme oder zur Aufbewahrung des Arzneimittels.
... timing SΣ 0..1 AtElgaEmedTiming Zeitpunkt oder Zeitraum der Einnahme des Medikaments. Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event SΣ 0..* dateTime Zeitpunkt der Einnahme.
.... repeat SΣC 0..1 Element Wiederholungsangaben zur Einnahme
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:TimingDayOfMonth S 0..1 positiveInt Day of Month for schedule
URL: http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth
..... Slices for bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
...... boundsDuration Duration
...... boundsRange Range
...... boundsPeriod Period
...... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... start ΣC 0..1 dateTime Zeitraum der Einnahme: Start.
....... end ΣC 0..1 dateTime Zeitraum der Einnahme: Ende.
..... count Σ 0..1 positiveInt Number of times to repeat
..... countMax Σ 0..1 positiveInt Maximum number of times to repeat
..... duration Σ 0..1 decimal How long when it happens
..... durationMax Σ 0..1 decimal How long when it happens (Max)
..... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
..... frequency Σ 0..1 positiveInt Häufigkeit der Einnahme, z.B. 3 mal täglich.
..... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
..... period SΣ 0..1 decimal Intervall der Einnahme, z.B. alle 4 Stunden.
..... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
..... periodUnit Σ 0..1 code Einheit des Intervalls der Einnahme, z.B. h für Stunden, d für Tage.
Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationfrequenz (required)
..... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
..... timeOfDay Σ 1..* time Time of day for action
..... when SΣ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
..... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
... Slices for asNeeded[x] Σ 0..1 boolean Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Bedarfsmedikation: Ja/Nein
... site Σ 0..1 CodeableConcept Körperstelle, an der das Medikament angewendet wird, z.B. Haut, Auge, Ohr etc.
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
... route SΣ 0..1 CodeableConcept Art der Anwendung der Arznei. (z.B. oral, nasal, intravenös, subkutan). Kann bei codierten Arzneien aus der ASP-Liste entnommen werden.
Binding: https://termgit.elga.gv.at/CodeSystem/medikationartanwendung (required)
... method SΣ 0..1 CodeableConcept Verabreichungsmethode, z.B. Infusion, Injektion, Tablette, Salbe etc.
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
... doseAndRate SΣ 0..1 Element Menge des verabreichten Medikaments
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type Σ 0..1 CodeableConcept Art der Dosierung, z.B. berechnet, wie verordnet (ex): https://hl7.org/fhir/R4/valueset-dose-rate-type.html
Binding: DoseAndRateType (example): The kind of dose or rate specified.
.... Slices for dose[x] Σ 0..1 Menge des verabreichten Medikaments pro Zeiteinheit.
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseRange SΣ 0..1 Range Dosierungsspanne wird mit low und high angegeben, z.B. 5-10 mg.
..... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Mapping auf doseQuantity
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Binding: https://termgit.elga.gv.at/ValueSet-elga-medikationmengenart (required)
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... rate[x] Σ 0..1 Amount of medication per unit of time
..... rateRatio Ratio
..... rateRange Range
..... rateQuantity Quantity(SimpleQuantity)
... maxDosePerPeriod Σ 0..1 Ratio Maximale Menge pro Zeiteinheit
... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Maximal Menge pro Abgabe
... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Maximale Lebenszeitdosis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Dosage.extension:DosageCategory.​value[x] Base required ELGA Dosage Category Status ValueSet 📦0.1.1 This IG
Dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
Dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
Dosage.timing.repeat.​periodUnit Base required https://termgit.elga.gv.at/ValueSet/elga-medikationfrequenz Not State Unknown
Dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
Dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
Dosage.timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
Dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
Dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
Dosage.route Base required https://termgit.elga.gv.at/CodeSystem/medikationartanwendung Not State Unknown
Dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
Dosage.doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
Dosage.doseAndRate.dose[x]:doseQuantity.​unit Base required https://termgit.elga.gv.at/ValueSet-elga-medikationmengenart Not State Unknown

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error Dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error Dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error Dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error Dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error Dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error Dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error Dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error Dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error Dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from AtElgaEmedDosageDosierung

Summary

Mandatory: 0 element(1 nested mandatory element)
Fixed: 1 element

 

Other representations of profile: CSV, Excel, Schematron