Medication IG DE, published by HL7 Deutschland e.V.. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7germany/medication-ig-de-r4/ and changes regularly. See the Directory of published versions

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Resource Profile: Medication Statement dgMP ( Abstract )

Dieses Profil dient ausschließlich der Validierung des Implementation Guides und ist nicht für den produktiven Einsatz gedacht. Stattdessen sollte das jeweils passende Dosage-Profil direkt in das eigene Profil eingebunden werden.

Usages:

• Examples for this Profile: MedicationStatement/Example-MS-Cov-bedarf-doseRange, MedicationStatement/Example-MS-Cov-bedarf-hinweis, MedicationStatement/Example-MS-Cov-intervall-bedarf, MedicationStatement/Example-MS-Cov-intervall-doseRange... Show 46 more, MedicationStatement/Example-MS-Cov-intervall-hinweis, MedicationStatement/Example-MS-Cov-intervall-zeitrahmen, MedicationStatement/Example-MS-Cov-intervallzeit-bedarf, MedicationStatement/Example-MS-Cov-intervallzeit-doseRange, MedicationStatement/Example-MS-Cov-intervallzeit-hinweis, MedicationStatement/Example-MS-Cov-intervallzeit-zeitrahmen, MedicationStatement/Example-MS-Cov-uhrzeit-bedarf, MedicationStatement/Example-MS-Cov-uhrzeit-doseRange, MedicationStatement/Example-MS-Cov-uhrzeit-hinweis, MedicationStatement/Example-MS-Cov-uhrzeit-zeitrahmen, MedicationStatement/Example-MS-Cov-wochentag-bedarf, MedicationStatement/Example-MS-Cov-wochentag-doseRange, MedicationStatement/Example-MS-Cov-wochentag-hinweis, MedicationStatement/Example-MS-Cov-wochentag-zeitrahmen, MedicationStatement/Example-MS-Cov-wochentagzeit-bedarf, MedicationStatement/Example-MS-Cov-wochentagzeit-doseRange, MedicationStatement/Example-MS-Cov-wochentagzeit-hinweis, MedicationStatement/Example-MS-Cov-wochentagzeit-zeitrahmen, MedicationStatement/Example-MS-Dosage-Bedarfsmedikation-Kopfschmerzen, MedicationStatement/Example-MS-Dosage-Bedarfsmedikation-MehrereAnlaesse, MedicationStatement/Example-MS-Dosage-Bedarfsmedikation-ohne-Anlass, MedicationStatement/Example-MS-Dosage-UnitStueck-1020, MedicationStatement/Example-MS-Dosage-UnitTasse-1000, MedicationStatement/Example-MS-DosageTr-1000, MedicationStatement/Example-MS-Weekday-Legacy, MedicationStatement/Example-MS-Weekday-TimeOfDay-Legacy, MedicationStatement/Example-MS-Weekday-When-Legacy, MedicationStatement/Example-MS-Weekday-When-Without-Legacy, MedicationStatement/INV-01-of-12-FreqPeriod-When-MS, MedicationStatement/INV-02-of-12-FreqPeriod-ToD-DayOfWeek-MS, MedicationStatement/INV-03-of-12-FreqPeriod-When-DayOfWeek-MS, MedicationStatement/INV-04-of-12-FreeText-and-structured-MS, MedicationStatement/INV-05-of-12-multiple-types-MS, MedicationStatement/INV-06-of-12-multiple-dosagecodes-MS, MedicationStatement/INV-07-of-12-timing-no-dose-MS, MedicationStatement/INV-09-of-12-C-TimingOnlyOneTimeForInterval-MS, MedicationStatement/INV-10-of-12-When-DiffPeriodU-MS, MedicationStatement/INV-11-of-12-C-TimingOnlyOneWhen-MS, MedicationStatement/INV-12-of-12-C-TimingOnlyOneDayOfWeek-MS, MedicationStatement/INV-C-AsNeededForIdentical-Statement-03-of-03, MedicationStatement/INV-C-AsNeededForRequiresAsNeeded-Statement-03-of-03, MedicationStatement/INV-C-AsNeededIdentical-Statement-03-of-03, MedicationStatement/INV-C-AsNeededSingleDosageOnly-Statement-03-of-03, MedicationStatement/INV-C-DosageDoseQuantityAllowedFractions-MS-01-of-02, MedicationStatement/INV-C-DosageDoseQuantityAllowedFractions-MS-02-of-02 and MedicationStatement/INV-C-DosageDoseUnitSameCode-Statement-01-of-01

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.

• Key Elements Table
• Differential Table
• Snapshot Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	This is an abstract profile. Record of medication being taken by a patient Constraints: ExtRequiresDosage-MS
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction Constraints: ext-1
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationStatement.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
MedicationStatement.medication[x]	Σ This element is included in summaries.	1..1		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.medication[x].medicationReference			Reference(Medication)
MedicationStatement.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who is/was taking the medication
MedicationStatement.dosage	C	0..*	DosageDgMP	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1, DosageStructuredOrFreeText, DosageStructuredRequiresBoth, DosageRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText, DosageDoseQuantityAllowedFractions, DosageDoseUnitSameCode, DosageDoseValueDecimalNotation, DosageDoseValuePositive, DosageLimitsPositive, DosageFourSlotPatternInText, PatientInstructionIdentical, MaxDoseSameUnitAsDose, MaxDoseNotBelowDose, MaxDosePerPeriodOnly24hOr1d, MaxDoseOnlyPureAsNeeded, DoseRangeHighRequiredWhenLowPresent, DoseRangeLowAndHighSameUnit, DoseRangeNoVarPeriod, MinimumIntervalOnlyPureAsNeeded, AsNeededForRequiresAsNeeded, AsNeededSingleDosageOnly, AsNeededIdentical, AsNeededForIdentical, MinimumIntervalUnitMatchesCode
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForIdentical	error	MedicationStatement.dosage	The reason for use (asNeededFor) must be populated identically across all Dosage elements of a resource. Multiple reasons per element are allowed but must then match in every element.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() = ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() )
AsNeededForRequiresAsNeeded	error	MedicationStatement.dosage	A reason for use (asNeededFor) may only be given for an as-needed dosage (asNeededBoolean = true).	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededForRequiresAsNeededWarning	warning	MedicationStatement.dosage	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededIdentical	error	MedicationStatement.dosage	The as-needed flag (asNeededBoolean) must be populated identically across all Dosage elements of a resource.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(asNeeded.ofType(boolean).exists()) ) )
AsNeededSingleDosageOnly	error	MedicationStatement.dosage	If an as-needed dosage with asNeededBoolean = true is given without timing, exactly one Dosage element must exist in the resource.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( asNeeded.ofType(boolean) = true and timing.empty() ).exists() implies ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1
DosageDoseQuantityAllowedFractions	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must be whole numbers or use one of the following fractional parts: .25, .33, .5, .66 or .75.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) )
DosageDoseUnitSameCode	error	MedicationStatement.dosage	The dose unit must be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseUnitSameCodeWarning	warning	MedicationStatement.dosage	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValueDecimalNotation	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must use plain decimal notation with at most two decimal places. Exponential notation (e.g. 50e-2 instead of 0.5) is not allowed.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) )
DosageDoseValuePositive	error	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value must be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageDoseValuePositiveWarning	warning	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInText	error	MedicationStatement.dosage	A bare four-slot dosing schema (Viererschema, e.g. 1-0-1-0 or 1-0-1-0 Stück) must not be given as free text in Dosage.text; it has to be represented structurally.	text.exists() implies text.matches('^\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?(\\s*[-–]\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?){3}(\\s*[A-Za-zÄÖÜäöüß().]+)?\\s*$').not()
DosageFourSlotPatternInTextWarning	warning	MedicationStatement.dosage	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositive	error	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) must be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageLimitsPositiveWarning	warning	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageRequiresGeneratedText	error	MedicationStatement.dosage	Regardless of the kind of dosage (structured or free text), the GeneratedDosageInstructionsMeta and renderedDosageInstruction extensions must be present.	%resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() )
DosageStructuredOrFreeText	error	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate must be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DosageStructuredRequiresBothWarning	warning	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DoseRangeHighRequiredWhenLowPresent	error	MedicationStatement.dosage	If a lower bound is given for doseRange, an upper bound must be given as well.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.exists()
DoseRangeLowAndHighSameUnit	error	MedicationStatement.dosage	The lower and upper bound of a variable single dose must use the same unit of measure.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).low.system = doseAndRate.dose.ofType(Range).high.system and doseAndRate.dose.ofType(Range).low.code = doseAndRate.dose.ofType(Range).high.code and doseAndRate.dose.ofType(Range).low.unit = doseAndRate.dose.ofType(Range).high.unit )
DoseRangeNoVarPeriod	warning	MedicationStatement.dosage	A variable single dose and a variable period should not be used together.	doseAndRate.dose.ofType(Range).empty() or timing.repeat.periodMax.empty()
ExtRequiresDosage-MS	error	MedicationStatement	If a dosage extension (GeneratedDosageInstructionsMeta or renderedDosageInstruction) is present, at least one dosage must be present.	( extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' or url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) implies dosage.exists()
FreeTextMatchesRenderedText	error	MedicationStatement.dosage	If a dosage is given as pure free text (text present, timing and doseAndRate empty), the value in dosageInstruction.text must match the value in the renderedDosageInstruction extension.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationDispense).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationStatement).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) )
FreeTextSingleDosageOnly	error	MedicationStatement.dosage	If a dosage is given as pure free text, there must be exactly one Dosage element.	( (%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 )
FreeTextSingleDosageOnlyWarning	warning	MedicationStatement.dosage	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%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 )
MaxDoseNotBelowDose	error	MedicationStatement.dosage	maxDosePerPeriod.numerator.value must not be smaller than the single dose (doseQuantity.value or doseRange.high.value).	maxDosePerPeriod.numerator.value.empty() or ( (doseAndRate.dose.ofType(Quantity).value.empty() or doseAndRate.dose.ofType(Quantity).value <= maxDosePerPeriod.numerator.value) and (doseAndRate.dose.ofType(Range).high.value.empty() or doseAndRate.dose.ofType(Range).high.value <= maxDosePerPeriod.numerator.value) )
MaxDoseOnlyPureAsNeeded	error	MedicationStatement.dosage	A maximum amount (maxDosePerPeriod) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines how much is applied within the reference period.	maxDosePerPeriod.exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MaxDosePerPeriodOnly24hOr1d	error	MedicationStatement.dosage	maxDosePerPeriod is only allowed with a reference period of 24 hours (24 h) or 1 day (1 d). Other periods (e.g. at most 3 every 6 h) are not allowed.	maxDosePerPeriod.empty() or ( (maxDosePerPeriod.denominator.value = 24 and maxDosePerPeriod.denominator.code = 'h') or (maxDosePerPeriod.denominator.value = 1 and maxDosePerPeriod.denominator.code = 'd') )
MaxDoseSameUnitAsDose	error	MedicationStatement.dosage	maxDosePerPeriod must use the same unit, code and system as doseQuantity.	maxDosePerPeriod.empty() or ( ( doseAndRate.dose.ofType(Quantity).exists() and doseAndRate.dose.ofType(Quantity).system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Quantity).code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Quantity).unit = maxDosePerPeriod.numerator.unit ) or ( doseAndRate.dose.ofType(Range).exists() and ( doseAndRate.dose.ofType(Range).low.empty() or ( doseAndRate.dose.ofType(Range).low.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).low.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).low.unit = maxDosePerPeriod.numerator.unit ) ) and ( doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).high.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).high.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).high.unit = maxDosePerPeriod.numerator.unit ) ) ) )
MinimumIntervalOnlyPureAsNeeded	error	MedicationStatement.dosage	A minimum interval between two single administrations (Mindestabstand) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines the spacing between administrations; a second, weaker lower bound next to it is contradictory.	modifierExtension.where(url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations').exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MinimumIntervalUnitMatchesCode	error	MedicationStatement.dosage	The display unit of the minimum interval (valueDuration.unit) must match the UCUM code (e.g. 'Stunde(n)' only with code='h').	modifierExtension.where( url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).all( ( code = 'min' implies (unit = 'Minute(n)' or unit = 'Minute' or unit = 'Minuten') ) and ( code = 'h' implies (unit = 'Stunde(n)' or unit = 'Stunde' or unit = 'Stunden') ) )
PatientInstructionIdentical	error	MedicationStatement.dosage	If patientInstruction is used in a resource with multiple dosages, the field must be populated identically in all Dosage elements.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(patientInstruction.exists()) ) )
dos-1	error	MedicationStatement.dosage	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	This is an abstract profile. Record of medication being taken by a patient Constraints: ExtRequiresDosage-MS
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationStatement.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationStatement.dosage		0..*	DosageDgMP	Angabe der Dosierinformationen strukturiert oder als Freitext
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ExtRequiresDosage-MS	error	MedicationStatement	If a dosage extension (GeneratedDosageInstructionsMeta or renderedDosageInstruction) is present, at least one dosage must be present.	( extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' or url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) implies dosage.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	This is an abstract profile. Record of medication being taken by a patient Constraints: ExtRequiresDosage-MS
MedicationStatement.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationStatement.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
MedicationStatement.contained		0..*	Resource	Contained, inline Resources
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction Constraints: ext-1
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationStatement.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.identifier	Σ This element is included in summaries.	0..*	Identifier	External identifier
MedicationStatement.basedOn	Σ This element is included in summaries.	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
MedicationStatement.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
MedicationStatement.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
MedicationStatement.statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.category	Σ This element is included in summaries.	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
MedicationStatement.medication[x]	Σ This element is included in summaries.	1..1		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.medication[x].medicationReference			Reference(Medication)
MedicationStatement.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who is/was taking the medication
MedicationStatement.context	Σ This element is included in summaries.	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
MedicationStatement.effective[x]	Σ This element is included in summaries.	0..1		The date/time or interval when the medication is/was/will be taken
MedicationStatement.effective[x].effectiveDateTime			dateTime
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted?
MedicationStatement.informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom		0..*	Reference(Resource)	Additional supporting information
MedicationStatement.reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
MedicationStatement.reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
MedicationStatement.note		0..*	Annotation	Further information about the statement
MedicationStatement.dosage	C	0..*	DosageDgMP	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1, DosageStructuredOrFreeText, DosageStructuredRequiresBoth, DosageRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText, DosageDoseQuantityAllowedFractions, DosageDoseUnitSameCode, DosageDoseValueDecimalNotation, DosageDoseValuePositive, DosageLimitsPositive, DosageFourSlotPatternInText, PatientInstructionIdentical, MaxDoseSameUnitAsDose, MaxDoseNotBelowDose, MaxDosePerPeriodOnly24hOr1d, MaxDoseOnlyPureAsNeeded, DoseRangeHighRequiredWhenLowPresent, DoseRangeLowAndHighSameUnit, DoseRangeNoVarPeriod, MinimumIntervalOnlyPureAsNeeded, AsNeededForRequiresAsNeeded, AsNeededSingleDosageOnly, AsNeededIdentical, AsNeededForIdentical, MinimumIntervalUnitMatchesCode
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForIdentical	error	MedicationStatement.dosage	The reason for use (asNeededFor) must be populated identically across all Dosage elements of a resource. Multiple reasons per element are allowed but must then match in every element.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() = ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() )
AsNeededForRequiresAsNeeded	error	MedicationStatement.dosage	A reason for use (asNeededFor) may only be given for an as-needed dosage (asNeededBoolean = true).	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededForRequiresAsNeededWarning	warning	MedicationStatement.dosage	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededIdentical	error	MedicationStatement.dosage	The as-needed flag (asNeededBoolean) must be populated identically across all Dosage elements of a resource.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(asNeeded.ofType(boolean).exists()) ) )
AsNeededSingleDosageOnly	error	MedicationStatement.dosage	If an as-needed dosage with asNeededBoolean = true is given without timing, exactly one Dosage element must exist in the resource.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( asNeeded.ofType(boolean) = true and timing.empty() ).exists() implies ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1
DosageDoseQuantityAllowedFractions	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must be whole numbers or use one of the following fractional parts: .25, .33, .5, .66 or .75.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) )
DosageDoseUnitSameCode	error	MedicationStatement.dosage	The dose unit must be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseUnitSameCodeWarning	warning	MedicationStatement.dosage	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValueDecimalNotation	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must use plain decimal notation with at most two decimal places. Exponential notation (e.g. 50e-2 instead of 0.5) is not allowed.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) )
DosageDoseValuePositive	error	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value must be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageDoseValuePositiveWarning	warning	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInText	error	MedicationStatement.dosage	A bare four-slot dosing schema (Viererschema, e.g. 1-0-1-0 or 1-0-1-0 Stück) must not be given as free text in Dosage.text; it has to be represented structurally.	text.exists() implies text.matches('^\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?(\\s*[-–]\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?){3}(\\s*[A-Za-zÄÖÜäöüß().]+)?\\s*$').not()
DosageFourSlotPatternInTextWarning	warning	MedicationStatement.dosage	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositive	error	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) must be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageLimitsPositiveWarning	warning	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageRequiresGeneratedText	error	MedicationStatement.dosage	Regardless of the kind of dosage (structured or free text), the GeneratedDosageInstructionsMeta and renderedDosageInstruction extensions must be present.	%resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() )
DosageStructuredOrFreeText	error	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate must be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DosageStructuredRequiresBothWarning	warning	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DoseRangeHighRequiredWhenLowPresent	error	MedicationStatement.dosage	If a lower bound is given for doseRange, an upper bound must be given as well.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.exists()
DoseRangeLowAndHighSameUnit	error	MedicationStatement.dosage	The lower and upper bound of a variable single dose must use the same unit of measure.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).low.system = doseAndRate.dose.ofType(Range).high.system and doseAndRate.dose.ofType(Range).low.code = doseAndRate.dose.ofType(Range).high.code and doseAndRate.dose.ofType(Range).low.unit = doseAndRate.dose.ofType(Range).high.unit )
DoseRangeNoVarPeriod	warning	MedicationStatement.dosage	A variable single dose and a variable period should not be used together.	doseAndRate.dose.ofType(Range).empty() or timing.repeat.periodMax.empty()
ExtRequiresDosage-MS	error	MedicationStatement	If a dosage extension (GeneratedDosageInstructionsMeta or renderedDosageInstruction) is present, at least one dosage must be present.	( extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' or url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) implies dosage.exists()
FreeTextMatchesRenderedText	error	MedicationStatement.dosage	If a dosage is given as pure free text (text present, timing and doseAndRate empty), the value in dosageInstruction.text must match the value in the renderedDosageInstruction extension.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationDispense).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationStatement).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) )
FreeTextSingleDosageOnly	error	MedicationStatement.dosage	If a dosage is given as pure free text, there must be exactly one Dosage element.	( (%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 )
FreeTextSingleDosageOnlyWarning	warning	MedicationStatement.dosage	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%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 )
MaxDoseNotBelowDose	error	MedicationStatement.dosage	maxDosePerPeriod.numerator.value must not be smaller than the single dose (doseQuantity.value or doseRange.high.value).	maxDosePerPeriod.numerator.value.empty() or ( (doseAndRate.dose.ofType(Quantity).value.empty() or doseAndRate.dose.ofType(Quantity).value <= maxDosePerPeriod.numerator.value) and (doseAndRate.dose.ofType(Range).high.value.empty() or doseAndRate.dose.ofType(Range).high.value <= maxDosePerPeriod.numerator.value) )
MaxDoseOnlyPureAsNeeded	error	MedicationStatement.dosage	A maximum amount (maxDosePerPeriod) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines how much is applied within the reference period.	maxDosePerPeriod.exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MaxDosePerPeriodOnly24hOr1d	error	MedicationStatement.dosage	maxDosePerPeriod is only allowed with a reference period of 24 hours (24 h) or 1 day (1 d). Other periods (e.g. at most 3 every 6 h) are not allowed.	maxDosePerPeriod.empty() or ( (maxDosePerPeriod.denominator.value = 24 and maxDosePerPeriod.denominator.code = 'h') or (maxDosePerPeriod.denominator.value = 1 and maxDosePerPeriod.denominator.code = 'd') )
MaxDoseSameUnitAsDose	error	MedicationStatement.dosage	maxDosePerPeriod must use the same unit, code and system as doseQuantity.	maxDosePerPeriod.empty() or ( ( doseAndRate.dose.ofType(Quantity).exists() and doseAndRate.dose.ofType(Quantity).system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Quantity).code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Quantity).unit = maxDosePerPeriod.numerator.unit ) or ( doseAndRate.dose.ofType(Range).exists() and ( doseAndRate.dose.ofType(Range).low.empty() or ( doseAndRate.dose.ofType(Range).low.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).low.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).low.unit = maxDosePerPeriod.numerator.unit ) ) and ( doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).high.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).high.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).high.unit = maxDosePerPeriod.numerator.unit ) ) ) )
MinimumIntervalOnlyPureAsNeeded	error	MedicationStatement.dosage	A minimum interval between two single administrations (Mindestabstand) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines the spacing between administrations; a second, weaker lower bound next to it is contradictory.	modifierExtension.where(url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations').exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MinimumIntervalUnitMatchesCode	error	MedicationStatement.dosage	The display unit of the minimum interval (valueDuration.unit) must match the UCUM code (e.g. 'Stunde(n)' only with code='h').	modifierExtension.where( url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).all( ( code = 'min' implies (unit = 'Minute(n)' or unit = 'Minute' or unit = 'Minuten') ) and ( code = 'h' implies (unit = 'Stunde(n)' or unit = 'Stunde' or unit = 'Stunden') ) )
PatientInstructionIdentical	error	MedicationStatement.dosage	If patientInstruction is used in a resource with multiple dosages, the field must be populated identically in all Dosage elements.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(patientInstruction.exists()) ) )
dos-1	error	MedicationStatement.dosage	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatement

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	This is an abstract profile. Record of medication being taken by a patient Constraints: ExtRequiresDosage-MS
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction Constraints: ext-1
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationStatement.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
MedicationStatement.medication[x]	Σ This element is included in summaries.	1..1		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.medication[x].medicationReference			Reference(Medication)
MedicationStatement.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who is/was taking the medication
MedicationStatement.dosage	C	0..*	DosageDgMP	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1, DosageStructuredOrFreeText, DosageStructuredRequiresBoth, DosageRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText, DosageDoseQuantityAllowedFractions, DosageDoseUnitSameCode, DosageDoseValueDecimalNotation, DosageDoseValuePositive, DosageLimitsPositive, DosageFourSlotPatternInText, PatientInstructionIdentical, MaxDoseSameUnitAsDose, MaxDoseNotBelowDose, MaxDosePerPeriodOnly24hOr1d, MaxDoseOnlyPureAsNeeded, DoseRangeHighRequiredWhenLowPresent, DoseRangeLowAndHighSameUnit, DoseRangeNoVarPeriod, MinimumIntervalOnlyPureAsNeeded, AsNeededForRequiresAsNeeded, AsNeededSingleDosageOnly, AsNeededIdentical, AsNeededForIdentical, MinimumIntervalUnitMatchesCode
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForIdentical	error	MedicationStatement.dosage	The reason for use (asNeededFor) must be populated identically across all Dosage elements of a resource. Multiple reasons per element are allowed but must then match in every element.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() = ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() )
AsNeededForRequiresAsNeeded	error	MedicationStatement.dosage	A reason for use (asNeededFor) may only be given for an as-needed dosage (asNeededBoolean = true).	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededForRequiresAsNeededWarning	warning	MedicationStatement.dosage	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededIdentical	error	MedicationStatement.dosage	The as-needed flag (asNeededBoolean) must be populated identically across all Dosage elements of a resource.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(asNeeded.ofType(boolean).exists()) ) )
AsNeededSingleDosageOnly	error	MedicationStatement.dosage	If an as-needed dosage with asNeededBoolean = true is given without timing, exactly one Dosage element must exist in the resource.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( asNeeded.ofType(boolean) = true and timing.empty() ).exists() implies ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1
DosageDoseQuantityAllowedFractions	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must be whole numbers or use one of the following fractional parts: .25, .33, .5, .66 or .75.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) )
DosageDoseUnitSameCode	error	MedicationStatement.dosage	The dose unit must be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseUnitSameCodeWarning	warning	MedicationStatement.dosage	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValueDecimalNotation	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must use plain decimal notation with at most two decimal places. Exponential notation (e.g. 50e-2 instead of 0.5) is not allowed.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) )
DosageDoseValuePositive	error	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value must be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageDoseValuePositiveWarning	warning	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInText	error	MedicationStatement.dosage	A bare four-slot dosing schema (Viererschema, e.g. 1-0-1-0 or 1-0-1-0 Stück) must not be given as free text in Dosage.text; it has to be represented structurally.	text.exists() implies text.matches('^\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?(\\s*[-–]\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?){3}(\\s*[A-Za-zÄÖÜäöüß().]+)?\\s*$').not()
DosageFourSlotPatternInTextWarning	warning	MedicationStatement.dosage	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositive	error	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) must be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageLimitsPositiveWarning	warning	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageRequiresGeneratedText	error	MedicationStatement.dosage	Regardless of the kind of dosage (structured or free text), the GeneratedDosageInstructionsMeta and renderedDosageInstruction extensions must be present.	%resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() )
DosageStructuredOrFreeText	error	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate must be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DosageStructuredRequiresBothWarning	warning	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DoseRangeHighRequiredWhenLowPresent	error	MedicationStatement.dosage	If a lower bound is given for doseRange, an upper bound must be given as well.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.exists()
DoseRangeLowAndHighSameUnit	error	MedicationStatement.dosage	The lower and upper bound of a variable single dose must use the same unit of measure.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).low.system = doseAndRate.dose.ofType(Range).high.system and doseAndRate.dose.ofType(Range).low.code = doseAndRate.dose.ofType(Range).high.code and doseAndRate.dose.ofType(Range).low.unit = doseAndRate.dose.ofType(Range).high.unit )
DoseRangeNoVarPeriod	warning	MedicationStatement.dosage	A variable single dose and a variable period should not be used together.	doseAndRate.dose.ofType(Range).empty() or timing.repeat.periodMax.empty()
ExtRequiresDosage-MS	error	MedicationStatement	If a dosage extension (GeneratedDosageInstructionsMeta or renderedDosageInstruction) is present, at least one dosage must be present.	( extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' or url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) implies dosage.exists()
FreeTextMatchesRenderedText	error	MedicationStatement.dosage	If a dosage is given as pure free text (text present, timing and doseAndRate empty), the value in dosageInstruction.text must match the value in the renderedDosageInstruction extension.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationDispense).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationStatement).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) )
FreeTextSingleDosageOnly	error	MedicationStatement.dosage	If a dosage is given as pure free text, there must be exactly one Dosage element.	( (%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 )
FreeTextSingleDosageOnlyWarning	warning	MedicationStatement.dosage	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%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 )
MaxDoseNotBelowDose	error	MedicationStatement.dosage	maxDosePerPeriod.numerator.value must not be smaller than the single dose (doseQuantity.value or doseRange.high.value).	maxDosePerPeriod.numerator.value.empty() or ( (doseAndRate.dose.ofType(Quantity).value.empty() or doseAndRate.dose.ofType(Quantity).value <= maxDosePerPeriod.numerator.value) and (doseAndRate.dose.ofType(Range).high.value.empty() or doseAndRate.dose.ofType(Range).high.value <= maxDosePerPeriod.numerator.value) )
MaxDoseOnlyPureAsNeeded	error	MedicationStatement.dosage	A maximum amount (maxDosePerPeriod) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines how much is applied within the reference period.	maxDosePerPeriod.exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MaxDosePerPeriodOnly24hOr1d	error	MedicationStatement.dosage	maxDosePerPeriod is only allowed with a reference period of 24 hours (24 h) or 1 day (1 d). Other periods (e.g. at most 3 every 6 h) are not allowed.	maxDosePerPeriod.empty() or ( (maxDosePerPeriod.denominator.value = 24 and maxDosePerPeriod.denominator.code = 'h') or (maxDosePerPeriod.denominator.value = 1 and maxDosePerPeriod.denominator.code = 'd') )
MaxDoseSameUnitAsDose	error	MedicationStatement.dosage	maxDosePerPeriod must use the same unit, code and system as doseQuantity.	maxDosePerPeriod.empty() or ( ( doseAndRate.dose.ofType(Quantity).exists() and doseAndRate.dose.ofType(Quantity).system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Quantity).code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Quantity).unit = maxDosePerPeriod.numerator.unit ) or ( doseAndRate.dose.ofType(Range).exists() and ( doseAndRate.dose.ofType(Range).low.empty() or ( doseAndRate.dose.ofType(Range).low.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).low.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).low.unit = maxDosePerPeriod.numerator.unit ) ) and ( doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).high.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).high.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).high.unit = maxDosePerPeriod.numerator.unit ) ) ) )
MinimumIntervalOnlyPureAsNeeded	error	MedicationStatement.dosage	A minimum interval between two single administrations (Mindestabstand) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines the spacing between administrations; a second, weaker lower bound next to it is contradictory.	modifierExtension.where(url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations').exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MinimumIntervalUnitMatchesCode	error	MedicationStatement.dosage	The display unit of the minimum interval (valueDuration.unit) must match the UCUM code (e.g. 'Stunde(n)' only with code='h').	modifierExtension.where( url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).all( ( code = 'min' implies (unit = 'Minute(n)' or unit = 'Minute' or unit = 'Minuten') ) and ( code = 'h' implies (unit = 'Stunde(n)' or unit = 'Stunde' or unit = 'Stunden') ) )
PatientInstructionIdentical	error	MedicationStatement.dosage	If patientInstruction is used in a resource with multiple dosages, the field must be populated identically in all Dosage elements.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(patientInstruction.exists()) ) )
dos-1	error	MedicationStatement.dosage	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	This is an abstract profile. Record of medication being taken by a patient Constraints: ExtRequiresDosage-MS
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationStatement.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationStatement.dosage		0..*	DosageDgMP	Angabe der Dosierinformationen strukturiert oder als Freitext
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ExtRequiresDosage-MS	error	MedicationStatement	If a dosage extension (GeneratedDosageInstructionsMeta or renderedDosageInstruction) is present, at least one dosage must be present.	( extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' or url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) implies dosage.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	This is an abstract profile. Record of medication being taken by a patient Constraints: ExtRequiresDosage-MS
MedicationStatement.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationStatement.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
MedicationStatement.contained		0..*	Resource	Contained, inline Resources
MedicationStatement.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction Constraints: ext-1
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
MedicationStatement.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationStatement.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.identifier	Σ This element is included in summaries.	0..*	Identifier	External identifier
MedicationStatement.basedOn	Σ This element is included in summaries.	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
MedicationStatement.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
MedicationStatement.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
MedicationStatement.statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.category	Σ This element is included in summaries.	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
MedicationStatement.medication[x]	Σ This element is included in summaries.	1..1		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept			CodeableConcept
MedicationStatement.medication[x].medicationReference			Reference(Medication)
MedicationStatement.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who is/was taking the medication
MedicationStatement.context	Σ This element is included in summaries.	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
MedicationStatement.effective[x]	Σ This element is included in summaries.	0..1		The date/time or interval when the medication is/was/will be taken
MedicationStatement.effective[x].effectiveDateTime			dateTime
MedicationStatement.effective[x].effectivePeriod			Period
MedicationStatement.dateAsserted	Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted?
MedicationStatement.informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom		0..*	Reference(Resource)	Additional supporting information
MedicationStatement.reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
MedicationStatement.reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
MedicationStatement.note		0..*	Annotation	Further information about the statement
MedicationStatement.dosage	C	0..*	DosageDgMP	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1, DosageStructuredOrFreeText, DosageStructuredRequiresBoth, DosageRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText, DosageDoseQuantityAllowedFractions, DosageDoseUnitSameCode, DosageDoseValueDecimalNotation, DosageDoseValuePositive, DosageLimitsPositive, DosageFourSlotPatternInText, PatientInstructionIdentical, MaxDoseSameUnitAsDose, MaxDoseNotBelowDose, MaxDosePerPeriodOnly24hOr1d, MaxDoseOnlyPureAsNeeded, DoseRangeHighRequiredWhenLowPresent, DoseRangeLowAndHighSameUnit, DoseRangeNoVarPeriod, MinimumIntervalOnlyPureAsNeeded, AsNeededForRequiresAsNeeded, AsNeededSingleDosageOnly, AsNeededIdentical, AsNeededForIdentical, MinimumIntervalUnitMatchesCode
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForIdentical	error	MedicationStatement.dosage	The reason for use (asNeededFor) must be populated identically across all Dosage elements of a resource. Multiple reasons per element are allowed but must then match in every element.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() = ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).extension.where( url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor' ).value.ofType(CodeableConcept).text.distinct().count() )
AsNeededForRequiresAsNeeded	error	MedicationStatement.dosage	A reason for use (asNeededFor) may only be given for an as-needed dosage (asNeededBoolean = true).	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededForRequiresAsNeededWarning	warning	MedicationStatement.dosage	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
AsNeededIdentical	error	MedicationStatement.dosage	The as-needed flag (asNeededBoolean) must be populated identically across all Dosage elements of a resource.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).asNeeded.ofType(boolean).exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(asNeeded.ofType(boolean).exists()) ) )
AsNeededSingleDosageOnly	error	MedicationStatement.dosage	If an as-needed dosage with asNeededBoolean = true is given without timing, exactly one Dosage element must exist in the resource.	( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( asNeeded.ofType(boolean) = true and timing.empty() ).exists() implies ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1
DosageDoseQuantityAllowedFractions	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must be whole numbers or use one of the following fractional parts: .25, .33, .5, .66 or .75.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.all( ($this mod 1 = 0) or ($this mod 1 = 0.25) or ($this mod 1 = 0.33) or ($this mod 1 = 0.5) or ($this mod 1 = 0.66) or ($this mod 1 = 0.75) ) ) )
DosageDoseUnitSameCode	error	MedicationStatement.dosage	The dose unit must be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseUnitSameCodeWarning	warning	MedicationStatement.dosage	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValueDecimalNotation	error	MedicationStatement.dosage	Dose values in doseQuantity or doseRange must use plain decimal notation with at most two decimal places. Exponential notation (e.g. 50e-2 instead of 0.5) is not allowed.	doseAndRate.all( ( dose.ofType(Quantity).value.empty() or dose.ofType(Quantity).value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).low.value.empty() or dose.ofType(Range).low.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) and ( dose.ofType(Range).high.value.empty() or dose.ofType(Range).high.value.toString().matches('^[0-9]+([.][0-9]{1,2})?$') ) )
DosageDoseValuePositive	error	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value must be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageDoseValuePositiveWarning	warning	MedicationStatement.dosage	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInText	error	MedicationStatement.dosage	A bare four-slot dosing schema (Viererschema, e.g. 1-0-1-0 or 1-0-1-0 Stück) must not be given as free text in Dosage.text; it has to be represented structurally.	text.exists() implies text.matches('^\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?(\\s*[-–]\\s*\\d+([.,]\\d+)?(\\s*/\\s*\\d+)?){3}(\\s*[A-Za-zÄÖÜäöüß().]+)?\\s*$').not()
DosageFourSlotPatternInTextWarning	warning	MedicationStatement.dosage	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositive	error	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) must be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageLimitsPositiveWarning	warning	MedicationStatement.dosage	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageRequiresGeneratedText	error	MedicationStatement.dosage	Regardless of the kind of dosage (structured or free text), the GeneratedDosageInstructionsMeta and renderedDosageInstruction extensions must be present.	%resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() )
DosageStructuredOrFreeText	error	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationStatement.dosage	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate must be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DosageStructuredRequiresBothWarning	warning	MedicationStatement.dosage	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
DoseRangeHighRequiredWhenLowPresent	error	MedicationStatement.dosage	If a lower bound is given for doseRange, an upper bound must be given as well.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.exists()
DoseRangeLowAndHighSameUnit	error	MedicationStatement.dosage	The lower and upper bound of a variable single dose must use the same unit of measure.	doseAndRate.dose.ofType(Range).low.empty() or doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).low.system = doseAndRate.dose.ofType(Range).high.system and doseAndRate.dose.ofType(Range).low.code = doseAndRate.dose.ofType(Range).high.code and doseAndRate.dose.ofType(Range).low.unit = doseAndRate.dose.ofType(Range).high.unit )
DoseRangeNoVarPeriod	warning	MedicationStatement.dosage	A variable single dose and a variable period should not be used together.	doseAndRate.dose.ofType(Range).empty() or timing.repeat.periodMax.empty()
ExtRequiresDosage-MS	error	MedicationStatement	If a dosage extension (GeneratedDosageInstructionsMeta or renderedDosageInstruction) is present, at least one dosage must be present.	( extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' or url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) implies dosage.exists()
FreeTextMatchesRenderedText	error	MedicationStatement.dosage	If a dosage is given as pure free text (text present, timing and doseAndRate empty), the value in dosageInstruction.text must match the value in the renderedDosageInstruction extension.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationDispense).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) or ( %resource.ofType(MedicationStatement).exists() and %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) )
FreeTextSingleDosageOnly	error	MedicationStatement.dosage	If a dosage is given as pure free text, there must be exactly one Dosage element.	( (%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 )
FreeTextSingleDosageOnlyWarning	warning	MedicationStatement.dosage	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%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 )
MaxDoseNotBelowDose	error	MedicationStatement.dosage	maxDosePerPeriod.numerator.value must not be smaller than the single dose (doseQuantity.value or doseRange.high.value).	maxDosePerPeriod.numerator.value.empty() or ( (doseAndRate.dose.ofType(Quantity).value.empty() or doseAndRate.dose.ofType(Quantity).value <= maxDosePerPeriod.numerator.value) and (doseAndRate.dose.ofType(Range).high.value.empty() or doseAndRate.dose.ofType(Range).high.value <= maxDosePerPeriod.numerator.value) )
MaxDoseOnlyPureAsNeeded	error	MedicationStatement.dosage	A maximum amount (maxDosePerPeriod) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines how much is applied within the reference period.	maxDosePerPeriod.exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MaxDosePerPeriodOnly24hOr1d	error	MedicationStatement.dosage	maxDosePerPeriod is only allowed with a reference period of 24 hours (24 h) or 1 day (1 d). Other periods (e.g. at most 3 every 6 h) are not allowed.	maxDosePerPeriod.empty() or ( (maxDosePerPeriod.denominator.value = 24 and maxDosePerPeriod.denominator.code = 'h') or (maxDosePerPeriod.denominator.value = 1 and maxDosePerPeriod.denominator.code = 'd') )
MaxDoseSameUnitAsDose	error	MedicationStatement.dosage	maxDosePerPeriod must use the same unit, code and system as doseQuantity.	maxDosePerPeriod.empty() or ( ( doseAndRate.dose.ofType(Quantity).exists() and doseAndRate.dose.ofType(Quantity).system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Quantity).code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Quantity).unit = maxDosePerPeriod.numerator.unit ) or ( doseAndRate.dose.ofType(Range).exists() and ( doseAndRate.dose.ofType(Range).low.empty() or ( doseAndRate.dose.ofType(Range).low.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).low.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).low.unit = maxDosePerPeriod.numerator.unit ) ) and ( doseAndRate.dose.ofType(Range).high.empty() or ( doseAndRate.dose.ofType(Range).high.system = maxDosePerPeriod.numerator.system and doseAndRate.dose.ofType(Range).high.code = maxDosePerPeriod.numerator.code and doseAndRate.dose.ofType(Range).high.unit = maxDosePerPeriod.numerator.unit ) ) ) )
MinimumIntervalOnlyPureAsNeeded	error	MedicationStatement.dosage	A minimum interval between two single administrations (Mindestabstand) may only be given for a pure as-needed dosage: asNeededBoolean = true and no timing. A structured rhythm already determines the spacing between administrations; a second, weaker lower bound next to it is contradictory.	modifierExtension.where(url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations').exists() implies (asNeeded.ofType(boolean) = true and timing.empty())
MinimumIntervalUnitMatchesCode	error	MedicationStatement.dosage	The display unit of the minimum interval (valueDuration.unit) must match the UCUM code (e.g. 'Stunde(n)' only with code='h').	modifierExtension.where( url='http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).all( ( code = 'min' implies (unit = 'Minute(n)' or unit = 'Minute' or unit = 'Minuten') ) and ( code = 'h' implies (unit = 'Stunde(n)' or unit = 'Stunde' or unit = 'Stunden') ) )
PatientInstructionIdentical	error	MedicationStatement.dosage	If patientInstruction is used in a resource with multiple dosages, the field must be populated identically in all Dosage elements.	( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.distinct().count() <= 1 ) and ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).patientInstruction.exists() ) implies ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all(patientInstruction.exists()) ) )
dos-1	error	MedicationStatement.dosage	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatement

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

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