Generated Narrative: StructureDefinition KBV-PR-WEST-Medication Name Flags Card. Type Description & Constraints Medication 0..* KBV_PR_Base_Medication(1.8.0) Arzneimittel #xD; id S 1..1 id Logical id of this artifact #xD; meta S 1..1 Meta Metadata about the resource #xD; versionId 0..0 Version specific identifier #xD; lastUpdated 0..0 When the resource version last changed #xD; source 0..0 Identifies where the resource comes from #xD; Slices for profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to Slice: Unordered, Open by value:$this #xD; profile:mioProfile S 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung #xD; text 0..0 Text summary of the resource, for human interpretation #xD; Slices for extension S 1..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:Kategorie S 1..1 KBV_EX_Base_Medication_Type Optional Extensions Element #xD; value[x] S 1..1 CodeableConcept Value of extension #xD; Slices for value[x] Content/Rules for all slices #xD; value[x]:valueCodeableConcept S 1..1 CodeableConcept Value of extension #xD; coding S 1..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system Fixed Value: http://snomed.info/sct #xD; version S 1..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; extension:Normgroesse S 0..1 ExtensionNormgroesseDeBasis Optional Extensions Element #xD; Slices for value[x] S 1..1 code Value of extension Slice: Unordered, Closed by type:$this #xD; value[x]:valueCode S 1..1 code Value of extension #xD; identifier 0..0 Business identifier for this medication #xD; code S 1..1 CodeableConcept Codes that identify this medication #xD; coding S 0..* Coding Code defined by a terminology system #xD; Slices for coding Content/Rules for all slices #xD; <a href="StructureDefinition-KBV-PR-WEST-Medication-definitions.html#Medication.code.coding:pzn" title="Slice pzn: Pharmazentralnummer (PZN), die von der Informationsstelle für Arzneispezialitäten (IFA) produktbezogen verwendet wird und für die gesetzlichen Krankenkassen gemäß Vereinbarung nach § 131 SGB V mit der pharmazeutischen Industrie und nach § 300 dem Deutschen Apothekerverband vereinbart ist.#xD;#xA;Die Angaben Handelsname, Darreichungsform, Packungsgröße usw. entstammen dem Preis- und Produktangaben nach §131 Abs. 4 SGB V.">coding:pzn S 0..1 CodingPZN ID des Produktes (PZN) #xD; system S 1..1 uri Canonische CodeSystem URL für PZN #xD; version 0..0 Version of the system - if relevant #xD; code S 1..1 code Der PZN-Code #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; coding:snomed S 0..* Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 1..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 0..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; coding:atc S 0..* CodingATC A reference to a code defined by a terminology system #xD; system S 1..1 uri Canonische CodeSystem URL für ATC #xD; version S 1..1 string Die Jahresversion von ATC. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") #xD; code S 1..1 code Der ATC-Code #xD; display S 0..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text S 1..1 string Handelsname #xD; status S 0..1 code active | inactive | entered-in-error #xD; manufacturer 0..0 Manufacturer of the item #xD; form S 1..1 CodeableConcept powder | tablets | capsule + #xD; coding S 0..* Coding Code defined by a terminology system #xD; Slices for coding Content/Rules for all slices #xD; coding:snomed S 0..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; code S 1..1 code Symbol in syntax defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; coding:edqm S 0..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version 0..0 Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; coding:kbvDarreichungsform S 0..* Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 1..1 string Version of the system - if relevant #xD; code S 1..1 code Code der Darreichungsform #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text S 0..1 string Plain text representation of the concept #xD; amount S 0..1 Ratio Amount of drug in package #xD; numerator #xD; value S 1..1 decimal Numerical value (with implicit precision) #xD; comparator 0..0 < | <= | >= | > - how to understand the value #xD; unit S 1..1 string Einheit #xD; system S 1..1 uri System that defines coded unit form #xD; code S 1..1 code Coded form of the unit #xD; denominator S 1..1 Quantity Denominator value #xD; value S 1..1 decimal Numerical value (with implicit precision) #xD; comparator 0..0 < | <= | >= | > - how to understand the value #xD; unit S 1..1 string Unit representation #xD; system S 1..1 uri System that defines coded unit form #xD; code S 1..1 code Coded form of the unit #xD; ingredient S 0..* BackboneElement Wirkstoffe des Produkts #xD; Slices for item[x] S 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content Slice: Unordered, Closed by type:$this #xD; item[x]:itemCodeableConcept S 0..1 CodeableConcept The actual ingredient or content #xD; Slices for coding S 0..* Coding Code defined by a terminology system Slice: Unordered, Closed by value:$this #xD; coding:ask S 0..1 CodingASK A reference to a code defined by a terminology system #xD; system S 1..1 uri Canonische CodeSystem URL für ASK #xD; version 0..0 Version of the system - if relevant #xD; code S 1..1 code Der ASK-Code #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; coding:snomed S 0..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version 0..0 Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text S 1..1 string Wirkstoffname #xD; item[x]:itemReference S 0..1 Reference(KBV_PR_WEST_Medication(1.0.0-kommentierung)) The actual ingredient or content #xD; isActive S 0..1 boolean Active ingredient indicator #xD; strength S 1..1 Ratio Quantity of ingredient present #xD; numerator S 1..1 Quantity Numerator value #xD; value S 1..1 decimal Wirkstärke #xD; comparator 0..0 < | <= | >= | > - how to understand the value #xD; unit S 1..1 string Wirkstärkeneinheit #xD; system S 1..1 uri System that defines coded unit form #xD; code S 1..1 code Coded form of the unit #xD; denominator S 1..1 Quantity Denominator value #xD; value S 1..1 decimal Numerical value (with implicit precision) #xD; comparator 0..0 < | <= | >= | > - how to understand the value #xD; unit S 0..1 string Unit representation #xD; system S 1..1 uri System that defines coded unit form #xD; code S 1..1 code Coded form of the unit #xD; batch #xD; lotNumber S 0..1 string Identifier assigned to batch #xD; expirationDate S 0..1 dateTime When batch will expire #xD; Documentation for this format
Diese Ressource bietet die Möglichkeit Informationen zu einem Arzneimittel, das nur durch eine PZN definiert ist, zu dokumentieren
Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
NewRx/MedicationPrescribed -or- RxFill/MedicationDispensed -or- RxHistoryResponse/MedicationDispensed -or- RxHistoryResponse/MedicationPrescribed
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Diese Extension dient der Angabe, um welche Art von Medikation es sich handelt.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
The identification of the code system that defines the meaning of the symbol in the code.
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Need to be unambiguous about the source of the definition of the symbol.
fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Need to refer to a particular code in the system.
fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
C*E.2 - but note this is not well followed
fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
If this coding was chosen directly by the user
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Beschreibung der therapiegerechten Packungsgröße (z. B. N1)
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Business identifier for this medication.
The serial number could be included as an identifier.
Dieses Element beinhaltet die Bezeichnung des Arzneimittels oder der Rezeptur, entweder als codierte Information oder als Freitext.
Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).
A coded concept that defines the type of a medication.
coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription
RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code
Hier wird das Arzneimittel als codierte Information angegeben.
Pharmazentralnummer (PZN), die von der Informationsstelle für Arzneispezialitäten (IFA) produktbezogen verwendet wird und für die gesetzlichen Krankenkassen gemäß Vereinbarung nach § 131 SGB V mit der pharmazeutischen Industrie und nach § 300 dem Deutschen Apothekerverband vereinbart ist. Die Angaben Handelsname, Darreichungsform, Packungsgröße usw. entstammen dem Preis- und Produktangaben nach §131 Abs. 4 SGB V.
Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
Note that FHIR strings SHALL NOT exceed 1MB in size
Hier wird ein SNOMED CT®-Code angegeben.
A reference to a code defined by a terminology system
Hier wird ein deutscher ATC-Code angegeben.
Die Jahresversion von ATC. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
Bie Verwendung von ATC ist die Angabe der Version zwingend erforderlich. Hierdurch wird der Tatsache Rechnung getragen, dass jede der jährlich neu erscheinenden Fassung von ATC ein neues Codesystem darstellt.
Handelsname des verordneten Präparates, aus der PZN abgeleitet
Hier wird der Status des Arzneimittels abgebildet.
This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.
This element changes the interpretation of all descriptive attributes.
A coded concept defining if the medication is in active use.
Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.
RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name
In diesem Element werden Angaben zur Darreichungsform gemacht. Diese werden als codierte Information und/oder als Freitext angegeben.
When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.
A coded concept defining the form of a medication.
coding.code = //element(*,DrugCodedType)/FormCode coding.system = //element(*,DrugCodedType)/FormSourceCode
RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form
Hier wird ein Code aus einem geeigneten Codesystem angegeben.
Hier wird ein Code aus dem EDQM ValueSet medicine-doseform angegeben. Die Expansion der EDQM-Konzepte entspricht der Änderungshistorie vom 16.05.2022 (https://standardterms.edqm.eu/index/6).
Hier wird ein Code nach dem Code-System S_KBV_DARREICHUNGSFORM angegeben.
Darreichungsform entsprechend der Daten nach § 131 Abs. 4 SGB V
Hier wird die Packungsgröße/Gesamtmenge der Packung angegeben.
Bei diesem Element handelt es sich um einen Quotient. Hierbei müssen immer Zähler und Nenner angegeben werden. Sollte dies nicht möglich sein, muss ein Default-Wert vorgegeben werden.
Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels und die Einheit angegeben, in der die genannte Menge enthalten ist.
Numerical value (with implicit precision)
Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels als Zahl angegeben.
The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Precision is handled implicitly in almost all cases of measurement.
PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
< | <= | >= | > - how to understand the value
How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
If there is no comparator, then there is no modification of the value
This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
How the Quantity should be understood and represented.
Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St.
There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
The identification of the system that provides the coded form of the unit.
Need to know the system that defines the coded form of the unit.
CO.codeSystem, PQ.translation.codeSystem
A computer processable form of the unit in some unit representation system.
The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
PQ.code, MO.currency, PQ.translation.code
Hier wird die Anzahl bzw. Menge der Bezugsgröße und die Einheit angegeben, in der die genannte Menge enthalten ist. Beispiele: 1 Packung, 1 Blister, 1 Liter Lösung, ... (in allen genannten Beispielen wäre 1 als Wert der Bezugsgröße anzugeben)
Hier wird die Anzahl bzw. Menge der Bezugsgröße als Zahl angegeben.
Hier wird die Einheit angegeben, in der die genannte Anzahl bzw. Menge der Bezugsgröße enthalten ist.
Zur vollständigen Dokumentation des Rezeptdrucks (P3-721 aus EXT_ITA_VGEX_Anforderungskatalog_AVWG) im PVS sollten, wenn vorhanden, die Wirkstoffe mit Wirkstärken (004 und 005 aus P2-110 aus EXT_ITA_VGEX_Anforderungskatalog_AVWG) übertragen werden.
The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Hier werden Bestandteile, die Wirkstoffe oder keine Wirkstoffe sind, erfasst.
The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).
RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code
In diesem Element werden Angaben zum Bestandteil gemacht. Diese werden als codierte Information und/oder als Freitext angegeben.
Hier wird der Bestandteil als Freitext angegeben.
Hier wird ein anderes Arzneimittel als Bestandteil des aktuell betrachteten Arzneimittels angegeben, z. B. bei Vorliegen einer sogenannten 'Kombipackung'.
Indication of whether this ingredient affects the therapeutic action of the drug.
True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).
Hier wird angegeben, in welcher Menge der genannte Bestandteil im Arzneimittel vorhanden ist.
RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units
Hier wird die Anzahl bzw. Menge des enthaltenen Bestandteils angegeben. Dieser besteht aus einem Wert und einer Einheit.
Angabe der Wirkstärke erfolgt durch Wirkstoffmenge / Bezugsgrößenmenge
Hier wird die Anzahl bzw. Menge der Bezugsgröße angegeben, in der die genannte Menge enthalten ist.
Hier wird die Anzahl bzw. Menge der Bezugsgröße angegeben, in der die genannte Menge enthalten ist. Beispiele: 1 Tbl, 1 ml Lösung, 1 Fertigspritze (in allen genannten Beispielen wäre 1 als Zahl der Bezugsgröße anzugeben).
Information that only applies to packages (not products).
The assigned lot number of a batch of the specified product.
RXA-15 Substance Lot Number / RXG-19 Substance Lot Number
When this specific batch of product will expire.
RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date