IP Review

This publication includes IP covered under the following statements.

BfArM - Bundesinstitut für Arzneimittel und Medizinprodukte
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- ATC : KBV_PR_WEST_Medication and Medication/7f88fa28-c2c0-47ce-a0a9-043a54a23f5e
BfArM 1994 - 2024 - Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM)
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- Alpha-ID : Condition/67796ba0-61d0-4120-9d31-f9690fd88eaa and Condition/8d84156a-fe2b-4eb8-b87e-57fe51b641d0
GKV-Spitzenverband
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- Gültige Länderkennzeichen DEÜV8 : KBV_PR_WEST_Patient , Patient/PatientIsoldeMeinhardt and Patient/b65dfcca-c6ce-4dac-8742-8da00c192c7d
HL7 Deutschland e.V.
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IFA GmbH
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- PZN : KBV_PR_WEST_Medication and Medication/7f88fa28-c2c0-47ce-a0a9-043a54a23f5e
Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED 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.
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Kassenaerztliche Bundesvereinigung
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- KBV_CS_WEST_Diagnoseart : KBV_PR_WEST_Condition and KBV_VS_WEST_Diagnoseart
- KBV_CS_WEST_Diagnosekategorie : KBV_PR_WEST_Condition and KBV_VS_WEST_Diagnosekategorie
Kassenärztliche Bundesvereinigung
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This material contains content from LOINC . 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 . LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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- LOINC: KBV_PR_WEST_Observation_Abdominal_Circumference , KBV_PR_WEST_Observation_Blood_Pressure ... Show 31 more
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org .
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- SNOMED Clinical Terms® (SNOMED CT®) : Condition/67796ba0-61d0-4120-9d31-f9690fd88eaa , Condition/8d84156a-fe2b-4eb8-b87e-57fe51b641d0 ... Show 42 more
WHO, BfArM 1994 - 2024 - Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM)
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- ICD-10-GM : Condition/67796ba0-61d0-4120-9d31-f9690fd88eaa and Condition/8d84156a-fe2b-4eb8-b87e-57fe51b641d0

Innerhalb des FHIR®-Elements Dosage.timing.repeat werden innerhalb von FHIR® verschiedene Regeln definiert (siehe https://www.hl7.org/fhir/datatypes.html#Timing). Hinweise bzw. Warnmeldungen zur Einhaltung dieser Regeln sollten benutzerfreundlich in die GUI des Primärsystems integriert werden, damit eine syntaktisch korrekte Instanz der FHIR®-Ressource erzeugt werden kann. ( src )

Bei einer Bedarfsmedikation (FHIR®: asNeededBoolean = true | asNeededCodeableConcept exisitert) kann zusätzlich zu einer definierten Menge bzw. einem Mengenbereich pro Gabe/Einnahme auch eine maximale Menge pro Gabe/Einnahme angegeben werden. ( src )

Aus technischen Gründen kann dieses Element nicht direkt in FHIR ® abgebildet werden. ( src )

Aus technischen Gründen kann dieses Element nicht direkt in FHIR® abgebildet werden. ( src )

Bei Angabe der ICD-Diagnosesicherheit ist die zusätzliche Angabe der äquivalenten Werte für clinicalStatus und verificationStatus zwingend. Die Äquivalente sind im HL7®-Leitfaden Basis DE ( https://ig.fhir.de/basisprofile-de/stable/Ressourcen-Condition-ICD-10-GM.html ) wie folgt festgelegt: ( src )

hl7.fhir.us.hai: Healthcare Associated Infection Implementation Guide ®© HL7 | CC0 ( src )

131 Abs. 4 SGB V" ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need to refer to a particular code in the system." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./code" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.form.coding:kbvDarreichungsform.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.form.coding.display" ] ; fhir:short [ fhir:v "Representation defined by the system" ] ; fhir:definition [ fhir:v "A representation of the meaning of the code in the system, following the rules of the system." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.2 - but note this is not well followed" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV.displayName" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ) ] [ fhir:id [ fhir:v "Medication.form.coding:kbvDarreichungsform.userSelected" ] ; fhir:path [ fhir:v "Medication.form.coding.userSelected" ] ; fhir:short [ fhir:v "If this coding was chosen directly by the user" ] ; fhir:definition [ fhir:v "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ; fhir:comment [ fhir:v "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ; fhir:requirements [ fhir:v "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Coding.userSelected" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "Sometimes implied by being first" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD.codingRationale" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ) ] [ fhir:id [ fhir:v "Medication.form.text" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.form.text" ] ; fhir:short [ fhir:v "Plain text representation of the concept" ] ; fhir:definition [ fhir:v "Hier wird ein Freitext eingetragen." ] ; fhir:comment [ fhir:v "Very often the text is the same as a displayName of one of the codings." ] ; fhir:requirements [ fhir:v "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.9. But note many systems use C*E.2 for this" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./originalText[mediaType/code=\"text/plain\"]/data" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount" ] ; fhir:path [ fhir:v "Medication.amount" ] ; fhir:short [ fhir:v "Amount of drug in package" ] ; fhir:definition [ fhir:v "Hier wird die Packungsgröße/Gesamtmenge der Packung angegeben." ] ; fhir:comment [ fhir:v "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." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.amount" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Ratio"^^xsd:anyURI ; fhir:l fhir:Ratio ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "rat-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present" ] ; fhir:expression [ fhir:v "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())" ] ; fhir:xpath [ fhir:v "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Dosage"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Dosage> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "RTO" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".quantity" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.id" ] ; fhir:path [ fhir:v "Medication.amount.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.amount.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator" ] ; fhir:path [ fhir:v "Medication.amount.numerator" ] ; fhir:short [ fhir:v "Numerator value" ] ; fhir:definition [ fhir:v "Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels und die Einheit angegeben, in der die genannte Menge enthalten ist." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Ratio.numerator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ; fhir:l fhir:Quantity ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Range"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Range> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".numerator" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.id" ] ; fhir:path [ fhir:v "Medication.amount.numerator.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.amount.numerator.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.value" ] ; fhir:path [ fhir:v "Medication.amount.numerator.value" ] ; fhir:short [ fhir:v "Numerical value (with implicit precision)" ] ; fhir:definition [ fhir:v "Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels als Zahl angegeben." ] ; fhir:comment [ fhir:v "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)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ; fhir:l fhir:decimal ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.comparator" ] ; fhir:path [ fhir:v "Medication.amount.numerator.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "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" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/quantity-comparator?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.amount.numerator.unit" ] ; fhir:short [ fhir:v "Einheit" ] ; fhir:definition [ fhir:v "Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.system" ] ; fhir:path [ fhir:v "Medication.amount.numerator.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.numerator.code" ] ; fhir:path [ fhir:v "Medication.amount.numerator.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator" ] ; fhir:path [ fhir:v "Medication.amount.denominator" ] ; fhir:short [ fhir:v "Denominator value" ] ; fhir:definition [ fhir:v "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)" ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Ratio.denominator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ; fhir:l fhir:Quantity ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Range"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Range> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".denominator" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.id" ] ; fhir:path [ fhir:v "Medication.amount.denominator.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.amount.denominator.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.value" ] ; fhir:path [ fhir:v "Medication.amount.denominator.value" ] ; fhir:short [ fhir:v "Numerical value (with implicit precision)" ] ; fhir:definition [ fhir:v "Hier wird die Anzahl bzw. Menge der Bezugsgröße als Zahl angegeben." ] ; fhir:comment [ fhir:v "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)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ; fhir:l fhir:decimal ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.comparator" ] ; fhir:path [ fhir:v "Medication.amount.denominator.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "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" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/quantity-comparator?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.amount.denominator.unit" ] ; fhir:short [ fhir:v "Unit representation" ] ; fhir:definition [ fhir:v "Hier wird die Einheit angegeben, in der die genannte Anzahl bzw. Menge der Bezugsgröße enthalten ist." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.system" ] ; fhir:path [ fhir:v "Medication.amount.denominator.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Medication.amount.denominator.code" ] ; fhir:path [ fhir:v "Medication.amount.denominator.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient" ] ; fhir:path [ fhir:v "Medication.ingredient" ] ; fhir:short [ fhir:v "Wirkstoffe des Produkts" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Medication.ingredient" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ; fhir:l fhir:BackboneElement ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".scopesRole[typeCode=INGR]" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.id" ] ; fhir:path [ fhir:v "Medication.ingredient.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.modifierExtension" ] ; fhir:path [ fhir:v "Medication.ingredient.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "type" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "closed" ] ] ; fhir:short [ fhir:v "The actual ingredient or content" ] ; fhir:definition [ fhir:v "Hier werden Bestandteile, die Wirkstoffe oder keine Wirkstoffe sind, erfasst." ] ; fhir:requirements [ fhir:v "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Substance"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Substance> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Medication"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Medication> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "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" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".player" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:sliceName [ fhir:v "itemCodeableConcept" ] ; fhir:short [ fhir:v "The actual ingredient or content" ] ; fhir:definition [ fhir:v "In diesem Element werden Angaben zum Bestandteil gemacht. Diese werden als codierte Information und/oder als Freitext angegeben." ] ; fhir:requirements [ fhir:v "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "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" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".player" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.id" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.item[x].extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:rules [ fhir:v "closed" ] ] ; fhir:short [ fhir:v "Code defined by a terminology system" ] ; fhir:definition [ fhir:v "Hier wird ein Code aus einem geeigneten Codesystem angegeben." ] ; fhir:comment [ fhir:v "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding rdfs:subClassOf dt:CDCoding" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding" ] ; fhir:sliceName [ fhir:v "ask" ] ; fhir:short [ fhir:v "A reference to a code defined by a terminology system" ] ; fhir:definition [ fhir:v "Hier wird ein ASK-Code angegeben." ] ; fhir:comment [ fhir: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." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/CodingASK"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/CodingASK> ] ) ] ) ; fhir:pattern [ a fhir:Coding ; fhir:system [ fhir:v "http://fhir.de/CodeSystem/ask"^^xsd:anyURI ; fhir:l <http://fhir.de/CodeSystem/ask> ] ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding rdfs:subClassOf dt:CDCoding" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.id" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.system" ] ; fhir:short [ fhir:v "Canonische CodeSystem URL für ASK" ] ; fhir:definition [ fhir:v "The identification of the code system that defines the meaning of the symbol in the code." ] ; fhir:comment [ fhir:v "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ; fhir:requirements [ fhir:v "Need to be unambiguous about the source of the definition of the symbol." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; fhir:fixed [ a fhir:Uri ; fhir:v "http://fhir.de/CodeSystem/ask"^^xsd:anyURI ; fhir:l <http://fhir.de/CodeSystem/ask> ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.3" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./codeSystem" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.version" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.version" ] ; fhir:short [ fhir:v "Version of the system - if relevant" ] ; fhir:definition [ fhir:v "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ; fhir:comment [ fhir:v "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Coding.version" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.7" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./codeSystemVersion" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.code" ] ; fhir:short [ fhir:v "Der ASK-Code" ] ; fhir:definition [ fhir:v "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need to refer to a particular code in the system." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./code" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.display" ] ; fhir:short [ fhir:v "Representation defined by the system" ] ; fhir:definition [ fhir:v "A representation of the meaning of the code in the system, following the rules of the system." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.2 - but note this is not well followed" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV.displayName" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.userSelected" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.userSelected" ] ; fhir:short [ fhir:v "If this coding was chosen directly by the user" ] ; fhir:definition [ fhir:v "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ; fhir:comment [ fhir:v "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ; fhir:requirements [ fhir:v "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Coding.userSelected" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "Sometimes implied by being first" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD.codingRationale" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding" ] ; fhir:sliceName [ fhir:v "snomed" ] ; fhir:short [ fhir:v "Code defined by a terminology system" ] ; fhir:definition [ fhir:v "Hier wird ein SNOMED CT®-Code angegeben." ] ; fhir:comment [ fhir:v "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ] ) ; fhir:pattern [ a fhir:Coding ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding rdfs:subClassOf dt:CDCoding" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.id" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.system" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.system" ] ; fhir:short [ fhir:v "Identity of the terminology system" ] ; fhir:definition [ fhir:v "The identification of the code system that defines the meaning of the symbol in the code." ] ; fhir:comment [ fhir:v "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ; fhir:requirements [ fhir:v "Need to be unambiguous about the source of the definition of the symbol." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.3" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./codeSystem" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.version" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.version" ] ; fhir:short [ fhir:v "Version of the system - if relevant" ] ; fhir:definition [ fhir:v "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ; fhir:comment [ fhir:v "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Coding.version" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.7" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./codeSystemVersion" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.code" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.code" ] ; fhir:short [ fhir:v "Symbol in syntax defined by the system" ] ; fhir:definition [ fhir:v "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need to refer to a particular code in the system." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./code" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.display" ] ; fhir:short [ fhir:v "Representation defined by the system" ] ; fhir:definition [ fhir:v "A representation of the meaning of the code in the system, following the rules of the system." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.2 - but note this is not well followed" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV.displayName" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.userSelected" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x].coding.userSelected" ] ; fhir:short [ fhir:v "If this coding was chosen directly by the user" ] ; fhir:definition [ fhir:v "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ; fhir:comment [ fhir:v "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ; fhir:requirements [ fhir:v "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Coding.userSelected" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "Sometimes implied by being first" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD.codingRationale" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemCodeableConcept.text" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.item[x].text" ] ; fhir:short [ fhir:v "Wirkstoffname" ] ; fhir:definition [ fhir:v "Hier wird der Bestandteil als Freitext angegeben." ] ; fhir:comment [ fhir:v "Very often the text is the same as a displayName of one of the codings." ] ; fhir:requirements [ fhir:v "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.9. But note many systems use C*E.2 for this" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./originalText[mediaType/code=\"text/plain\"]/data" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.item[x]:itemReference" ] ; fhir:path [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:sliceName [ fhir:v "itemReference" ] ; fhir:short [ fhir:v "The actual ingredient or content" ] ; fhir:definition [ fhir:v "Hier wird ein anderes Arzneimittel als Bestandteil des aktuell betrachteten Arzneimittels angegeben, z. B. bei Vorliegen einer sogenannten 'Kombipackung'." ] ; fhir:requirements [ fhir:v "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.ingredient.item[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung"^^xsd:anyURI ; fhir:l <https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication?version=1.0.0-kommentierung> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "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" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".player" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.isActive" ] ; fhir:path [ fhir:v "Medication.ingredient.isActive" ] ; fhir:short [ fhir:v "Active ingredient indicator" ] ; fhir:definition [ fhir:v "Indication of whether this ingredient affects the therapeutic action of the drug." ] ; fhir:requirements [ fhir:v "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.ingredient.isActive" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "NA" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength" ] ; fhir:path [ fhir:v "Medication.ingredient.strength" ] ; fhir:short [ fhir:v "Quantity of ingredient present" ] ; fhir:definition [ fhir:v "Hier wird angegeben, in welcher Menge der genannte Bestandteil im Arzneimittel vorhanden ist." ] ; fhir:comment [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.ingredient.strength" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Ratio"^^xsd:anyURI ; fhir:l fhir:Ratio ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "rat-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present" ] ; fhir:expression [ fhir:v "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())" ] ; fhir:xpath [ fhir:v "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Dosage"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Dosage> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "RTO" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "//element(*,DrugCodedType)/Strength" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "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" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".quantity" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.id" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.strength.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator" ] ; fhir:short [ fhir:v "Numerator value" ] ; fhir:definition [ fhir:v "Hier wird die Anzahl bzw. Menge des enthaltenen Bestandteils angegeben. Dieser besteht aus einem Wert und einer Einheit." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Ratio.numerator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ; fhir:l fhir:Quantity ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Range"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Range> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".numerator" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.id" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.value" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.value" ] ; fhir:short [ fhir:v "Wirkstärke" ] ; fhir:definition [ fhir:v "Angabe der Wirkstärke erfolgt durch Wirkstoffmenge / Bezugsgrößenmenge" ] ; fhir:comment [ fhir:v "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)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ; fhir:l fhir:decimal ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.comparator" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "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" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/quantity-comparator?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.unit" ] ; fhir:short [ fhir:v "Wirkstärkeneinheit" ] ; fhir:definition [ fhir:v "Einheit der Wirkstärke (bspw. mg/ml)" ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.system" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.numerator.code" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.numerator.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator" ] ; fhir:short [ fhir:v "Denominator value" ] ; fhir:definition [ fhir:v "Hier wird die Anzahl bzw. Menge der Bezugsgröße angegeben, in der die genannte Menge enthalten ist." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Ratio.denominator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ; fhir:l fhir:Quantity ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Range"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Range> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".denominator" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.id" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.value" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.value" ] ; fhir:short [ fhir:v "Numerical value (with implicit precision)" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ; fhir:l fhir:decimal ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.comparator" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "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" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/quantity-comparator?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.unit" ] ; fhir:short [ fhir:v "Unit representation" ] ; fhir:definition [ fhir:v "A human-readable form of the unit." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.system" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Medication.ingredient.strength.denominator.code" ] ; fhir:path [ fhir:v "Medication.ingredient.strength.denominator.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "Medication.batch" ] ; fhir:path [ fhir:v "Medication.batch" ] ; fhir:short [ fhir:v "Details about packaged medications" ] ; fhir:definition [ fhir:v "Information that only applies to packages (not products)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.batch" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ; fhir:l fhir:BackboneElement ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "no mapping" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".player[classCode=CONT]" ] ] ) ] [ fhir:id [ fhir:v "Medication.batch.id" ] ; fhir:path [ fhir:v "Medication.batch.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Medication.batch.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version> ] ; fhir:value [ a fhir:Code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "Medication.batch.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.batch.modifierExtension" ] ; fhir:path [ fhir:v "Medication.batch.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Medication.batch.lotNumber" ] ; fhir:path [ fhir:v "Medication.batch.lotNumber" ] ; fhir:short [ fhir:v "Identifier assigned to batch" ] ; fhir:definition [ fhir:v "The assigned lot number of a batch of the specified product." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.batch.lotNumber" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "no mapping" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".id" ] ] ) ] [ fhir:id [ fhir:v "Medication.batch.expirationDate" ] ; fhir:path [ fhir:v "Medication.batch.expirationDate" ] ; fhir:short [ fhir:v "When batch will expire" ] ; fhir:definition [ fhir:v "When this specific batch of product will expire." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Medication.batch.expirationDate" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ; fhir:l fhir:dateTime ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "no mapping" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime" ] ] ) ] ) ] ; # fhir:differential [ ( fhir:element [ fhir:id [ fhir:v "Medication" ] ; fhir:path [ fhir:v "Medication" ] ; fhir:short [ fhir:v "Arzneimittel" ] ; fhir:definition [ fhir:v "Diese Ressource bietet die Möglichkeit Informationen zu einem Arzneimittel, das nur durch eine PZN definiert ist, zu dokumentieren" ] ] [ fhir:id [ fhir:v "Medication.id" ] ; fhir:path [ fhir:v "Medication.id" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.meta" ] ; fhir:path [ fhir:v "Medication.meta" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.meta.versionId" ] ; fhir:path [ fhir:v "Medication.meta.versionId" ] ; fhir:max [ fhir:v "0" ] ] [ fhir:id [ fhir:v "Medication.meta.lastUpdated" ] ; fhir:path [ fhir:v "Medication.meta.lastUpdated" ] ; fhir:max [ fhir:v "0" ] ] [ fhir:id [ fhir:v "Medication.meta.source" ] ; fhir:path [ fhir:v "Medication.meta.source" ] ; fhir:max [ fhir:v "0" ] ] [ fhir:id [ fhir:v "Medication.meta.profile" ] ; fhir:path [ fhir:v "Medication.meta.profile" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.meta.profile:mioProfile" ] ; fhir:path [ fhir:v "Medication.meta.profile" ] ; fhir:sliceName [ fhir:v "mioProfile" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:fixed [ a fhir:Canonical ; fhir:v "https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung"^^xsd:anyURI ; fhir:l <https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication?version=1.0.0-kommentierung> ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.text" ] ; fhir:path [ fhir:v "Medication.text" ] ; fhir:max [ fhir:v "0" ] ] [ fhir:id [ fhir:v "Medication.extension" ] ; fhir:path [ fhir:v "Medication.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "closed" ] ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie" ] ; fhir:path [ fhir:v "Medication.extension" ] ; fhir:sliceName [ fhir:v "Kategorie" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]" ] ; fhir:path [ fhir:v "Medication.extension.value[x]" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept" ] ; fhir:path [ fhir:v "Medication.extension.value[x]" ] ; fhir:sliceName [ fhir:v "valueCodeableConcept" ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding" ] ; fhir:path [ fhir:v "Medication.extension.value[x].coding" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.system" ] ; fhir:path [ fhir:v "Medication.extension.value[x].coding.system" ] ; fhir:fixed [ a fhir:Uri ; fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.version" ] ; fhir:path [ fhir:v "Medication.extension.value[x].coding.version" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.code" ] ; fhir:path [ fhir:v "Medication.extension.value[x].coding.code" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.display" ] ; fhir:path [ fhir:v "Medication.extension.value[x].coding.display" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.userSelected" ] ; fhir:path [ fhir:v "Medication.extension.value[x].coding.userSelected" ] ; fhir:max [ fhir:v "0" ] ] [ fhir:id [ fhir:v "Medication.extension:Normgroesse" ] ; fhir:path [ fhir:v "Medication.extension" ] ; fhir:sliceName [ fhir:v "Normgroesse" ] ; fhir:definition [ fhir:v "Beschreibung der therapiegerechten Packungsgröße (z. B. N1)" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Normgroesse.value[x]" ] ; fhir:path [ fhir:v "Medication.extension.value[x]" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "type" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:rules [ fhir:v "closed" ] ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.extension:Normgroesse.value[x]:valueCode" ] ; fhir:path [ fhir:v "Medication.extension.value[x]" ] ; fhir:sliceName [ fhir:v "valueCode" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.identifier" ] ; fhir:path [ fhir:v "Medication.identifier" ] ; fhir:max [ fhir:v "0" ] ] [ fhir:id [ fhir:v "Medication.code" ] ; fhir:path [ fhir:v "Medication.code" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.code.coding" ] ; fhir:path [ fhir:v "Medication.code.coding" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Medication.code.coding:pzn" ] ; fhir:path [ fhir:v "Medication.code.coding" ] ; fhir:sliceName [ fhir:v "pzn" ] ; fhir:short [ fhir:v "ID des Produktes (PZN)" ] ; fhir:definition [ fhir:v "Pharmazentralnummer (PZN), die von der Informationsstelle für Arzneispezialitäten (IFA) produktbezogen verwendet wird und für die gesetzlichen Krankenkassen gemäß Vereinbarung nach ( src )

131 Abs. 4 SGB V", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id" : "Medication.form.coding:kbvDarreichungsform.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.form.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id" : "Medication.form.coding:kbvDarreichungsform.userSelected", "path" : "Medication.form.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id" : "Medication.form.text", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.form.text", "short" : "Plain text representation of the concept", "definition" : "Hier wird ein Freitext eingetragen.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id" : "Medication.amount", "path" : "Medication.amount", "short" : "Amount of drug in package", "definition" : "Hier wird die Packungsgröße/Gesamtmenge der Packung angegeben.", "comment" : "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.", "min" : 0, "max" : "1", "base" : { "path" : "Medication.amount", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Ratio" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "rat-1", "severity" : "error", "human" : "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present", "expression" : "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())", "xpath" : "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))", "source" : "http://hl7.org/fhir/StructureDefinition/Dosage" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "RTO" }, { "identity" : "rim", "map" : ".quantity" } ] }, { "id" : "Medication.amount.id", "path" : "Medication.amount.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.amount.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.amount.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.amount.numerator", "path" : "Medication.amount.numerator", "short" : "Numerator value", "definition" : "Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels und die Einheit angegeben, in der die genannte Menge enthalten ist.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.numerator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Range" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : ".numerator" } ] }, { "id" : "Medication.amount.numerator.id", "path" : "Medication.amount.numerator.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.amount.numerator.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.amount.numerator.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.amount.numerator.value", "path" : "Medication.amount.numerator.value", "short" : "Numerical value (with implicit precision)", "definition" : "Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels als Zahl angegeben.", "comment" : "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).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "Medication.amount.numerator.comparator", "path" : "Medication.amount.numerator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "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", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "Medication.amount.numerator.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.amount.numerator.unit", "short" : "Einheit", "definition" : "Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "Medication.amount.numerator.system", "path" : "Medication.amount.numerator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "Medication.amount.numerator.code", "path" : "Medication.amount.numerator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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.", "requirements" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "Medication.amount.denominator", "path" : "Medication.amount.denominator", "short" : "Denominator value", "definition" : "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)", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.denominator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Range" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : ".denominator" } ] }, { "id" : "Medication.amount.denominator.id", "path" : "Medication.amount.denominator.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.amount.denominator.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.amount.denominator.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.amount.denominator.value", "path" : "Medication.amount.denominator.value", "short" : "Numerical value (with implicit precision)", "definition" : "Hier wird die Anzahl bzw. Menge der Bezugsgröße als Zahl angegeben.", "comment" : "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).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "Medication.amount.denominator.comparator", "path" : "Medication.amount.denominator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "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", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "Medication.amount.denominator.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.amount.denominator.unit", "short" : "Unit representation", "definition" : "Hier wird die Einheit angegeben, in der die genannte Anzahl bzw. Menge der Bezugsgröße enthalten ist.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "Medication.amount.denominator.system", "path" : "Medication.amount.denominator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "Medication.amount.denominator.code", "path" : "Medication.amount.denominator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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.", "requirements" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "Medication.ingredient", "path" : "Medication.ingredient", "short" : "Wirkstoffe des Produkts", "definition" : "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.", "comment" : "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.", "min" : 0, "max" : "*", "base" : { "path" : "Medication.ingredient", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : ".scopesRole[typeCode=INGR]" } ] }, { "id" : "Medication.ingredient.id", "path" : "Medication.ingredient.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.modifierExtension", "path" : "Medication.ingredient.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.item[x]", "path" : "Medication.ingredient.item[x]", "slicing" : { "discriminator" : [ { "type" : "type", "path" : "$this" } ], "ordered" : false, "rules" : "closed" }, "short" : "The actual ingredient or content", "definition" : "Hier werden Bestandteile, die Wirkstoffe oder keine Wirkstoffe sind, erfasst.", "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).", "min" : 1, "max" : "1", "base" : { "path" : "Medication.ingredient.item[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" }, { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Substance"🔗 , "http://hl7.org/fhir/StructureDefinition/Medication" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" }, { "identity" : "v2", "map" : "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" }, { "identity" : "rim", "map" : ".player" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept", "path" : "Medication.ingredient.item[x]", "sliceName" : "itemCodeableConcept", "short" : "The actual ingredient or content", "definition" : "In diesem Element werden Angaben zum Bestandteil gemacht. Diese werden als codierte Information und/oder als Freitext angegeben.", "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).", "min" : 0, "max" : "1", "base" : { "path" : "Medication.ingredient.item[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" }, { "identity" : "v2", "map" : "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" }, { "identity" : "rim", "map" : ".player" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.id", "path" : "Medication.ingredient.item[x].id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.item[x].extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding", "path" : "Medication.ingredient.item[x].coding", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "$this" } ], "rules" : "closed" }, "short" : "Code defined by a terminology system", "definition" : "Hier wird ein Code aus einem geeigneten Codesystem angegeben.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask", "path" : "Medication.ingredient.item[x].coding", "sliceName" : "ask", "short" : "A reference to a code defined by a terminology system", "definition" : "Hier wird ein ASK-Code angegeben.", "comment" : "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.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding", "profile" : [ 🔗 "http://fhir.de/StructureDefinition/CodingASK" ] } ], "patternCoding" : { "system" : "http://fhir.de/CodeSystem/ask" }, "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.id", "path" : "Medication.ingredient.item[x].coding.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.item[x].coding.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system", "path" : "Medication.ingredient.item[x].coding.system", "short" : "Canonische CodeSystem URL für ASK", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://fhir.de/CodeSystem/ask", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.version", "path" : "Medication.ingredient.item[x].coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code", "path" : "Medication.ingredient.item[x].coding.code", "short" : "Der ASK-Code", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.ingredient.item[x].coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.userSelected", "path" : "Medication.ingredient.item[x].coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed", "path" : "Medication.ingredient.item[x].coding", "sliceName" : "snomed", "short" : "Code defined by a terminology system", "definition" : "Hier wird ein SNOMED CT®-Code angegeben.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "patternCoding" : { "system" : "http://snomed.info/sct" }, "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.id", "path" : "Medication.ingredient.item[x].coding.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.item[x].coding.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.system", "path" : "Medication.ingredient.item[x].coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.version", "path" : "Medication.ingredient.item[x].coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.code", "path" : "Medication.ingredient.item[x].coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.ingredient.item[x].coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.userSelected", "path" : "Medication.ingredient.item[x].coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id" : "Medication.ingredient.item[x]:itemCodeableConcept.text", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.ingredient.item[x].text", "short" : "Wirkstoffname", "definition" : "Hier wird der Bestandteil als Freitext angegeben.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id" : "Medication.ingredient.item[x]:itemReference", "path" : "Medication.ingredient.item[x]", "sliceName" : "itemReference", "short" : "The actual ingredient or content", "definition" : "Hier wird ein anderes Arzneimittel als Bestandteil des aktuell betrachteten Arzneimittels angegeben, z. B. bei Vorliegen einer sogenannten 'Kombipackung'.", "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).", "min" : 0, "max" : "1", "base" : { "path" : "Medication.ingredient.item[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" }, { "identity" : "v2", "map" : "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" }, { "identity" : "rim", "map" : ".player" } ] }, { "id" : "Medication.ingredient.isActive", "path" : "Medication.ingredient.isActive", "short" : "Active ingredient indicator", "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.", "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).", "min" : 0, "max" : "1", "base" : { "path" : "Medication.ingredient.isActive", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "NA" } ] }, { "id" : "Medication.ingredient.strength", "path" : "Medication.ingredient.strength", "short" : "Quantity of ingredient present", "definition" : "Hier wird angegeben, in welcher Menge der genannte Bestandteil im Arzneimittel vorhanden ist.", "comment" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Medication.ingredient.strength", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Ratio" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "rat-1", "severity" : "error", "human" : "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present", "expression" : "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())", "xpath" : "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))", "source" : "http://hl7.org/fhir/StructureDefinition/Dosage" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "RTO" }, { "identity" : "script10.6", "map" : "//element(*,DrugCodedType)/Strength" }, { "identity" : "v2", "map" : "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" }, { "identity" : "rim", "map" : ".quantity" } ] }, { "id" : "Medication.ingredient.strength.id", "path" : "Medication.ingredient.strength.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.strength.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.strength.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.strength.numerator", "path" : "Medication.ingredient.strength.numerator", "short" : "Numerator value", "definition" : "Hier wird die Anzahl bzw. Menge des enthaltenen Bestandteils angegeben. Dieser besteht aus einem Wert und einer Einheit.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.numerator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Range" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : ".numerator" } ] }, { "id" : "Medication.ingredient.strength.numerator.id", "path" : "Medication.ingredient.strength.numerator.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.strength.numerator.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.strength.numerator.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.strength.numerator.value", "path" : "Medication.ingredient.strength.numerator.value", "short" : "Wirkstärke", "definition" : "Angabe der Wirkstärke erfolgt durch Wirkstoffmenge / Bezugsgrößenmenge", "comment" : "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).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "Medication.ingredient.strength.numerator.comparator", "path" : "Medication.ingredient.strength.numerator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "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", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "Medication.ingredient.strength.numerator.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.ingredient.strength.numerator.unit", "short" : "Wirkstärkeneinheit", "definition" : "Einheit der Wirkstärke (bspw. mg/ml)", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "Medication.ingredient.strength.numerator.system", "path" : "Medication.ingredient.strength.numerator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "Medication.ingredient.strength.numerator.code", "path" : "Medication.ingredient.strength.numerator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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.", "requirements" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "Medication.ingredient.strength.denominator", "path" : "Medication.ingredient.strength.denominator", "short" : "Denominator value", "definition" : "Hier wird die Anzahl bzw. Menge der Bezugsgröße angegeben, in der die genannte Menge enthalten ist.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.denominator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Range" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : ".denominator" } ] }, { "id" : "Medication.ingredient.strength.denominator.id", "path" : "Medication.ingredient.strength.denominator.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.ingredient.strength.denominator.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.ingredient.strength.denominator.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.ingredient.strength.denominator.value", "path" : "Medication.ingredient.strength.denominator.value", "short" : "Numerical value (with implicit precision)", "definition" : "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).", "comment" : "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).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "Medication.ingredient.strength.denominator.comparator", "path" : "Medication.ingredient.strength.denominator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "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", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "Medication.ingredient.strength.denominator.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Medication.ingredient.strength.denominator.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "Medication.ingredient.strength.denominator.system", "path" : "Medication.ingredient.strength.denominator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "Medication.ingredient.strength.denominator.code", "path" : "Medication.ingredient.strength.denominator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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.", "requirements" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "Medication.batch", "path" : "Medication.batch", "short" : "Details about packaged medications", "definition" : "Information that only applies to packages (not products).", "min" : 0, "max" : "1", "base" : { "path" : "Medication.batch", "min" : 0, "max" : "1" }, "type" : [ { "code" : "BackboneElement" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "rim", "map" : ".player[classCode=CONT]" } ] }, { "id" : "Medication.batch.id", "path" : "Medication.batch.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Medication.batch.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "Medication.batch.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.batch.modifierExtension", "path" : "Medication.batch.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Medication.batch.lotNumber", "path" : "Medication.batch.lotNumber", "short" : "Identifier assigned to batch", "definition" : "The assigned lot number of a batch of the specified product.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "min" : 0, "max" : "1", "base" : { "path" : "Medication.batch.lotNumber", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "v2", "map" : "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number" }, { "identity" : "rim", "map" : ".id" } ] }, { "id" : "Medication.batch.expirationDate", "path" : "Medication.batch.expirationDate", "short" : "When batch will expire", "definition" : "When this specific batch of product will expire.", "min" : 0, "max" : "1", "base" : { "path" : "Medication.batch.expirationDate", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "v2", "map" : "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date" }, { "identity" : "rim", "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime" } ] } ] }, "differential" : { "element" : [ { "id" : "Medication", "path" : "Medication", "short" : "Arzneimittel", "definition" : "Diese Ressource bietet die Möglichkeit Informationen zu einem Arzneimittel, das nur durch eine PZN definiert ist, zu dokumentieren" }, { "id" : "Medication.id", "path" : "Medication.id", "min" : 1, "mustSupport" : true }, { "id" : "Medication.meta", "path" : "Medication.meta", "min" : 1, "mustSupport" : true }, { "id" : "Medication.meta.versionId", "path" : "Medication.meta.versionId", "max" : "0" }, { "id" : "Medication.meta.lastUpdated", "path" : "Medication.meta.lastUpdated", "max" : "0" }, { "id" : "Medication.meta.source", "path" : "Medication.meta.source", "max" : "0" }, { "id" : "Medication.meta.profile", "path" : "Medication.meta.profile", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "$this" } ], "rules" : "open" }, "min" : 1, "mustSupport" : true }, { "id" : "Medication.meta.profile:mioProfile", "path" : "Medication.meta.profile", "sliceName" : "mioProfile", "min" : 1, "max" : "1", "fixedCanonical" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung", "mustSupport" : true }, { "id" : "Medication.text", "path" : "Medication.text", "max" : "0" }, { "id" : "Medication.extension", "path" : "Medication.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "closed" }, "min" : 1, "mustSupport" : true }, { "id" : "Medication.extension:Kategorie", "path" : "Medication.extension", "sliceName" : "Kategorie", "min" : 1, "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]", "path" : "Medication.extension.value[x]", "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept", "path" : "Medication.extension.value[x]", "sliceName" : "valueCodeableConcept", "type" : [ { "code" : "CodeableConcept" } ], "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding", "path" : "Medication.extension.value[x].coding", "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.system", "path" : "Medication.extension.value[x].coding.system", "fixedUri" : "http://snomed.info/sct", "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.version", "path" : "Medication.extension.value[x].coding.version", "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.code", "path" : "Medication.extension.value[x].coding.code", "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.display", "path" : "Medication.extension.value[x].coding.display", "mustSupport" : true }, { "id" : "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.userSelected", "path" : "Medication.extension.value[x].coding.userSelected", "max" : "0" }, { "id" : "Medication.extension:Normgroesse", "path" : "Medication.extension", "sliceName" : "Normgroesse", "definition" : "Beschreibung der therapiegerechten Packungsgröße (z. B. N1)", "mustSupport" : true }, { "id" : "Medication.extension:Normgroesse.value[x]", "path" : "Medication.extension.value[x]", "slicing" : { "discriminator" : [ { "type" : "type", "path" : "$this" } ], "rules" : "closed" }, "min" : 1, "mustSupport" : true }, { "id" : "Medication.extension:Normgroesse.value[x]:valueCode", "path" : "Medication.extension.value[x]", "sliceName" : "valueCode", "min" : 1, "max" : "1", "type" : [ { "code" : "code" } ], "mustSupport" : true }, { "id" : "Medication.identifier", "path" : "Medication.identifier", "max" : "0" }, { "id" : "Medication.code", "path" : "Medication.code", "mustSupport" : true }, { "id" : "Medication.code.coding", "path" : "Medication.code.coding", "mustSupport" : true }, { "id" : "Medication.code.coding:pzn", "path" : "Medication.code.coding", "sliceName" : "pzn", "short" : "ID des Produktes (PZN)", "definition" : "Pharmazentralnummer (PZN), die von der Informationsstelle für Arzneispezialitäten (IFA) produktbezogen verwendet wird und für die gesetzlichen Krankenkassen gemäß Vereinbarung nach ( src )

131 Abs. 4 SGB V"/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need to refer to a particular code in the system."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Medication.form.coding:kbvDarreichungsform.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.form.coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Medication.form.coding:kbvDarreichungsform.userSelected"> <path value="Medication.form.coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="0"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="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 ]"/> </mapping> </element> <element id="Medication.form.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.form.text"/> <short value="Plain text representation of the concept"/> <definition value="Hier wird ein Freitext eingetragen."/> <comment value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Medication.amount"> <path value="Medication.amount"/> <short value="Amount of drug in package"/> <definition value="Hier wird die Packungsgröße/Gesamtmenge der Packung angegeben."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.amount"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="rat-1"/> <severity value="error"/> <human value="Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present"/> <expression value="(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())"/> <xpath value="(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))"/> <source value="http://hl7.org/fhir/StructureDefinition/Dosage"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="RTO"/> </mapping> <mapping> <identity value="rim"/> <map value=".quantity"/> </mapping> </element> <element id="Medication.amount.id"> <path value="Medication.amount.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.amount.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.amount.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.amount.numerator"> <path value="Medication.amount.numerator"/> <short value="Numerator value"/> <definition value="Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels und die Einheit angegeben, in der die genannte Menge enthalten ist."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.numerator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Range"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value=".numerator"/> </mapping> </element> <element id="Medication.amount.numerator.id"> <path value="Medication.amount.numerator.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.amount.numerator.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.amount.numerator.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.amount.numerator.value"> <path value="Medication.amount.numerator.value"/> <short value="Numerical value (with implicit precision)"/> <definition value="Hier wird die Anzahl bzw. Menge des in einer Packung enthaltenen Arzneimittels als Zahl angegeben."/> <comment value="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)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="Medication.amount.numerator.comparator"> <path value="Medication.amount.numerator.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition 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."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason 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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="Medication.amount.numerator.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.amount.numerator.unit"/> <short value="Einheit"/> <definition value="Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="Medication.amount.numerator.system"> <path value="Medication.amount.numerator.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="Medication.amount.numerator.code"> <path value="Medication.amount.numerator.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="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."/> <requirements value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="Medication.amount.denominator"> <path value="Medication.amount.denominator"/> <short value="Denominator value"/> <definition value="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)"/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.denominator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Range"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value=".denominator"/> </mapping> </element> <element id="Medication.amount.denominator.id"> <path value="Medication.amount.denominator.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.amount.denominator.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.amount.denominator.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.amount.denominator.value"> <path value="Medication.amount.denominator.value"/> <short value="Numerical value (with implicit precision)"/> <definition value="Hier wird die Anzahl bzw. Menge der Bezugsgröße als Zahl angegeben."/> <comment value="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)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="Medication.amount.denominator.comparator"> <path value="Medication.amount.denominator.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition 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."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason 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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="Medication.amount.denominator.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.amount.denominator.unit"/> <short value="Unit representation"/> <definition value="Hier wird die Einheit angegeben, in der die genannte Anzahl bzw. Menge der Bezugsgröße enthalten ist."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="Medication.amount.denominator.system"> <path value="Medication.amount.denominator.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="Medication.amount.denominator.code"> <path value="Medication.amount.denominator.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="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."/> <requirements value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="Medication.ingredient"> <path value="Medication.ingredient"/> <short value="Wirkstoffe des Produkts"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="Medication.ingredient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value=".scopesRole[typeCode=INGR]"/> </mapping> </element> <element id="Medication.ingredient.id"> <path value="Medication.ingredient.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.modifierExtension"> <path value="Medication.ingredient.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.item[x]"> <path value="Medication.ingredient.item[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <ordered value="false"/> <rules value="closed"/> </slicing> <short value="The actual ingredient or content"/> <definition value="Hier werden Bestandteile, die Wirkstoffe oder keine Wirkstoffe sind, erfasst."/> <requirements value="The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)."/> <min value="1"/> <max value="1"/> <base> <path value="Medication.ingredient.item[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="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"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept"> <path value="Medication.ingredient.item[x]"/> <sliceName value="itemCodeableConcept"/> <short value="The actual ingredient or content"/> <definition value="In diesem Element werden Angaben zum Bestandteil gemacht. Diese werden als codierte Information und/oder als Freitext angegeben."/> <requirements value="The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.item[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="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"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.id"> <path value="Medication.ingredient.item[x].id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.item[x].extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding"> <path value="Medication.ingredient.item[x].coding"/> <slicing> <discriminator> <type value="value"/> <path value="$this"/> </discriminator> <rules value="closed"/> </slicing> <short value="Code defined by a terminology system"/> <definition value="Hier wird ein Code aus einem geeigneten Codesystem angegeben."/> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="0"/> <max value="*"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask"> <path value="Medication.ingredient.item[x].coding"/> <sliceName value="ask"/> <short value="A reference to a code defined by a terminology system"/> <definition value="Hier wird ein ASK-Code angegeben."/> <comment value="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."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="http://fhir.de/StructureDefinition/CodingASK"/> </type> <patternCoding> <system value="http://fhir.de/CodeSystem/ask"/> </patternCoding> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.id"> <path value="Medication.ingredient.item[x].coding.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.item[x].coding.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system"> <path value="Medication.ingredient.item[x].coding.system"/> <short value="Canonische CodeSystem URL für ASK"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.de/CodeSystem/ask"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.version"> <path value="Medication.ingredient.item[x].coding.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="0"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code"> <path value="Medication.ingredient.item[x].coding.code"/> <short value="Der ASK-Code"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need to refer to a particular code in the system."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.ingredient.item[x].coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.userSelected"> <path value="Medication.ingredient.item[x].coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="0"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="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 ]"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed"> <path value="Medication.ingredient.item[x].coding"/> <sliceName value="snomed"/> <short value="Code defined by a terminology system"/> <definition value="Hier wird ein SNOMED CT®-Code angegeben."/> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <patternCoding> <system value="http://snomed.info/sct"/> </patternCoding> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.id"> <path value="Medication.ingredient.item[x].coding.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.item[x].coding.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.system"> <path value="Medication.ingredient.item[x].coding.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.version"> <path value="Medication.ingredient.item[x].coding.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="0"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.code"> <path value="Medication.ingredient.item[x].coding.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need to refer to a particular code in the system."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.ingredient.item[x].coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.userSelected"> <path value="Medication.ingredient.item[x].coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="0"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="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 ]"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.ingredient.item[x].text"/> <short value="Wirkstoffname"/> <definition value="Hier wird der Bestandteil als Freitext angegeben."/> <comment value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/> <min value="1"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemReference"> <path value="Medication.ingredient.item[x]"/> <sliceName value="itemReference"/> <short value="The actual ingredient or content"/> <definition value="Hier wird ein anderes Arzneimittel als Bestandteil des aktuell betrachteten Arzneimittels angegeben, z. B. bei Vorliegen einer sogenannten 'Kombipackung'."/> <requirements value="The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.item[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="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"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Medication.ingredient.isActive"> <path value="Medication.ingredient.isActive"/> <short value="Active ingredient indicator"/> <definition value="Indication of whether this ingredient affects the therapeutic action of the drug."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.isActive"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="NA"/> </mapping> </element> <element id="Medication.ingredient.strength"> <path value="Medication.ingredient.strength"/> <short value="Quantity of ingredient present"/> <definition value="Hier wird angegeben, in welcher Menge der genannte Bestandteil im Arzneimittel vorhanden ist."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Medication.ingredient.strength"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="rat-1"/> <severity value="error"/> <human value="Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present"/> <expression value="(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())"/> <xpath value="(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))"/> <source value="http://hl7.org/fhir/StructureDefinition/Dosage"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="RTO"/> </mapping> <mapping> <identity value="script10.6"/> <map value="//element(*,DrugCodedType)/Strength"/> </mapping> <mapping> <identity value="v2"/> <map value="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"/> </mapping> <mapping> <identity value="rim"/> <map value=".quantity"/> </mapping> </element> <element id="Medication.ingredient.strength.id"> <path value="Medication.ingredient.strength.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.strength.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.strength.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator"> <path value="Medication.ingredient.strength.numerator"/> <short value="Numerator value"/> <definition value="Hier wird die Anzahl bzw. Menge des enthaltenen Bestandteils angegeben. Dieser besteht aus einem Wert und einer Einheit."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.numerator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Range"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value=".numerator"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.id"> <path value="Medication.ingredient.strength.numerator.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.strength.numerator.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.value"> <path value="Medication.ingredient.strength.numerator.value"/> <short value="Wirkstärke"/> <definition value="Angabe der Wirkstärke erfolgt durch Wirkstoffmenge / Bezugsgrößenmenge"/> <comment value="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)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.comparator"> <path value="Medication.ingredient.strength.numerator.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition 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."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason 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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.ingredient.strength.numerator.unit"/> <short value="Wirkstärkeneinheit"/> <definition value="Einheit der Wirkstärke (bspw. mg/ml)"/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.system"> <path value="Medication.ingredient.strength.numerator.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="Medication.ingredient.strength.numerator.code"> <path value="Medication.ingredient.strength.numerator.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="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."/> <requirements value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator"> <path value="Medication.ingredient.strength.denominator"/> <short value="Denominator value"/> <definition value="Hier wird die Anzahl bzw. Menge der Bezugsgröße angegeben, in der die genannte Menge enthalten ist."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.denominator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Range"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value=".denominator"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.id"> <path value="Medication.ingredient.strength.denominator.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.ingredient.strength.denominator.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.value"> <path value="Medication.ingredient.strength.denominator.value"/> <short value="Numerical value (with implicit precision)"/> <definition value="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)."/> <comment value="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)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.comparator"> <path value="Medication.ingredient.strength.denominator.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition 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."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason 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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Medication.ingredient.strength.denominator.unit"/> <short value="Unit representation"/> <definition value="A human-readable form of the unit."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="0"/> <max value="1"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.system"> <path value="Medication.ingredient.strength.denominator.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator.code"> <path value="Medication.ingredient.strength.denominator.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="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."/> <requirements value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="Medication.batch"> <path value="Medication.batch"/> <short value="Details about packaged medications"/> <definition value="Information that only applies to packages (not products)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.batch"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="rim"/> <map value=".player[classCode=CONT]"/> </mapping> </element> <element id="Medication.batch.id"> <path value="Medication.batch.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.batch.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Medication.batch.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.batch.modifierExtension"> <path value="Medication.batch.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.batch.lotNumber"> <path value="Medication.batch.lotNumber"/> <short value="Identifier assigned to batch"/> <definition value="The assigned lot number of a batch of the specified product."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <min value="0"/> <max value="1"/> <base> <path value="Medication.batch.lotNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Medication.batch.expirationDate"> <path value="Medication.batch.expirationDate"/> <short value="When batch will expire"/> <definition value="When this specific batch of product will expire."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.batch.expirationDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> </mapping> </element> </snapshot> <differential> <element id="Medication"> <path value="Medication"/> <short value="Arzneimittel"/> <definition value="Diese Ressource bietet die Möglichkeit Informationen zu einem Arzneimittel, das nur durch eine PZN definiert ist, zu dokumentieren"/> </element> <element id="Medication.id"> <path value="Medication.id"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.meta"> <path value="Medication.meta"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.meta.versionId"> <path value="Medication.meta.versionId"/> <max value="0"/> </element> <element id="Medication.meta.lastUpdated"> <path value="Medication.meta.lastUpdated"/> <max value="0"/> </element> <element id="Medication.meta.source"> <path value="Medication.meta.source"/> <max value="0"/> </element> <element id="Medication.meta.profile"> <path value="Medication.meta.profile"/> <slicing> <discriminator> <type value="value"/> <path value="$this"/> </discriminator> <rules value="open"/> </slicing> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.meta.profile:mioProfile"> <path value="Medication.meta.profile"/> <sliceName value="mioProfile"/> <min value="1"/> <max value="1"/> <fixedCanonical value="https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Medication|1.0.0-kommentierung"/> <mustSupport value="true"/> </element> <element id="Medication.text"> <path value="Medication.text"/> <max value="0"/> </element> <element id="Medication.extension"> <path value="Medication.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="closed"/> </slicing> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie"> <path value="Medication.extension"/> <sliceName value="Kategorie"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]"> <path value="Medication.extension.value[x]"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept"> <path value="Medication.extension.value[x]"/> <sliceName value="valueCodeableConcept"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding"> <path value="Medication.extension.value[x].coding"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.system"> <path value="Medication.extension.value[x].coding.system"/> <fixedUri value="http://snomed.info/sct"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.version"> <path value="Medication.extension.value[x].coding.version"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.code"> <path value="Medication.extension.value[x].coding.code"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.display"> <path value="Medication.extension.value[x].coding.display"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.userSelected"> <path value="Medication.extension.value[x].coding.userSelected"/> <max value="0"/> </element> <element id="Medication.extension:Normgroesse"> <path value="Medication.extension"/> <sliceName value="Normgroesse"/> <definition value="Beschreibung der therapiegerechten Packungsgröße (z. B. N1)"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Normgroesse.value[x]"> <path value="Medication.extension.value[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <rules value="closed"/> </slicing> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.extension:Normgroesse.value[x]:valueCode"> <path value="Medication.extension.value[x]"/> <sliceName value="valueCode"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mustSupport value="true"/> </element> <element id="Medication.identifier"> <path value="Medication.identifier"/> <max value="0"/> </element> <element id="Medication.code"> <path value="Medication.code"/> <mustSupport value="true"/> </element> <element id="Medication.code.coding"> <path value="Medication.code.coding"/> <mustSupport value="true"/> </element> <element id="Medication.code.coding:pzn"> <path value="Medication.code.coding"/> <sliceName value="pzn"/> <short value="ID des Produktes (PZN)"/> <definition value="Pharmazentralnummer (PZN), die von der Informationsstelle für Arzneispezialitäten (IFA) produktbezogen verwendet wird und für die gesetzlichen Krankenkassen gemäß Vereinbarung nach ( src )

ARBEITSPAKET-2 / Diagnose / Körperstelle - Code/Bezeichnung / Code-Auswahl / SNOMED CT®-Code ( src )

ARBEITSPAKET-2 / Vitalzeichen und Körpermaße / Blutdruck / Körperstelle - Code/Bezeichnung / Code-Auswahl / SNOMED CT®-Code ( src )

ARBEITSPAKET-2 / Vitalzeichen und Körpermaße / Blutdruck / Methode - Code/Bezeichnung / Code-Auswahl / SNOMED CT®-Code ( src )

Als Reaktion darauf spezifizierte die KBV eine moderne, FHIR®-basierte Archiv- und Wechselschnittstelle (AWS). Diese sollte mit Version 1.2.0 eine einheitliche, dateibasierte Austauschmöglichkeit bieten und dabei auf FHIR®-Ressourcen im XML-Format setzen. Ziel war es, BDT langfristig durch einen international anerkannten, standardisierten Ansatz zu ersetzen und gleichzeitig eine zukunftssichere Interoperabilitätsgrundlage zu schaffen. In der praktischen Umsetzung zeigte sich jedoch, dass die Spezifikation außerhalb einzelner Pilotprojekte kaum genutzt wurde. Die Implementierung der AWS erfolgte nur im einem Umfang, der die Use Cases eines PVS-Wechsels in der Praxis nicht zu genüge abdeckte. Gründe dafür waren insbesondere die erheblichen Performance-Probleme: FHIR-Ressourcen im XML-Format führten zu sehr großen Datenvolumina, was in der Praxis zu langen Export- und Importprozessen und technischen Schwierigkeiten bei umfangreichen Patientenhistorien führte. Die Spezifikation der AWS in Version 1.3.0 wurde schließlich eingestellt. ( src )

Angabe eines spezifischen LOINC®-Codes zur Bestimmung des genauen Vitalzeichens/Körpermaßes. ( src )

Angabe eines spezifischen SNOMED CT®-Codes zur Bestimmung des genauen Vitalzeichens/Körpermaßes. ( src )

Angabe eines spezifischen SNOMED CT®-Codes zur Methode der Messung des Glukosespiegels. ( src )

Bedarfsmedikation Bedingung SNOMED CT® ( src )

Blutzucker LOINC® ( src )

Copyright/Legal: 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. ( src )

Copyright/Legal: 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. ( src )

Copyright/Legal: Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED 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. ( src )

Darreichungsform SNOMED CT® ( src )

Diagnose SNOMED CT® ( src )

Glukosespiegel Methode SNOMED CT® ( src )

Glukosespiegel SNOMED CT® ( src )

Head Circumference BodySite SNOMED CT® ( src )

Hier sollte zusätzlich zum Code auch das Codesystem, die Version des Codesystems und der Anzeigename (Display Name) angegeben werden. Aus technischen Gründen kann dieses Element nicht direkt in FHIR® abgebildet werden. Bei einer Ableitung von diesem Profil können aber beliebige weitere Codesysteme hinzugefügt werden (offenes Slicing). ( src )

Hier wird ein Code aus dem Code-System SNOMED CT® eingetragen. Die Bedingung zum Auslösen einer Bedarfsmedikation ist ein breites Feld, welches das gesamte Spektrum der Medizin umfassen kann und ist deshalb in FHIR® als Example-binding von SNOMED CT®-Konzepten in den Subklassen der SCTID 404684003 vorgesehen, siehe http://hl7.org/fhir/ValueSet/medication-as-needed-reason. ( src )

Hier wird ein Code aus dem Code-System SNOMED CT® eingetragen. Ein Beispiel-ValueSet wird zur Verfügung gestellt. ( src )

Hier wird ein SNOMED CT®-Code angegeben. ( src )

In diesem Element wird der Code für das Körpergewicht als LOINC®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für das Körpergewicht als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für den Glukosespiegel als LOINC®-Code aus der vorgegebenen Werteliste angegeben. ( src )

In diesem Element wird der Code für den Glukosespiegel als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben. ( src )

In diesem Element wird der Code für den Kopfumfang als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für die Diagnose als SNOMED CT®-Code Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für die Herzfrequenz als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für die Körpergröße als LOINC®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für die Körpergröße als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für die Körperstelle als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird der Code für die Körpertemperatur als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein Zusatzcode für das Körpergewicht als LOINC®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein Zusatzcode für die Körpergröße als LOINC®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für den Blutdruck als SNOMED CT®-Code angegeben. ( src )

In diesem Element wird ein spezifischer Code für den Blutdruck als LOINC®-Code angegeben. ( src )

In diesem Element wird ein spezifischer Code für den Kopfumfang als LOINC®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für den diastolischen Blutdruck als LOINC®-Code angegeben. ( src )

In diesem Element wird ein spezifischer Code für den diastolischen Blutdruck als SNOMED CT®-Code angegeben. ( src )

In diesem Element wird ein spezifischer Code für die Herzfrequenz als LOINC®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die Körpertemperatur als LOINC®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die Methode der Messung als SNOMED CT®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die Sauerstoff-Flussrate als SNOMED CT®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die Sauerstoff-Konzentration als LOINC®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die Sauerstoff-Konzentration als SNOMED CT®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die periphere arterielle Sauerstoffsättigung als LOINC®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Code für die periphere arterielle Sauerstoffsättigung als SNOMED CT®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems. ( src )

In diesem Element wird ein spezifischer Zusatzcode für die periphere arterielle Sauerstoffsättigung mittels Pulsoximeter als LOINC®-Code angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Codesystems. ( src )

Körpergewicht Methode Datenerhebung SNOMED CT® ( src )

Medikation Therapie Statuscodes SNOMED CT® ( src )

Metoprolol-ratiopharm® 100 mg Tabletten ( src )

Required (R) = es soll (mindestens) ein gültiger Wert im Element vorliegen ( src )

Verabreichungsweg SNOMED CT® ( src )

gibt an, an welcher Stelle in der technischen FHIR®-Spezifikation das Element umgesetzt ist ( src )

HL7®-Fachabteilungsschlüssel ( src )

HL7®-Fachabteilungsschlüssel erweitert ( src )

LOINC®-Code ( src )

SNOMED CT®-Code ( src )

LOINC®-Code ( src )

LOINC®-Zusatzcode ( src )

SNOMED CT-Code® ( src )

SNOMED CT®-Code ( src )

LOINC®-Code ( src )

SNOMED CT®-Code ( src )

LOINC®-Code ( src )

SNOMED CT®-Code ( src )

External References

Type	Reference	Content
web	fhir.kbv.de	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required )
web	fhir.kbv.de	Betriebsstätten-Hierarchie (Haupt/Nebenbetriebsstätte) URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Betriebsstaette_Hierarchie Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required )
web	mio42-gmbh.github.io	Die Co-Creation findet im Rahmen der Discovery- und Testphase in Form von Workshops zur Erarbeitung und Evaluation der Konzepte für die Wechselschnittstelle, Statusberichten und Befragungen statt. In gemeinsamen Terminen werden Entwicklungsarbeiten und Arbeitspakete seitens mio42 vorgestellt und inhaltliche Fragen seitens der Industrie geklärt. Im Projektverlauf ist eine Testphase mit iterativen Entwicklungsschleifen eingeplant, um regelmäßig Feedback zu den aktuellen Projektständen bei den Teilnehmenden einzuholen und kurzfristig Anpassungen an der Konzeptionierung vornehmen zu können. So bleibt die Entwicklung zunächst flexibel und notwendige Änderungen können auch kurzfristig implementiert werden. Außerdem wird Raum für eine inhaltliche Diskussion gegeben, indem die Arbeitsstände der ersten beiden Arbeitspakete in Form von Informationsmodellen , sowie als FHIR Ressourcen bei simplifier , zur Verfügung gestellt werden, sodass sie durch die teilnehmenden Stakeholder kommentiert werden können. Dadurch kann gemeinsam frühzeitig der notwendige Anpassungs- und Optimierungsbedarf identifiziert werden, den die mio42 und die gematik umsetzen.
web	mio42-gmbh.github.io	Die Arbeit erfolgt in Arbeitspaketen, dabei werden im Rahmen der Pilotphase zunächst zwei Arbeitspakete erstellt, die als Grundlage für Kommentierung durch und Testimplementierung mit der Industrie dienen. Diese beiden Arbeitspakete stehen bereits zur Verfügung und können in unserem Implementation Guide eingesehen werden.
web	mio.kbv.de	IG © 2025+ mio42 GmbH . Paket kbv.mio.west#1.0.0-kommentierung basierend auf FHIR 4.0.1 . Generiert 2026-07-22 Links: Table of Contents \| QA Report
web	fhir.kbv.de	Der Link https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Patient_VSDM_Gender führt nicht zum ValueSet.
web	fhir.de	Auf Simplifier ist der FixedValue “ http://fhir.de/sid/asv/teamnummer ” im Element identifier.system definiert. Da nicht jeder Arzt im ASV-Kontext arbeitet, ergibt diese Angabe keinen Sinn.
web	unitsofmeasure.org	Wie bei “KBV_PR_WEST_Observation_Abdominal_Circumference” sollte eine feste Einheit vorgegeben werden. So ist ein späterer Import gewährleistet, da nicht für alle möglichen Einheiten ein Konverter geschrieben werden muss. { “unit”: “centimeter”, “system”: “ http://unitsofmeasure.org ”, “code”: “cm” }
web	fhir.kbv.de	https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Begegnung_Spezielle_Begegnungsinformationen Es könnte besser beschrieben werden, um welche Inhalte es sich handelt. Dies wäre ein zusätzliches Profil. Für eine Verprobung sollte ein vollständiges Paket aller notwendigen Profile und Codesysteme zusammengestellt werden.
web	update.kbv.de	Es handelt sich hier um einen technischen Workaround, der es im Vorgängerprojekt AWS erlaubt hat, in Ausnahmefällen Dummy-Begegnungen zu erstellen, siehe https://update.kbv.de/ita-update/371-Schnittstellen/PVS-Archivierungs-Wechsel-Schnittstelle/KBV_ITA_VGEX_Anforderungskatalog_AW_SST.pd f Die Beschreibung wurde wie unten zu lesen angepasst. Außerdem werden wir bei Vollständigkeit des Informationsmodells prüfen, ob das Element in der WeST den gleichen Stellenwert hat wie in der AWS oder ob es entfernt werden kann. Angepasste Beschreibung: Zusatzinformationen zur Begegnung, die nicht durch die regulären Encounter-Elemente oder durch andere fachliche Profile abgebildet werden. Sie dient der Erhaltung encounter-bezogener Kontextinformationen, insbesondere, wenn ein Inhalt eine Begegnung referenziert werden muss, um technisch valide zu sein, aber fachlich keine Begegnung zugeordnet werden kann. In diesem Fall ist die Instanz der Begegnung eine Dummy-Begegnung sein, mit der Extension „spezielle Begegnungsinformationen“ und folgenden Inhalt: Typ = Dummy Inhalt = Dummy
web	www.ina.gematik.de	(IOP Positionspapier Gematik (INA). 2023. Analyse der Effizienz der Archiv- und Wechselschnittstelle (AWST): Positionspapier . Berlin: gematik. https://www.ina.gematik.de/fileadmin/Arbeitskreisdokumente/Ergebnisdokumente/Analyse_der_Effizienz_der_AWST/Positionspapier.pdf )
web	mio42-gmbh.github.io	Das Informationsmodell der einzelnen Arbeitspakete wird als Implementation Guide (IG) zur Verfügung gestellt: https://mio42-gmbh.github.io/WEST-IG/site/infomodell.html
web	fhir.kbv.de	The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie` )
web	fhir.kbv.de	The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie` )
web	fhir.kbv.de	The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie` )
web	fhir.kbv.de	https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie
web	ihe-d.de	The codes SHALL be taken from For codes, see http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode ( required to `http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode` )
web	ihe-d.de	The codes SHALL be taken from http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode ( required to `http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode` )
web	www.zi.de	(Schmied, J., Weber, C., Freire Figueira, L. R., von Stillfried, D., & Leibner, M. (2026). Praxisverwaltungssysteme (PVS) in Praxen und MVZ: Eine Befragung zur Zufriedenheit und Leistungsfähigkeit in 2025 (Zi-Paper 32/2026). Zentralinstitut für die kassenärztliche Versorgung in Deutschland. https://www.zi.de/fileadmin/Downloads/Service/Publikationen/Zi-Paper_32_FINAL.pdf )
web	mio42-gmbh.github.io	In unserem Implementation Guide veröffentlichen wir regelmäßig Updates zu unserem Datenmodell: https://mio42-gmbh.github.io/WEST-IG/site/infomodell.html

Type

Reference

Content

web

fhir.kbv.de

Value of extension
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required )

web

fhir.kbv.de

Betriebsstätten-Hierarchie (Haupt/Nebenbetriebsstätte)
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Betriebsstaette_Hierarchie
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie ( required )

web

mio42-gmbh.github.io

Die Co-Creation findet im Rahmen der Discovery- und Testphase in Form von Workshops zur Erarbeitung und Evaluation der Konzepte für die Wechselschnittstelle, Statusberichten und Befragungen statt. In gemeinsamen Terminen werden Entwicklungsarbeiten und Arbeitspakete seitens mio42 vorgestellt und inhaltliche Fragen seitens der Industrie geklärt. Im Projektverlauf ist eine Testphase mit iterativen Entwicklungsschleifen eingeplant, um regelmäßig Feedback zu den aktuellen Projektständen bei den Teilnehmenden einzuholen und kurzfristig Anpassungen an der Konzeptionierung vornehmen zu können. So bleibt die Entwicklung zunächst flexibel und notwendige Änderungen können auch kurzfristig implementiert werden. Außerdem wird Raum für eine inhaltliche Diskussion gegeben, indem die Arbeitsstände der ersten beiden Arbeitspakete in Form von Informationsmodellen , sowie als FHIR Ressourcen bei simplifier , zur Verfügung gestellt werden, sodass sie durch die teilnehmenden Stakeholder kommentiert werden können. Dadurch kann gemeinsam frühzeitig der notwendige Anpassungs- und Optimierungsbedarf identifiziert werden, den die mio42 und die gematik umsetzen.

web

mio42-gmbh.github.io

Die Arbeit erfolgt in Arbeitspaketen, dabei werden im Rahmen der Pilotphase zunächst zwei Arbeitspakete erstellt, die als Grundlage für Kommentierung durch und Testimplementierung mit der Industrie dienen. Diese beiden Arbeitspakete stehen bereits zur Verfügung und können in unserem Implementation Guide eingesehen werden.

web

mio.kbv.de

IG © 2025+ mio42 GmbH . Paket kbv.mio.west#1.0.0-kommentierung basierend auf FHIR 4.0.1 . Generiert 2026-07-22
Links: Table of Contents | QA Report

web

fhir.kbv.de

Der Link https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Patient_VSDM_Gender
führt nicht zum ValueSet.

web

fhir.de

Auf Simplifier ist der FixedValue “ http://fhir.de/sid/asv/teamnummer
” im Element identifier.system
definiert. Da nicht jeder Arzt im ASV-Kontext arbeitet, ergibt diese Angabe keinen Sinn.

web

unitsofmeasure.org

Wie bei “KBV_PR_WEST_Observation_Abdominal_Circumference” sollte eine feste Einheit vorgegeben werden. So ist ein späterer Import gewährleistet, da nicht für alle möglichen Einheiten ein Konverter geschrieben werden muss. { “unit”: “centimeter”, “system”: “ http://unitsofmeasure.org
”, “code”: “cm” }

web

fhir.kbv.de

https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Begegnung_Spezielle_Begegnungsinformationen
Es könnte besser beschrieben werden, um welche Inhalte es sich handelt. Dies wäre ein zusätzliches Profil. Für eine Verprobung sollte ein vollständiges Paket aller notwendigen Profile und Codesysteme zusammengestellt werden.

web

update.kbv.de

Es handelt sich hier um einen technischen Workaround, der es im Vorgängerprojekt AWS erlaubt hat, in Ausnahmefällen Dummy-Begegnungen zu erstellen, siehe https://update.kbv.de/ita-update/371-Schnittstellen/PVS-Archivierungs-Wechsel-Schnittstelle/KBV_ITA_VGEX_Anforderungskatalog_AW_SST.pd f
Die Beschreibung wurde wie unten zu lesen angepasst. Außerdem werden wir bei Vollständigkeit des Informationsmodells prüfen, ob das Element in der WeST den gleichen Stellenwert hat wie in der AWS oder ob es entfernt werden kann.
Angepasste Beschreibung:
Zusatzinformationen zur Begegnung, die nicht durch die regulären Encounter-Elemente oder durch andere fachliche Profile abgebildet werden. Sie dient der Erhaltung encounter-bezogener Kontextinformationen, insbesondere, wenn ein Inhalt eine Begegnung referenziert werden muss, um technisch valide zu sein, aber fachlich keine Begegnung zugeordnet werden kann. In diesem Fall ist die Instanz der Begegnung eine Dummy-Begegnung sein, mit der Extension „spezielle Begegnungsinformationen“ und folgenden Inhalt: Typ = Dummy Inhalt = Dummy

web

www.ina.gematik.de

(IOP Positionspapier Gematik (INA). 2023. Analyse der Effizienz der Archiv- und Wechselschnittstelle (AWST): Positionspapier . Berlin: gematik. https://www.ina.gematik.de/fileadmin/Arbeitskreisdokumente/Ergebnisdokumente/Analyse_der_Effizienz_der_AWST/Positionspapier.pdf )

web

mio42-gmbh.github.io

Das Informationsmodell der einzelnen Arbeitspakete wird als Implementation Guide (IG) zur Verfügung gestellt: https://mio42-gmbh.github.io/WEST-IG/site/infomodell.html

web

fhir.kbv.de

The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie
( required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie )

web

fhir.kbv.de

The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie
( required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie )

web

fhir.kbv.de

The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie
( required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie )

web

fhir.kbv.de

https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Betriebsstaetten_Hierarchie

web

ihe-d.de

The codes SHALL be taken from For codes, see http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode
( required to http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode )

web

ihe-d.de

The codes SHALL be taken from http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode
( required to http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode )

web

www.zi.de

(Schmied, J., Weber, C., Freire Figueira, L. R., von Stillfried, D., & Leibner, M. (2026). Praxisverwaltungssysteme (PVS) in Praxen und MVZ: Eine Befragung zur Zufriedenheit und Leistungsfähigkeit in 2025 (Zi-Paper 32/2026). Zentralinstitut für die kassenärztliche Versorgung in Deutschland. https://www.zi.de/fileadmin/Downloads/Service/Publikationen/Zi-Paper_32_FINAL.pdf )

web

mio42-gmbh.github.io

In unserem Implementation Guide veröffentlichen wir regelmäßig Updates zu unserem Datenmodell: https://mio42-gmbh.github.io/WEST-IG/site/infomodell.html

Internal Images

Arbeitsmodus_image-2025-10-14_11-19-45_version_1.png