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Source1

{
  "resourceType": "StructureDefinition",
  "id": "TipluMedicationAdministration",
  "url": "https://tiplu.de/fhir/StructureDefinition/TipluMedicationAdministration",
  "version": "2.0.4",
  "name": "TipluMedicationAdministration",
  "title": "Tiplu Medikationsverabreichung",
  "status": "active",
  "date": "2026-08-26",
  "publisher": "Tiplu GmbH",
  "contact": [
    {
      "name": "Tiplu GmbH",
      "telecom": [
        {
          "system": "email",
          "value": "fhir@tiplu.de"
        }
      ]
    }
  ],
  "description": "Dieses Profil bildet die Verabreichung von Medikamenten in FHIR ab. Es basiert auf dem '[ISiKMedikationsVerabreichung](https://simplifier.net/isik-stufe-5/isikmedikationsverabreichung)' Profil der gematik und erweitert dieses um die Meta-Daten für den Informations-Ursprung. Alle für Tiplu relevanten Felder, sind im diff hervorgehoben.",
  "copyright": "Tiplu GmbH",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationAdministration",
  "baseDefinition": "https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerabreichung",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration.meta",
        "path": "MedicationAdministration.meta",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.meta.source",
        "path": "MedicationAdministration.meta.source",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.meta.profile",
        "path": "MedicationAdministration.meta.profile",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.meta.security",
        "path": "MedicationAdministration.meta.security",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.meta.security:versiegelt",
        "path": "MedicationAdministration.meta.security",
        "sliceName": "versiegelt",
        "short": "Hier wird der Code BTG 'break the glass'als Security Label verwendet.",
        "min": 0,
        "max": "*",
        "patternCoding": {
          "code": "BTG",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "display": "break the glass"
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/security-labels"
        }
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "definition": "Der Status wird auf 'completed' gesetzt, da dieses Profil nur die Abbildung abgeschlossener Medikamentenverabreichungen vorsieht.",
        "patternCode": "completed"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.text",
        "path": "MedicationAdministration.medication[x].text",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationReference",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationReference",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.effective[x]:effectiveDateTime",
        "path": "MedicationAdministration.effective[x]",
        "sliceName": "effectiveDateTime",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage",
        "path": "MedicationAdministration.dosage",
        "comment": "[ISiKComment beachten](https://simplifier.net/isik-stufe-5/isikmedikationsverordnung) Tiplu liest Menge, Einheit und DauerInMinuten aus."
      }
    ]
  }
}