FHIR IG Statistics: StructureDefinition/epa-medication-pharmaceutical-product
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{
"resourceType": "StructureDefinition",
"id": "epa-medication-pharmaceutical-product",
"url": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-pharmaceutical-product",
"version": "1.1.0",
"name": "EPAMedicationPharmaceuticalProduct",
"title": "EPA Pharmaceutical Product Medication",
"status": "active",
"experimental": false,
"date": "2024-08-14",
"publisher": "gematik GmbH",
"description": "Defines the medication resource for a component of a 'Kombipackung' for the Medication Service in the ePA system. These profiles are intended to inherit from EPAMedication, but due to tooling issues, this inheritance cannot currently be implemented.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Medication",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Medication",
"path": "Medication",
"constraint": [
{
"key": "epa-med-1",
"severity": "error",
"human": "Medication code, name, or ingredients must be specified",
"expression": "code.exists() or ingredient.exists()",
"source": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-pharmaceutical-product"
},
{
"key": "epa-med-2",
"severity": "error",
"human": "Extemporaneous preparation medications and 'Kombipackungen' have to reference their components via .ingredient.itemReference",
"expression": "extension('https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension').value.where(code = '1208954007').exists() or form.coding.where(code = 'KPG').exists() implies ingredient.item.ofType(Reference).exists()",
"source": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-pharmaceutical-product"
},
{
"key": "epa-med-3",
"severity": "error",
"human": "Medicinal product medications (Fertigarzneimittel) are not allowed to reference other medications via .ingredient.itemReference",
"expression": "extension('https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension').value.where(code = '781405001').exists() and form.coding.where(code = 'KPG').exists().not() implies ingredient.item.ofType(Reference).exists().not()",
"source": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-pharmaceutical-product"
}
]
},
{
"id": "Medication.meta",
"path": "Medication.meta",
"mustSupport": true
},
{
"id": "Medication.meta.versionId",
"path": "Medication.meta.versionId",
"mustSupport": true
},
{
"id": "Medication.meta.lastUpdated",
"path": "Medication.meta.lastUpdated",
"mustSupport": true
},
{
"id": "Medication.contained",
"path": "Medication.contained",
"max": "0"
},
{
"id": "Medication.extension:rxPrescriptionProcessIdentifier",
"path": "Medication.extension",
"sliceName": "rxPrescriptionProcessIdentifier",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"
]
}
]
},
{
"id": "Medication.extension:epaDispensationIdentifier",
"path": "Medication.extension",
"sliceName": "epaDispensationIdentifier",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/dispensation-identifier-extension"
]
}
]
},
{
"id": "Medication.extension:isVaccine",
"path": "Medication.extension",
"sliceName": "isVaccine",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension"
]
}
]
},
{
"id": "Medication.extension:isVaccine.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:drugCategory",
"path": "Medication.extension",
"sliceName": "drugCategory",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension"
]
}
]
},
{
"id": "Medication.extension:drugCategory.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:drugCategory.value[x].system",
"path": "Medication.extension.value[x].system",
"mustSupport": true
},
{
"id": "Medication.extension:drugCategory.value[x].code",
"path": "Medication.extension.value[x].code",
"mustSupport": true
},
{
"id": "Medication.extension:normSizeCode",
"path": "Medication.extension",
"sliceName": "normSizeCode",
"short": "Package size according to N-designation",
"definition": "Description of the therapy-appropriate package size (e.g., N1)",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/normgroesse"
]
}
]
},
{
"id": "Medication.extension:normSizeCode.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:packaging",
"path": "Medication.extension",
"sliceName": "packaging",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension"
]
}
]
},
{
"id": "Medication.extension:packaging.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:manufacturingInstructions",
"path": "Medication.extension",
"sliceName": "manufacturingInstructions",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension"
]
}
]
},
{
"id": "Medication.extension:manufacturingInstructions.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:type",
"path": "Medication.extension",
"sliceName": "type",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension"
]
}
],
"mustSupport": true
},
{
"id": "Medication.extension:type.value[x]",
"path": "Medication.extension.value[x]",
"binding": {
"strength": "required",
"valueSet": "https://gematik.de/fhir/terminology/ValueSet/epa-medication-type-pharmaceutical-product-vs"
}
},
{
"id": "Medication.identifier",
"path": "Medication.identifier",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
}
},
{
"id": "Medication.identifier:EPAMedicationUniqueIdentifier",
"path": "Medication.identifier",
"sliceName": "EPAMedicationUniqueIdentifier",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-unique-identifier"
]
}
],
"patternIdentifier": {
"system": "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"
}
},
{
"id": "Medication.identifier:RxOriginatorProcessIdentifier",
"path": "Medication.identifier",
"sliceName": "RxOriginatorProcessIdentifier",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier"
]
}
],
"patternIdentifier": {
"system": "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"
}
},
{
"id": "Medication.code",
"path": "Medication.code",
"short": "Medication in coded form or as free text if necessary",
"mustSupport": true
},
{
"id": "Medication.code.coding",
"path": "Medication.code.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:pzn",
"path": "Medication.code.coding",
"sliceName": "pzn",
"min": 0,
"max": "0",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/ifa/pzn"
},
"mustSupport": true
},
{
"id": "Medication.code.coding:pzn.system",
"path": "Medication.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:pzn.version",
"path": "Medication.code.coding.version",
"mustSupport": true
},
{
"id": "Medication.code.coding:pzn.code",
"path": "Medication.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:pzn.display",
"path": "Medication.code.coding.display",
"mustSupport": true
},
{
"id": "Medication.code.coding:atc-de",
"path": "Medication.code.coding",
"sliceName": "atc-de",
"min": 0,
"max": "*",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/bfarm/atc"
},
"mustSupport": true
},
{
"id": "Medication.code.coding:atc-de.system",
"path": "Medication.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:atc-de.code",
"path": "Medication.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:atc-de.display",
"path": "Medication.code.coding.display",
"mustSupport": true
},
{
"id": "Medication.code.coding:ask",
"path": "Medication.code.coding",
"sliceName": "ask",
"min": 0,
"max": "*",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/ask"
},
"mustSupport": true
},
{
"id": "Medication.code.coding:ask.system",
"path": "Medication.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:ask.code",
"path": "Medication.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:ask.display",
"path": "Medication.code.coding.display",
"mustSupport": true
},
{
"id": "Medication.code.coding:snomed",
"path": "Medication.code.coding",
"sliceName": "snomed",
"min": 0,
"max": "*",
"patternCoding": {
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}
},
{
"id": "Medication.code.coding:snomed.system",
"path": "Medication.code.coding.system",
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"mustSupport": true
},
{
"id": "Medication.code.coding:snomed.version",
"path": "Medication.code.coding.version",
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{
"id": "Medication.code.coding:snomed.code",
"path": "Medication.code.coding.code",
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"mustSupport": true
},
{
"id": "Medication.code.coding:snomed.display",
"path": "Medication.code.coding.display",
"mustSupport": true
},
{
"id": "Medication.code.coding:product-key",
"path": "Medication.code.coding",
"sliceName": "product-key",
"min": 1,
"max": "1",
"patternCoding": {
"system": "https://terminologieserver.bfarm.de/fhir/CodeSystem/arzneimittel-referenzdaten-pharmazeutisches-produkt"
},
"mustSupport": true
},
{
"id": "Medication.code.coding:product-key.system",
"path": "Medication.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.code.coding:product-key.version",
"path": "Medication.code.coding.version",
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},
{
"id": "Medication.code.coding:product-key.code",
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},
{
"id": "Medication.code.coding:product-key.display",
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{
"id": "Medication.code.text",
"path": "Medication.code.text",
"mustSupport": true
},
{
"id": "Medication.status",
"path": "Medication.status",
"short": "Status of Medication Information",
"mustSupport": true
},
{
"id": "Medication.manufacturer",
"path": "Medication.manufacturer",
"short": "Manufacturer of the Medication",
"comment": "Here, the actual manufacturer of the medication can be named, primarily in the case of active ingredient mixtures (compounding prescriptions), such as the hospital pharmacy. It is important to note that the licensing organization, as mentioned in the PZN (Pharmaceutical Central Number) data, is not considered the manufacturer.",
"mustSupport": true
},
{
"id": "Medication.manufacturer.display",
"path": "Medication.manufacturer.display",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.form",
"path": "Medication.form",
"short": "Form of Dispensing",
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},
{
"id": "Medication.form.coding",
"path": "Medication.form.coding",
"slicing": {
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{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true
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{
"id": "Medication.form.coding:edqm",
"path": "Medication.form.coding",
"sliceName": "edqm",
"min": 0,
"max": "*",
"patternCoding": {
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},
"mustSupport": true,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
}
},
{
"id": "Medication.form.coding:edqm.system",
"path": "Medication.form.coding.system",
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},
{
"id": "Medication.form.coding:edqm.code",
"path": "Medication.form.coding.code",
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{
"id": "Medication.form.coding:edqm.display",
"path": "Medication.form.coding.display",
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{
"id": "Medication.form.coding:snomed",
"path": "Medication.form.coding",
"sliceName": "snomed",
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{
"id": "Medication.form.coding:snomed.system",
"path": "Medication.form.coding.system",
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"mustSupport": true
},
{
"id": "Medication.form.coding:snomed.version",
"path": "Medication.form.coding.version",
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},
{
"id": "Medication.form.coding:snomed.code",
"path": "Medication.form.coding.code",
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"mustSupport": true
},
{
"id": "Medication.form.coding:snomed.display",
"path": "Medication.form.coding.display",
"mustSupport": true
},
{
"id": "Medication.form.coding:kbvDarreichungsform",
"path": "Medication.form.coding",
"sliceName": "kbvDarreichungsform",
"min": 0,
"max": "*",
"patternCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM"
}
},
{
"id": "Medication.form.coding:kbvDarreichungsform.system",
"path": "Medication.form.coding.system",
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"mustSupport": true
},
{
"id": "Medication.form.coding:kbvDarreichungsform.code",
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},
{
"id": "Medication.form.coding:kbvDarreichungsform.display",
"path": "Medication.form.coding.display",
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},
{
"id": "Medication.amount",
"path": "Medication.amount",
"mustSupport": true
},
{
"id": "Medication.amount.numerator",
"path": "Medication.amount.numerator",
"mustSupport": true,
"binding": {
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}
},
{
"id": "Medication.amount.numerator.extension:packagingSize",
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"sliceName": "packagingSize",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
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]
}
]
},
{
"id": "Medication.amount.numerator.extension:packagingSize.value[x]",
"path": "Medication.amount.numerator.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.amount.numerator.extension:totalQuantity",
"path": "Medication.amount.numerator.extension",
"sliceName": "totalQuantity",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
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}
]
},
{
"id": "Medication.amount.numerator.extension:totalQuantity.value[x]",
"path": "Medication.amount.numerator.extension.value[x]",
"mustSupport": true
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{
"id": "Medication.amount.numerator.value",
"path": "Medication.amount.numerator.value",
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},
{
"id": "Medication.amount.numerator.unit",
"path": "Medication.amount.numerator.unit",
"mustSupport": true
},
{
"id": "Medication.amount.numerator.system",
"path": "Medication.amount.numerator.system",
"mustSupport": true
},
{
"id": "Medication.amount.numerator.code",
"path": "Medication.amount.numerator.code",
"mustSupport": true
},
{
"id": "Medication.amount.denominator",
"path": "Medication.amount.denominator",
"mustSupport": true,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/ucum-units"
}
},
{
"id": "Medication.amount.denominator.value",
"path": "Medication.amount.denominator.value",
"mustSupport": true
},
{
"id": "Medication.amount.denominator.unit",
"path": "Medication.amount.denominator.unit",
"mustSupport": true
},
{
"id": "Medication.amount.denominator.system",
"path": "Medication.amount.denominator.system",
"mustSupport": true
},
{
"id": "Medication.amount.denominator.code",
"path": "Medication.amount.denominator.code",
"mustSupport": true
},
{
"id": "Medication.ingredient",
"path": "Medication.ingredient",
"short": "Information on Components (Rezeptur)",
"mustSupport": true
},
{
"id": "Medication.ingredient.extension:darreichungsform",
"path": "Medication.ingredient.extension",
"sliceName": "darreichungsform",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
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]
}
]
},
{
"id": "Medication.ingredient.item[x]",
"path": "Medication.ingredient.item[x]",
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{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
},
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept",
"path": "Medication.ingredient.item[x]",
"sliceName": "itemCodeableConcept",
"short": "Component in coded form or, if necessary, as free text",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
"path": "Medication.ingredient.item[x].coding",
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{
"type": "pattern",
"path": "$this"
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],
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{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask",
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{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system",
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"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code",
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"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display",
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},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de",
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},
"mustSupport": true
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{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de.system",
"path": "Medication.ingredient.item[x].coding.system",
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{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:atc-de.code",
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{
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"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed",
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{
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},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.version",
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},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed.code",
"path": "Medication.ingredient.item[x].coding.code",
"min": 1,
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{
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}
FHIR