FHIR IG Statistics: StructureDefinition/GEM-ERP-PR-MedicationDispense-DiGA

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{
  "resourceType": "StructureDefinition",
  "id": "GEM-ERP-PR-MedicationDispense-DiGA",
  "url": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
  "version": "1.5.2",
  "name": "GEM_ERP_PR_MedicationDispense_DiGA",
  "title": "Dispensation of a DiGA-Prescription",
  "status": "active",
  "date": "2025-06-23",
  "description": "Handles information about the dispensed DiGA",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationDispense",
  "baseDefinition": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationDispense",
        "path": "MedicationDispense",
        "constraint": [
          {
            "key": "workflow-medicationdispense-redeemcode-1",
            "severity": "error",
            "human": "A note was not found, but is mandatory if no redeem code is provided.",
            "expression": "extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode').empty() implies note.exists()",
            "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA"
          },
          {
            "key": "workflow-medicationdispense-redeemcode-2",
            "severity": "error",
            "human": "The data absent reason was not found, but is mandatory if no redeem code is provided.",
            "expression": "extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode').empty() implies medication.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()",
            "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA"
          },
          {
            "key": "workflow-medicationdispense-redeemcode-3",
            "severity": "error",
            "human": "Name and identifier of the DiGA was not found, but is mandatory if a redeem code is provided.",
            "expression": "extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode').exists() implies (medication.display.exists() and medication.identifier.exists())",
            "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA"
          }
        ]
      },
      {
        "id": "MedicationDispense.meta",
        "path": "MedicationDispense.meta",
        "min": 1
      },
      {
        "id": "MedicationDispense.meta.profile",
        "path": "MedicationDispense.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "closed",
          "description": "Slicing for meta profile",
          "ordered": false
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.meta.profile:workflowProfile",
        "path": "MedicationDispense.meta.profile",
        "sliceName": "workflowProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA|1.5",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.extension:redeemCode",
        "path": "MedicationDispense.extension",
        "sliceName": "redeemCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_RedeemCode"
            ]
          }
        ]
      },
      {
        "id": "MedicationDispense.extension:deepLink",
        "path": "MedicationDispense.extension",
        "sliceName": "deepLink",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_DeepLink"
            ]
          }
        ]
      },
      {
        "id": "MedicationDispense.identifier",
        "path": "MedicationDispense.identifier",
        "short": "ePrescription identifier",
        "min": 1
      },
      {
        "id": "MedicationDispense.identifier:prescriptionID",
        "path": "MedicationDispense.identifier",
        "sliceName": "prescriptionID",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_PrescriptionId"
            ]
          }
        ],
        "patternIdentifier": {
          "system": "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"
        }
      },
      {
        "id": "MedicationDispense.status",
        "path": "MedicationDispense.status",
        "short": "completed",
        "fixedCode": "completed"
      },
      {
        "id": "MedicationDispense.medication[x]",
        "path": "MedicationDispense.medication[x]",
        "definition": "Information about the medication that is being dispensed. To include are name and the PZN-identifier of a DiGA prescription unit."
      },
      {
        "id": "MedicationDispense.medication[x].extension:data-absent-reason",
        "path": "MedicationDispense.medication[x].extension",
        "sliceName": "data-absent-reason",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
            ]
          }
        ]
      },
      {
        "id": "MedicationDispense.medication[x].extension:data-absent-reason.value[x]",
        "path": "MedicationDispense.medication[x].extension.value[x]",
        "patternCode": "asked-declined"
      },
      {
        "id": "MedicationDispense.medication[x].identifier",
        "path": "MedicationDispense.medication[x].identifier",
        "short": "Unique identification number for a prescription unit of a DiGA (PZN).",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.medication[x].identifier.system",
        "path": "MedicationDispense.medication[x].identifier.system",
        "min": 1,
        "fixedUri": "http://fhir.de/CodeSystem/ifa/pzn",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.medication[x].identifier.value",
        "path": "MedicationDispense.medication[x].identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.medication[x].display",
        "path": "MedicationDispense.medication[x].display",
        "short": "Name of the DiGA prescription unit.",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.performer.actor",
        "path": "MedicationDispense.performer.actor",
        "mustSupport": true
      },
      {
        "id": "MedicationDispense.performer.actor.identifier",
        "path": "MedicationDispense.performer.actor.identifier",
        "min": 1,
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-telematik-id"
            ]
          }
        ]
      },
      {
        "id": "MedicationDispense.whenHandedOver",
        "path": "MedicationDispense.whenHandedOver",
        "short": "Date of dispensation",
        "constraint": [
          {
            "key": "workflow-abgabeDatumsFormat",
            "human": "Wert muss ein Datum in der Form: YYYY-MM-DD sein.",
            "source": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense_DiGA",
            "severity": "error",
            "expression": "toString().length()=10"
          }
        ]
      },
      {
        "id": "MedicationDispense.substitution",
        "path": "MedicationDispense.substitution",
        "comment": "According to BAS the substitution for DiGAs is not allowed",
        "max": "0"
      }
    ]
  }
}