FHIR IG Statistics: StructureDefinition/ISiKMedikationsVerordnung
Resources that use this resource
| CapabilityStatement |
| verordnung | ISiK CapabilityStatement Medikation Server - Medikationsverordnung |
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Narrative
No narrative content found in resource
Source
{
"resourceType": "StructureDefinition",
"id": "ISiKMedikationsVerordnung",
"url": "https://gematik.de/fhir/isik/v3/Medikation/StructureDefinition/ISiKMedikationsVerordnung",
"version": "3.0.6",
"name": "ISiKMedikationsVerordnung",
"status": "active",
"experimental": false,
"date": "2025-07-29",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Abbildung von Medikationsverordnungen eines Patienten in ISiK Szenarien.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "MedicationRequest",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "MedicationRequest.status",
"path": "MedicationRequest.status",
"short": "Status der Verordnungsinformation",
"mustSupport": true
},
{
"id": "MedicationRequest.intent",
"path": "MedicationRequest.intent",
"short": "Ziel der Verordnungsinformation",
"comment": "i.d.R. 'order'",
"mustSupport": true
},
{
"id": "MedicationRequest.doNotPerform",
"path": "MedicationRequest.doNotPerform",
"max": "0"
},
{
"id": "MedicationRequest.medication[x]",
"path": "MedicationRequest.medication[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept",
"path": "MedicationRequest.medication[x]",
"sliceName": "medicationCodeableConcept",
"short": "Medikament in codierter Form oder ggf. als Freitext",
"comment": "kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding",
"path": "MedicationRequest.medication[x].coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN",
"path": "MedicationRequest.medication[x].coding",
"sliceName": "PZN",
"comment": "Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z. B. existieren für Aspirin 3 verschiedene Packungsgrößen.",
"min": 0,
"max": "*",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/ifa/pzn"
},
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN.system",
"path": "MedicationRequest.medication[x].coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN.code",
"path": "MedicationRequest.medication[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN.display",
"path": "MedicationRequest.medication[x].coding.display",
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE",
"path": "MedicationRequest.medication[x].coding",
"sliceName": "ATC-DE",
"comment": "Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere ATC-Codes existieren können, z. B. existieren für Aspirin 4 verschiedene Codes, je nachdem wofür das Medikament angewendet wird.",
"min": 0,
"max": "*",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/bfarm/atc"
},
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE.system",
"path": "MedicationRequest.medication[x].coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE.code",
"path": "MedicationRequest.medication[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE.display",
"path": "MedicationRequest.medication[x].coding.display",
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:WG14",
"path": "MedicationRequest.medication[x].coding",
"sliceName": "WG14",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/abdata/wg14"
},
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:WG14.system",
"path": "MedicationRequest.medication[x].coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:WG14.code",
"path": "MedicationRequest.medication[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.coding:WG14.display",
"path": "MedicationRequest.medication[x].coding.display",
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationCodeableConcept.text",
"path": "MedicationRequest.medication[x].text",
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationReference",
"path": "MedicationRequest.medication[x]",
"sliceName": "medicationReference",
"short": "Referenz auf das Medikament (Medication-Ressource)",
"comment": "wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Medication"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationReference.reference",
"path": "MedicationRequest.medication[x].reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.subject",
"path": "MedicationRequest.subject",
"short": "Referenz auf den Patienten",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.subject.reference",
"path": "MedicationRequest.subject.reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.encounter",
"path": "MedicationRequest.encounter",
"short": "Referenz auf den Abteilungskontakt",
"mustSupport": true
},
{
"id": "MedicationRequest.encounter.reference",
"path": "MedicationRequest.encounter.reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.authoredOn",
"path": "MedicationRequest.authoredOn",
"short": "Erstellungsdatum der Verordnung",
"mustSupport": true
},
{
"id": "MedicationRequest.requester",
"path": "MedicationRequest.requester",
"short": "Referenz auf die verordnende Person",
"mustSupport": true
},
{
"id": "MedicationRequest.requester.reference",
"path": "MedicationRequest.requester.reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.note",
"path": "MedicationRequest.note",
"mustSupport": true
},
{
"id": "MedicationRequest.note.text",
"path": "MedicationRequest.note.text",
"short": "Freitext-Notiz",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction",
"path": "MedicationRequest.dosageInstruction",
"short": "Dosierungsangaben",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.text",
"path": "MedicationRequest.dosageInstruction.text",
"short": "Freitext-Dosierungsanweisungen",
"comment": "Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden.\n\n Ein System KANN jedoch strukturierte Dosierungsinformationen in Freitext-Dosierungsinformationen umwandeln, um sie in einem Dokument oder einer Benutzeroberfläche anzuzeigen - dabei ist auf Konsistenzwahrung zu allen strukturierten Elementen zu achten.\n\n Hinweis: Diese Festlegung folgt und spezifiziert folgende MS-Festlegung aus dem [ISiK Basismodul](https://simplifier.net/guide/isik-basis-401/Einfuehrung/UebergreifendeFestlegungen/UebergreifendeFestlegungen_Must-Support-Flags.page.md?version=current): 'Systeme KÖNNEN es darüber hinaus ermöglichen, dass die jeweiligen Informationen vom Anwender ergänzt oder editiert werden.'\n\n Zum Beispiel könnte ein empfangendes System die Freitext-Dosierungsanweisungen in strukturierte Dosierungsanweisungen umwandeln, um sie in einer Medikationsverwaltung anzuzeigen oder später zu exponieren. Geht es zum Beispiel um eine Angabe zu Tageszeiten der Einnahme in der freitextlichen Dosierungsanweisung als 'Morgens, Mittags, Abends', so könnte das empfangende System diese Angabe in strukturierte Dosierungsanweisungen umwandeln, die die Einnahmezeiten in kodierter Form mit 'MORN', 'NOON', 'EVE' deklariert.",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.patientInstruction",
"path": "MedicationRequest.dosageInstruction.patientInstruction",
"short": "besondere Anweisungen für den Patienten",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing",
"path": "MedicationRequest.dosageInstruction.timing",
"short": "Angaben zum Timing",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.event",
"path": "MedicationRequest.dosageInstruction.timing.event",
"short": "fester Zeitpunkt",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat",
"path": "MedicationRequest.dosageInstruction.timing.repeat",
"short": "Wiederholungs-Angaben",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]",
"sliceName": "boundsDuration",
"short": "Begrenzung der Dauer",
"min": 0,
"max": "1",
"type": [
{
"code": "Duration"
}
],
"patternDuration": {
"system": "http://unitsofmeasure.org"
},
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x].value",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x].unit",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x].system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x].code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]",
"sliceName": "boundsPeriod",
"short": "begrenzender Zeitraum",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end",
"path": "MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.count",
"path": "MedicationRequest.dosageInstruction.timing.repeat.count",
"short": "Anzahl Wiederholungen",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.countMax",
"path": "MedicationRequest.dosageInstruction.timing.repeat.countMax",
"short": "maximale Anzahl Wiederholungen",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.duration",
"path": "MedicationRequest.dosageInstruction.timing.repeat.duration",
"short": "Dauer der Verabreichung",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.durationMax",
"path": "MedicationRequest.dosageInstruction.timing.repeat.durationMax",
"short": "maximale Dauer der Verabreichung",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.durationUnit",
"path": "MedicationRequest.dosageInstruction.timing.repeat.durationUnit",
"short": "Einheit der Dauer",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.frequency",
"path": "MedicationRequest.dosageInstruction.timing.repeat.frequency",
"short": "Frequenz (Anzahl der Gaben pro Periode)",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.frequencyMax",
"path": "MedicationRequest.dosageInstruction.timing.repeat.frequencyMax",
"short": "maximale Frequenz",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.period",
"path": "MedicationRequest.dosageInstruction.timing.repeat.period",
"short": "Zeitperiode zur Frequenz",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.periodMax",
"path": "MedicationRequest.dosageInstruction.timing.repeat.periodMax",
"short": "maximale Zeitperiode zur Frequenz",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
"path": "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
"short": "Einheit der Zeitperiode",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek",
"path": "MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek",
"short": "Wochentag",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.timeOfDay",
"path": "MedicationRequest.dosageInstruction.timing.repeat.timeOfDay",
"short": "Tageszeit",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.when",
"path": "MedicationRequest.dosageInstruction.timing.repeat.when",
"short": "Tageszeitpunkt codiert",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.timing.repeat.offset",
"path": "MedicationRequest.dosageInstruction.timing.repeat.offset",
"short": "zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.asNeeded[x]",
"path": "MedicationRequest.dosageInstruction.asNeeded[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "MedicationRequest.dosageInstruction.asNeeded[x]:asNeededBoolean",
"path": "MedicationRequest.dosageInstruction.asNeeded[x]",
"sliceName": "asNeededBoolean",
"short": "Bedarfsmedikation",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site",
"path": "MedicationRequest.dosageInstruction.site",
"short": "Körperstelle der Verabreichung",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site.coding",
"path": "MedicationRequest.dosageInstruction.site.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site.coding:SNOMED-CT",
"path": "MedicationRequest.dosageInstruction.site.coding",
"sliceName": "SNOMED-CT",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct"
},
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site.coding:SNOMED-CT.system",
"path": "MedicationRequest.dosageInstruction.site.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site.coding:SNOMED-CT.code",
"path": "MedicationRequest.dosageInstruction.site.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site.coding:SNOMED-CT.display",
"path": "MedicationRequest.dosageInstruction.site.coding.display",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.site.text",
"path": "MedicationRequest.dosageInstruction.site.text",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route",
"path": "MedicationRequest.dosageInstruction.route",
"short": "Route",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding",
"path": "MedicationRequest.dosageInstruction.route.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:EDQM",
"path": "MedicationRequest.dosageInstruction.route.coding",
"sliceName": "EDQM",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://standardterms.edqm.eu"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration"
}
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:EDQM.system",
"path": "MedicationRequest.dosageInstruction.route.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:EDQM.code",
"path": "MedicationRequest.dosageInstruction.route.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:EDQM.display",
"path": "MedicationRequest.dosageInstruction.route.coding.display",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:SNOMED-CT",
"path": "MedicationRequest.dosageInstruction.route.coding",
"sliceName": "SNOMED-CT",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://gematik.de/fhir/isik/v3/Medikation/ValueSet/SctRouteOfAdministration"
}
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:SNOMED-CT.system",
"path": "MedicationRequest.dosageInstruction.route.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:SNOMED-CT.code",
"path": "MedicationRequest.dosageInstruction.route.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.coding:SNOMED-CT.display",
"path": "MedicationRequest.dosageInstruction.route.coding.display",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.route.text",
"path": "MedicationRequest.dosageInstruction.route.text",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate",
"path": "MedicationRequest.dosageInstruction.doseAndRate",
"short": "Angaben zu Dosis und Rate",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
"sliceName": "doseRange",
"short": "Dosisbereich",
"min": 0,
"max": "1",
"type": [
{
"code": "Range"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].low",
"patternQuantity": {
"system": "http://unitsofmeasure.org"
},
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.value",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].low.value",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.unit",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].low.unit",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.system",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].low.system",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.code",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].low.code",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].high",
"patternQuantity": {
"system": "http://unitsofmeasure.org"
},
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.value",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].high.value",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.unit",
"path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x].high.unit",
"mustSupport": true
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{
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FHIR