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Source1

{
  "resourceType": "StructureDefinition",
  "id": "KBV-EX-ERP-Narcotic",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Narcotic",
  "version": "1.4.0",
  "name": "KBV_EX_ERP_Narcotic",
  "status": "draft",
  "date": "2025-06-17",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "MedicationRequest"
    },
    {
      "type": "element",
      "expression": "SupplyRequest"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Betäubungsmittel (BtM)",
        "definition": "Abbildung der Angaben zur Verordnung eines Betäubungsmittels im Sinne des Betäubungsmittelgesetzes (BtMG)",
        "constraint": [
          {
            "key": "-erp-angabeErgaenzendeAngabenSubstitutionsmittelVerbot",
            "severity": "error",
            "human": "Bei der Verordnung eines Betäubungsmittels ist die Angabe von ergänzenden Angaben zum Substitutionsmittel nur mit dem Sonderkennzeichen 'S' oder 'ST' erlaubt.",
            "expression": "extension('ErgaenzendeAngabenSubstitutionsmittel').exists() implies ((extension('BtM-Sonderkennzeichen').value as Coding).code='S' or (extension('BtM-Sonderkennzeichen').value as Coding).code='ST')"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "max": "2"
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen",
        "path": "Extension.extension",
        "sliceName": "BtM-Sonderkennzeichen",
        "short": "Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV",
        "max": "1"
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.extension",
        "path": "Extension.extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.url",
        "path": "Extension.extension.url",
        "fixedUri": "BtM-Sonderkennzeichen"
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]",
        "path": "Extension.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "type": [
          {
            "code": "Coding"
          }
        ]
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]:valueCoding",
        "path": "Extension.extension.value[x]",
        "sliceName": "valueCoding",
        "min": 1,
        "type": [
          {
            "code": "Coding"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_ERP_Narcotic_Label"
        }
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.system",
        "path": "Extension.extension.value[x].system",
        "min": 1
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.version",
        "path": "Extension.extension.value[x].version",
        "max": "0"
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.code",
        "path": "Extension.extension.value[x].code",
        "min": 1
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.display",
        "path": "Extension.extension.value[x].display",
        "max": "0"
      },
      {
        "id": "Extension.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.userSelected",
        "path": "Extension.extension.value[x].userSelected",
        "max": "0"
      },
      {
        "id": "Extension.extension:ErgaenzendeAngabenSubstitutionsmittel",
        "path": "Extension.extension",
        "sliceName": "ErgaenzendeAngabenSubstitutionsmittel",
        "short": "Dieses Feld enthält ergänzende Angaben zu Reichdauer und Teilmengen des Substitutionsmittels, insbesondere Zeitpunkte, zu denen das Substitutionsmittel abgegeben bzw. verabreicht werden soll.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ErgaenzendeAngabenSubstitutionsmittel.extension",
        "path": "Extension.extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.extension:ErgaenzendeAngabenSubstitutionsmittel.url",
        "path": "Extension.extension.url",
        "fixedUri": "ErgaenzendeAngabenSubstitutionsmittel"
      },
      {
        "id": "Extension.extension:ErgaenzendeAngabenSubstitutionsmittel.value[x]",
        "path": "Extension.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ErgaenzendeAngabenSubstitutionsmittel.value[x]:valueString",
        "path": "Extension.extension.value[x]",
        "sliceName": "valueString",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 500
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Narcotic"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "max": "0"
      }
    ]
  }
}