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{
"resourceType": "StructureDefinition",
"id": "KBV-PR-ERP-Prescription",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription",
"version": "1.4.1",
"name": "KBV_PR_ERP_Prescription",
"status": "active",
"date": "2026-01-09",
"publisher": "Kassenärztliche Bundesvereinigung (KBV)",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "MedicationRequest",
"baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_MedicationRequest|1.7.0",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "MedicationRequest",
"path": "MedicationRequest",
"constraint": [
{
"key": "-erp-begrenzungDate",
"severity": "error",
"human": "Begrenzung der Datumsangabe auf 10 Zeichen JJJJ-MM-TT",
"expression": "authoredOn.toString().length()=10"
},
{
"key": "-erp-unfalltagDatum",
"severity": "error",
"human": "Die Ressource vom Typ MedicationRequest enthält einen Unfalltag, dieser darf nicht nach dem Ausstellungsdatum liegen.",
"expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident').extension('Unfalltag').exists() implies (extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident').extension('Unfalltag').value as date) <= authoredOn"
},
{
"key": "-erp-angabeDosierungKennzeichenTrue",
"severity": "error",
"human": "Wenn das Dosierungskennzeichen true ist, muss eine Dosieranweisung vorhanden sein.",
"expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').exists().not() or ((extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').value as boolean)=true implies dosageInstruction.exists())"
},
{
"key": "-erp-angabeDosierungKennzeichenFalse",
"severity": "error",
"human": "Wenn das Dosierungskennzeichen false ist, darf keine Dosieranweisung vorhanden sein.",
"expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').exists().not() or ((extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag').value as boolean)=false implies dosageInstruction.exists().not())"
},
{
"key": "-erp-dosieranweisungFreitextGenerierterTextPflicht",
"severity": "error",
"human": "Auch bei einer freitextlichen Angabe der Dosieranweisung, müssen die Extensions für den generierten Text sowie für die Metadaten zum Textgenerierungsalgorithmus angegeben werden.",
"expression": "dosageInstruction.text.exists() implies extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction').exists() and extension('http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta').exists()"
}
]
},
{
"id": "MedicationRequest.id",
"path": "MedicationRequest.id",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.meta",
"path": "MedicationRequest.meta",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.meta.versionId",
"path": "MedicationRequest.meta.versionId",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "MedicationRequest.meta.lastUpdated",
"path": "MedicationRequest.meta.lastUpdated",
"max": "0"
},
{
"id": "MedicationRequest.meta.source",
"path": "MedicationRequest.meta.source",
"max": "0"
},
{
"id": "MedicationRequest.meta.profile",
"path": "MedicationRequest.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.meta.profile:erpProfile",
"path": "MedicationRequest.meta.profile",
"sliceName": "erpProfile",
"min": 1,
"max": "1",
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.4",
"mustSupport": true
},
{
"id": "MedicationRequest.meta.security",
"path": "MedicationRequest.meta.security",
"max": "0"
},
{
"id": "MedicationRequest.meta.tag",
"path": "MedicationRequest.meta.tag",
"max": "0"
},
{
"id": "MedicationRequest.implicitRules",
"path": "MedicationRequest.implicitRules",
"max": "0"
},
{
"id": "MedicationRequest.language",
"path": "MedicationRequest.language",
"max": "0"
},
{
"id": "MedicationRequest.text",
"path": "MedicationRequest.text",
"max": "0"
},
{
"id": "MedicationRequest.contained",
"path": "MedicationRequest.contained",
"max": "0"
},
{
"id": "MedicationRequest.extension",
"path": "MedicationRequest.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "closed"
},
"min": 3,
"max": "12"
},
{
"id": "MedicationRequest.extension:Zuzahlungsstatus",
"path": "MedicationRequest.extension",
"sliceName": "Zuzahlungsstatus",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]",
"path": "MedicationRequest.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding",
"path": "MedicationRequest.extension.value[x]",
"sliceName": "valueCoding",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_ERP_StatusCoPayment"
}
},
{
"id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding.system",
"path": "MedicationRequest.extension.value[x].system",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Zuzahlungsstatus.value[x]:valueCoding.code",
"path": "MedicationRequest.extension.value[x].code",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Notdienstgebuehr",
"path": "MedicationRequest.extension",
"sliceName": "Notdienstgebuehr",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Notdienstgebuehr.value[x]",
"path": "MedicationRequest.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Notdienstgebuehr.value[x]:valueBoolean",
"path": "MedicationRequest.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:SER",
"path": "MedicationRequest.extension",
"sliceName": "SER",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:SER.value[x]",
"path": "MedicationRequest.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:SER.value[x]:valueBoolean",
"path": "MedicationRequest.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen",
"path": "MedicationRequest.extension",
"sliceName": "Unfallinformationen",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident"
]
}
],
"constraint": [
{
"key": "-erp-angabeUnfallbetriebPflicht",
"severity": "error",
"human": "Die Ressource vom Typ MedicationRequest enthält keinen Namen des Unfallbetriebs, dieser ist aber Pflicht falls ein Unfallkennzeichen mit dem Wert \"2\" (Arbeitsunfall) angegeben ist.",
"expression": "(extension('Unfallkennzeichen').value as Coding).code = '2' implies extension('Unfallbetrieb').exists()"
},
{
"key": "-erp-angabeUnfallbetriebVerbot",
"severity": "error",
"human": "Die Ressource vom Typ MedicationRequest enthält einen Namen des Unfallbetriebs, dieser darf aber nicht angegeben werden, falls ein Unfallkennzeichen mit dem Wert ungleich \"2\" (Arbeitsunfall) angegeben ist.",
"expression": "(extension('Unfallkennzeichen').value as Coding).code != '2' implies extension('Unfallbetrieb').exists().not()"
},
{
"key": "-erp-angabeUnfalltagPflicht",
"severity": "error",
"human": "Die Ressource vom Typ MedicationRequest enthält keinen Unfalltag, dieser ist aber Pflicht falls ein Unfallkennzeichen mit dem Wert \"1\" (Unfall) oder \"2\" (Arbeitsunfall) angegeben ist.",
"expression": "((extension('Unfallkennzeichen').value as Coding).code = '1' or (extension('Unfallkennzeichen').value as Coding).code = '2') implies extension('Unfalltag').exists()"
},
{
"key": "-erp-angabeUnfalltagVerbot",
"severity": "error",
"human": "Die Ressource vom Typ MedicationRequest enthält einen Unfalltag, dieser darf aber nicht angegeben werden, falls ein Unfallkennzeichen mit dem Wert ungleich \"1\" (Unfall) oder ungleich \"2\" (Arbeitsunfall) angegeben ist.",
"expression": "(extension('Unfallkennzeichen').value as Coding).code != '1' and (extension('Unfallkennzeichen').value as Coding).code != '2' implies extension('Unfalltag').exists().not()"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen",
"path": "MedicationRequest.extension.extension",
"sliceName": "Unfallkennzeichen",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueCoding",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_ERP_Accident_Type"
}
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.system",
"path": "MedicationRequest.extension.extension.value[x].system",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.code",
"path": "MedicationRequest.extension.extension.value[x].code",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb",
"path": "MedicationRequest.extension.extension",
"sliceName": "Unfallbetrieb",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]:valueString",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueString",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfalltag",
"path": "MedicationRequest.extension.extension",
"sliceName": "Unfalltag",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfalltag.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Unfallinformationen.extension:Unfalltag.value[x]:valueDate",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueDate",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung",
"path": "MedicationRequest.extension",
"sliceName": "Mehrfachverordnung",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Kennzeichen",
"path": "MedicationRequest.extension.extension",
"sliceName": "Kennzeichen",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Kennzeichen.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Kennzeichen.value[x]:valueBoolean",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung",
"path": "MedicationRequest.extension.extension",
"sliceName": "Nummerierung",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueRatio",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.numerator",
"path": "MedicationRequest.extension.extension.value[x].numerator",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.numerator.value",
"path": "MedicationRequest.extension.extension.value[x].numerator.value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.denominator",
"path": "MedicationRequest.extension.extension.value[x].denominator",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Nummerierung.value[x]:valueRatio.denominator.value",
"path": "MedicationRequest.extension.extension.value[x].denominator.value",
"definition": "Das Feld dient der Kennzeichnung der Länge der Serie einer Mehrfachverordnung. Beispiel: \"4\" in \"2 von 4\"",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum",
"path": "MedicationRequest.extension.extension",
"sliceName": "Zeitraum",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]:valuePeriod",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valuePeriod",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]:valuePeriod.start",
"path": "MedicationRequest.extension.extension.value[x].start",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:Zeitraum.value[x]:valuePeriod.end",
"path": "MedicationRequest.extension.extension.value[x].end",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID",
"path": "MedicationRequest.extension.extension",
"sliceName": "ID",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]:valueIdentifier",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueIdentifier",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]:valueIdentifier.system",
"path": "MedicationRequest.extension.extension.value[x].system",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Mehrfachverordnung.extension:ID.value[x]:valueIdentifier.value",
"path": "MedicationRequest.extension.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:VerschreiberID",
"path": "MedicationRequest.extension",
"sliceName": "VerschreiberID",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Prescriber_ID"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "MedicationRequest.extension:VerschreiberID.value[x]",
"path": "MedicationRequest.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:VerschreiberID.value[x]:valueIdentifier",
"path": "MedicationRequest.extension.value[x]",
"sliceName": "valueIdentifier",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:VerschreiberID.value[x]:valueIdentifier.value",
"path": "MedicationRequest.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:PatientenID",
"path": "MedicationRequest.extension",
"sliceName": "PatientenID",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Patient_ID"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "MedicationRequest.extension:PatientenID.value[x]",
"path": "MedicationRequest.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:PatientenID.value[x]:valueIdentifier",
"path": "MedicationRequest.extension.value[x]",
"sliceName": "valueIdentifier",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:PatientenID.value[x]:valueIdentifier.value",
"path": "MedicationRequest.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel",
"path": "MedicationRequest.extension",
"sliceName": "Betaeubungsmittel",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Narcotic"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen",
"path": "MedicationRequest.extension.extension",
"sliceName": "BtM-Sonderkennzeichen",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]:valueCoding",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueCoding",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.system",
"path": "MedicationRequest.extension.extension.value[x].system",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:BtM-Sonderkennzeichen.value[x]:valueCoding.code",
"path": "MedicationRequest.extension.extension.value[x].code",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:ErgaenzendeAngabenSubstitutionsmittel",
"path": "MedicationRequest.extension.extension",
"sliceName": "ErgaenzendeAngabenSubstitutionsmittel",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:ErgaenzendeAngabenSubstitutionsmittel.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Betaeubungsmittel.extension:ErgaenzendeAngabenSubstitutionsmittel.value[x]:valueString",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueString",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept",
"path": "MedicationRequest.extension",
"sliceName": "T-Rezept",
"short": "T-Rezept",
"definition": "Abbildung der Angaben zur Verordnung eines teratogenen Arzneimittels (T-Rezept)",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:Off-Label",
"path": "MedicationRequest.extension.extension",
"sliceName": "Off-Label",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:Off-Label.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:Off-Label.value[x]:valueBoolean",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:Off-Label.value[x]:valueBoolean.value",
"path": "MedicationRequest.extension.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau",
"path": "MedicationRequest.extension.extension",
"sliceName": "GebaerfaehigeFrau",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau.value[x]:valueBoolean",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:GebaerfaehigeFrau.value[x]:valueBoolean.value",
"path": "MedicationRequest.extension.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen",
"path": "MedicationRequest.extension.extension",
"sliceName": "EinhaltungSicherheitsmassnahmen",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen.value[x]:valueBoolean",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:EinhaltungSicherheitsmassnahmen.value[x]:valueBoolean.value",
"path": "MedicationRequest.extension.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien",
"path": "MedicationRequest.extension.extension",
"sliceName": "AushaendigungInformationsmaterialien",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien.value[x]:valueBoolean",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:AushaendigungInformationsmaterialien.value[x]:valueBoolean.value",
"path": "MedicationRequest.extension.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis",
"path": "MedicationRequest.extension.extension",
"sliceName": "ErklaerungSachkenntnis",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis.value[x]",
"path": "MedicationRequest.extension.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis.value[x]:valueBoolean",
"path": "MedicationRequest.extension.extension.value[x]",
"sliceName": "valueBoolean",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:T-Rezept.extension:ErklaerungSachkenntnis.value[x]:valueBoolean.value",
"path": "MedicationRequest.extension.extension.value[x].value",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Dosierungskennzeichen",
"path": "MedicationRequest.extension",
"sliceName": "Dosierungskennzeichen",
"short": "Dosierkennzeichen",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Dosierungskennzeichen.value[x]",
"path": "MedicationRequest.extension.value[x]",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:Dosierungskennzeichen.value[x]:valueBoolean",
"path": "MedicationRequest.extension.value[x]",
"sliceName": "valueBoolean",
"definition": "Abbildung, ob eine Dosierungsanweisung in der Verordung angegeben ist true - Dosierung gemäß Angaben in dieser Verordnung (dosageInstruction.text) false - Dosieranweisung/Medikationsplan mitgegeben",
"mustSupport": true
},
{
"id": "MedicationRequest.extension:renderedDosageInstruction",
"path": "MedicationRequest.extension",
"sliceName": "renderedDosageInstruction",
"short": "Dosierungsanweisung",
"definition": "Diese R5-Backport-Extension enthält die gerenderten Dosierungsanweisungen für den Patienten, um eine klare und verständliche Einnahmeanweisung bereitzustellen.",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.extension:renderedDosageInstruction.value[x]",
"path": "MedicationRequest.extension.value[x]",
"short": "Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.",
"definition": "Abweichend von FHIR R5 (Typ Markdown) darf in der ersten Ausbaustufe des dgMP ausschließlich Klartext ohne Markdown-Formatierungen (z. B. Überschriften, Listen, Links) geliefert werden."
},
{
"id": "MedicationRequest.extension:generatedDosageInstructionsMeta",
"path": "MedicationRequest.extension",
"sliceName": "generatedDosageInstructionsMeta",
"short": "Metadaten zu den generierten Dosierungsanweisungen",
"definition": "Diese Extension enthält zusätzliche Metadaten zu den automatisch generierten Dosierungsanweisungen, wie z.B. Informationen zur Generierung oder zum Ursprung der Daten.",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.identifier",
"path": "MedicationRequest.identifier",
"max": "0"
},
{
"id": "MedicationRequest.status",
"path": "MedicationRequest.status",
"mustSupport": true
},
{
"id": "MedicationRequest.statusReason",
"path": "MedicationRequest.statusReason",
"max": "0"
},
{
"id": "MedicationRequest.intent",
"path": "MedicationRequest.intent",
"mustSupport": true
},
{
"id": "MedicationRequest.category",
"path": "MedicationRequest.category",
"max": "0"
},
{
"id": "MedicationRequest.priority",
"path": "MedicationRequest.priority",
"max": "0"
},
{
"id": "MedicationRequest.doNotPerform",
"path": "MedicationRequest.doNotPerform",
"max": "0"
},
{
"id": "MedicationRequest.reported[x]",
"path": "MedicationRequest.reported[x]",
"max": "0"
},
{
"id": "MedicationRequest.medication[x]",
"path": "MedicationRequest.medication[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText|1.4",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|1.4",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.4",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.4"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationReference",
"path": "MedicationRequest.medication[x]",
"sliceName": "medicationReference",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText|1.4",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|1.4",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.4",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.4"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationReference.reference",
"path": "MedicationRequest.medication[x].reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.medication[x]:medicationReference.type",
"path": "MedicationRequest.medication[x].type",
"max": "0"
},
{
"id": "MedicationRequest.medication[x]:medicationReference.identifier",
"path": "MedicationRequest.medication[x].identifier",
"max": "0"
},
{
"id": "MedicationRequest.medication[x]:medicationReference.display",
"path": "MedicationRequest.medication[x].display",
"max": "0"
},
{
"id": "MedicationRequest.subject",
"path": "MedicationRequest.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.subject.reference",
"path": "MedicationRequest.subject.reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.subject.type",
"path": "MedicationRequest.subject.type",
"max": "0"
},
{
"id": "MedicationRequest.subject.identifier",
"path": "MedicationRequest.subject.identifier",
"max": "0"
},
{
"id": "MedicationRequest.subject.display",
"path": "MedicationRequest.subject.display",
"max": "0"
},
{
"id": "MedicationRequest.encounter",
"path": "MedicationRequest.encounter",
"max": "0"
},
{
"id": "MedicationRequest.supportingInformation",
"path": "MedicationRequest.supportingInformation",
"max": "0"
},
{
"id": "MedicationRequest.authoredOn",
"path": "MedicationRequest.authoredOn",
"definition": "Ausstellungsdatum der Verordnung",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.requester",
"path": "MedicationRequest.requester",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.requester.reference",
"path": "MedicationRequest.requester.reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.requester.type",
"path": "MedicationRequest.requester.type",
"max": "0"
},
{
"id": "MedicationRequest.requester.identifier",
"path": "MedicationRequest.requester.identifier",
"max": "0"
},
{
"id": "MedicationRequest.requester.display",
"path": "MedicationRequest.requester.display",
"max": "0"
},
{
"id": "MedicationRequest.performer",
"path": "MedicationRequest.performer",
"max": "0"
},
{
"id": "MedicationRequest.performerType",
"path": "MedicationRequest.performerType",
"max": "0"
},
{
"id": "MedicationRequest.recorder",
"path": "MedicationRequest.recorder",
"max": "0"
},
{
"id": "MedicationRequest.reasonCode",
"path": "MedicationRequest.reasonCode",
"max": "0"
},
{
"id": "MedicationRequest.reasonReference",
"path": "MedicationRequest.reasonReference",
"max": "0"
},
{
"id": "MedicationRequest.instantiatesCanonical",
"path": "MedicationRequest.instantiatesCanonical",
"max": "0"
},
{
"id": "MedicationRequest.instantiatesUri",
"path": "MedicationRequest.instantiatesUri",
"max": "0"
},
{
"id": "MedicationRequest.basedOn",
"path": "MedicationRequest.basedOn",
"short": "eMP-Identifier",
"definition": "Identifikator des Eintrags im eMP (elektronischer Medikationsplan) des Versicherten, der dieser Verordnung zugrunde liegt.",
"max": "1",
"mustSupport": true
},
{
"id": "MedicationRequest.basedOn.reference",
"path": "MedicationRequest.basedOn.reference",
"max": "0"
},
{
"id": "MedicationRequest.basedOn.type",
"path": "MedicationRequest.basedOn.type",
"max": "0"
},
{
"id": "MedicationRequest.basedOn.identifier",
"path": "MedicationRequest.basedOn.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.basedOn.identifier.use",
"path": "MedicationRequest.basedOn.identifier.use",
"max": "0"
},
{
"id": "MedicationRequest.basedOn.identifier.type",
"path": "MedicationRequest.basedOn.identifier.type",
"max": "0"
},
{
"id": "MedicationRequest.basedOn.identifier.system",
"path": "MedicationRequest.basedOn.identifier.system",
"min": 1,
"fixedUri": "https://gematik.de/fhir/sid/emp-identifier",
"mustSupport": true
},
{
"id": "MedicationRequest.basedOn.identifier.value",
"path": "MedicationRequest.basedOn.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.basedOn.identifier.period",
"path": "MedicationRequest.basedOn.identifier.period",
"max": "0"
},
{
"id": "MedicationRequest.basedOn.identifier.assigner",
"path": "MedicationRequest.basedOn.identifier.assigner",
"max": "0"
},
{
"id": "MedicationRequest.basedOn.display",
"path": "MedicationRequest.basedOn.display",
"max": "0"
},
{
"id": "MedicationRequest.groupIdentifier",
"path": "MedicationRequest.groupIdentifier",
"max": "0"
},
{
"id": "MedicationRequest.courseOfTherapyType",
"path": "MedicationRequest.courseOfTherapyType",
"max": "0"
},
{
"id": "MedicationRequest.insurance",
"path": "MedicationRequest.insurance",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.3"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.insurance.reference",
"path": "MedicationRequest.insurance.reference",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.insurance.type",
"path": "MedicationRequest.insurance.type",
"max": "0"
},
{
"id": "MedicationRequest.insurance.identifier",
"path": "MedicationRequest.insurance.identifier",
"max": "0"
},
{
"id": "MedicationRequest.insurance.display",
"path": "MedicationRequest.insurance.display",
"max": "0"
},
{
"id": "MedicationRequest.note",
"path": "MedicationRequest.note",
"max": "1",
"constraint": [
{
"key": "-erp-begrenzungText",
"severity": "error",
"human": "Der Abgabehinweise darf aus maximal 500 Zeichen bestehen.",
"expression": "text.toString().length() <= 500"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.note.author[x]",
"path": "MedicationRequest.note.author[x]",
"max": "0"
},
{
"id": "MedicationRequest.note.time",
"path": "MedicationRequest.note.time",
"max": "0"
},
{
"id": "MedicationRequest.note.text",
"path": "MedicationRequest.note.text",
"definition": "Über die Dosierung hinausgehende Abgabehinweise an die Apotheke",
"mustSupport": true
},
{
"id": "MedicationRequest.dosageInstruction",
"path": "MedicationRequest.dosageInstruction",
"type": [
{
"code": "Dosage",
"profile": [
"http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP"
]
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest",
"path": "MedicationRequest.dispenseRequest",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.initialFill",
"path": "MedicationRequest.dispenseRequest.initialFill",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.dispenseInterval",
"path": "MedicationRequest.dispenseRequest.dispenseInterval",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.validityPeriod",
"path": "MedicationRequest.dispenseRequest.validityPeriod",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
"path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.quantity",
"path": "MedicationRequest.dispenseRequest.quantity",
"min": 1,
"constraint": [
{
"key": "-erp-begrenzungValue",
"severity": "error",
"human": "Die Anzahl der verordneten Packungen darf aus maximal 6 Zeichen bestehen.",
"expression": "value.toString().length() <= 6"
},
{
"key": "-erp-begrenzungIntegerValue",
"severity": "error",
"human": "Die Anzahl der verordneten Packungen darf nur aus ganzen Zahlen bestehen und muss größer als 0 sein.",
"expression": "value.toString().matches('^[1-9][0-9]*[%content%]#39;)"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.quantity.value",
"path": "MedicationRequest.dispenseRequest.quantity.value",
"definition": "Anzahl der verordneten Packungen",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.quantity.unit",
"path": "MedicationRequest.dispenseRequest.quantity.unit",
"min": 1,
"fixedString": "Packung",
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.quantity.system",
"path": "MedicationRequest.dispenseRequest.quantity.system",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.quantity.code",
"path": "MedicationRequest.dispenseRequest.quantity.code",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
"short": "Reichdauer",
"definition": "In diesem Feld kann bei Betäubungsmitteln die Reichdauer des Substitutionsmittels in Tagen bzw. bei teratogenen Arzneimitteln die Reichdauer in Wochen angegeben werden.",
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.value",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.value",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.unit",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.unit",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code",
"path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code",
"max": "0"
},
{
"id": "MedicationRequest.dispenseRequest.performer",
"path": "MedicationRequest.dispenseRequest.performer",
"max": "0"
},
{
"id": "MedicationRequest.substitution",
"path": "MedicationRequest.substitution",
"mustSupport": true
},
{
"id": "MedicationRequest.substitution.allowed[x]",
"path": "MedicationRequest.substitution.allowed[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "closed"
},
"type": [
{
"code": "boolean"
}
],
"mustSupport": true
},
{
"id": "MedicationRequest.substitution.allowed[x]:allowedBoolean",
"path": "MedicationRequest.substitution.allowed[x]",
"sliceName": "allowedBoolean",
"definition": "In diesem Feld wird angegeben ob das Arzneimittel austauschbar ist oder nicht\r\n\r\ntrue: aut idem möglich (austauschbar)\r\nfalse: aut idem ausgeschlossen (nicht austauschbar)",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.substitution.reason",
"path": "MedicationRequest.substitution.reason",
"max": "0"
},
{
"id": "MedicationRequest.priorPrescription",
"path": "MedicationRequest.priorPrescription",
"max": "0"
},
{
"id": "MedicationRequest.detectedIssue",
"path": "MedicationRequest.detectedIssue",
"max": "0"
},
{
"id": "MedicationRequest.eventHistory",
"path": "MedicationRequest.eventHistory",
"max": "0"
}
]
}
}
FHIR
FHIRsmith