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{
"resourceType": "StructureDefinition",
"id": "KBV-PR-VoS-Medication-Compounding",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Compounding",
"version": "2.2.0",
"name": "KBV_PR_VoS_Medication_Compounding",
"status": "draft",
"date": "2025-10-01",
"publisher": "Kassenärztliche Bundesvereinigung",
"description": "Übergabe einer Rezeptur",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Medication",
"baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Medication|1.7.0",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Medication.id",
"path": "Medication.id",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.meta",
"path": "Medication.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.meta.source",
"path": "Medication.meta.source",
"max": "0"
},
{
"id": "Medication.meta.profile",
"path": "Medication.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Medication.meta.profile:vosProfile",
"path": "Medication.meta.profile",
"sliceName": "vosProfile",
"min": 1,
"max": "1",
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Compounding|2.2.0",
"mustSupport": true
},
{
"id": "Medication.meta.security",
"path": "Medication.meta.security",
"max": "0"
},
{
"id": "Medication.meta.tag",
"path": "Medication.meta.tag",
"max": "0"
},
{
"id": "Medication.implicitRules",
"path": "Medication.implicitRules",
"max": "0"
},
{
"id": "Medication.language",
"path": "Medication.language",
"max": "0"
},
{
"id": "Medication.text",
"path": "Medication.text",
"max": "0"
},
{
"id": "Medication.contained",
"path": "Medication.contained",
"max": "0"
},
{
"id": "Medication.extension",
"path": "Medication.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "closed"
},
"min": 3
},
{
"id": "Medication.extension:Kategorie",
"path": "Medication.extension",
"sliceName": "Kategorie",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept",
"path": "Medication.extension.value[x]",
"sliceName": "valueCodeableConcept",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding",
"path": "Medication.extension.value[x].coding",
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.system",
"path": "Medication.extension.value[x].coding.system",
"fixedUri": "http://snomed.info/sct",
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.version",
"path": "Medication.extension.value[x].coding.version",
"fixedString": "http://snomed.info/sct/11000274103/version/20240515",
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.code",
"path": "Medication.extension.value[x].coding.code",
"fixedCode": "1208954007",
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.display",
"path": "Medication.extension.value[x].coding.display",
"fixedString": "Extemporaneous preparation (product)",
"mustSupport": true
},
{
"id": "Medication.extension:Kategorie.value[x]:valueCodeableConcept.coding.userSelected",
"path": "Medication.extension.value[x].coding.userSelected",
"max": "0"
},
{
"id": "Medication.extension:Normgroesse",
"path": "Medication.extension",
"sliceName": "Normgroesse",
"max": "0"
},
{
"id": "Medication.extension:Arzneimittelkategorie",
"path": "Medication.extension",
"sliceName": "Arzneimittelkategorie",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_Medication_Category"
]
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Arzneimittelkategorie.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding",
"path": "Medication.extension.value[x]",
"sliceName": "valueCoding",
"type": [
{
"code": "Coding"
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding.system",
"path": "Medication.extension.value[x].system",
"mustSupport": true
},
{
"id": "Medication.extension:Arzneimittelkategorie.value[x]:valueCoding.code",
"path": "Medication.extension.value[x].code",
"mustSupport": true
},
{
"id": "Medication.extension:Impfstoff",
"path": "Medication.extension",
"sliceName": "Impfstoff",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine"
]
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Impfstoff.extension",
"path": "Medication.extension.extension",
"max": "0"
},
{
"id": "Medication.extension:Impfstoff.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:Impfstoff.value[x]:valueBoolean",
"path": "Medication.extension.value[x]",
"sliceName": "valueBoolean",
"type": [
{
"code": "boolean"
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Herstellungsanweisung",
"path": "Medication.extension",
"sliceName": "Herstellungsanweisung",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_CompoundingInstruction"
]
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Herstellungsanweisung.extension",
"path": "Medication.extension.extension",
"max": "0"
},
{
"id": "Medication.extension:Herstellungsanweisung.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:Herstellungsanweisung.value[x]:valueString",
"path": "Medication.extension.value[x]",
"sliceName": "valueString",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Verpackung",
"path": "Medication.extension",
"sliceName": "Verpackung",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Packaging"
]
}
],
"mustSupport": true
},
{
"id": "Medication.extension:Verpackung.extension",
"path": "Medication.extension.extension",
"max": "0"
},
{
"id": "Medication.extension:Verpackung.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:Verpackung.value[x]:valueString",
"path": "Medication.extension.value[x]",
"sliceName": "valueString",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Medication.extension:isOverTheCounter",
"path": "Medication.extension",
"sliceName": "isOverTheCounter",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_Medication_isOverTheCounter"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "Medication.extension:isOverTheCounter.value[x]",
"path": "Medication.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.extension:isOverTheCounter.value[x]:valueBoolean",
"path": "Medication.extension.value[x]",
"sliceName": "valueBoolean",
"type": [
{
"code": "boolean"
}
],
"mustSupport": true
},
{
"id": "Medication.identifier",
"path": "Medication.identifier",
"max": "0"
},
{
"id": "Medication.code",
"path": "Medication.code",
"mustSupport": true
},
{
"id": "Medication.code.coding",
"path": "Medication.code.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "closed"
},
"min": 1,
"max": "1"
},
{
"id": "Medication.code.coding:pzn",
"path": "Medication.code.coding",
"sliceName": "pzn",
"max": "0"
},
{
"id": "Medication.code.coding:snomed",
"path": "Medication.code.coding",
"sliceName": "snomed",
"max": "0"
},
{
"id": "Medication.code.coding:atc",
"path": "Medication.code.coding",
"sliceName": "atc",
"max": "0"
},
{
"id": "Medication.code.coding:verordnungskategorieCode",
"path": "Medication.code.coding",
"sliceName": "verordnungskategorieCode",
"min": 1,
"max": "1",
"patternCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type"
},
"mustSupport": true
},
{
"id": "Medication.code.coding:verordnungskategorieCode.system",
"path": "Medication.code.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type",
"mustSupport": true
},
{
"id": "Medication.code.coding:verordnungskategorieCode.version",
"path": "Medication.code.coding.version",
"max": "0"
},
{
"id": "Medication.code.coding:verordnungskategorieCode.code",
"path": "Medication.code.coding.code",
"short": "Kennzeichnung Rezepturverordnung",
"definition": "Anhand des \"Fixed value\" kann die Medication als Rezepturverordnung identifiziert werden.",
"min": 1,
"fixedCode": "rezeptur",
"mustSupport": true
},
{
"id": "Medication.code.coding:verordnungskategorieCode.display",
"path": "Medication.code.coding.display",
"max": "0"
},
{
"id": "Medication.code.coding:verordnungskategorieCode.userSelected",
"path": "Medication.code.coding.userSelected",
"max": "0"
},
{
"id": "Medication.code.text",
"path": "Medication.code.text",
"short": "Rezepturname",
"definition": "Bezeichnung der Rezeptur (z.B. gemäß deutsches Arzneibuches: Zinkpaste DAB2020)",
"mustSupport": true
},
{
"id": "Medication.status",
"path": "Medication.status",
"max": "0"
},
{
"id": "Medication.manufacturer",
"path": "Medication.manufacturer",
"max": "0"
},
{
"id": "Medication.form",
"path": "Medication.form",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.form.coding",
"path": "Medication.form.coding",
"max": "0"
},
{
"id": "Medication.form.coding:snomed",
"path": "Medication.form.coding",
"sliceName": "snomed",
"max": "0"
},
{
"id": "Medication.form.coding:edqm",
"path": "Medication.form.coding",
"sliceName": "edqm",
"max": "0"
},
{
"id": "Medication.form.coding:kbvDarreichungsform",
"path": "Medication.form.coding",
"sliceName": "kbvDarreichungsform",
"max": "0"
},
{
"id": "Medication.form.text",
"path": "Medication.form.text",
"short": "Darreichungsform Freitext",
"definition": "Angabe der Darreichungsform als Freitext",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.amount",
"path": "Medication.amount",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.amount.numerator",
"path": "Medication.amount.numerator",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.amount.numerator.extension",
"path": "Medication.amount.numerator.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "closed"
},
"min": 1
},
{
"id": "Medication.amount.numerator.extension:Gesamtmenge",
"path": "Medication.amount.numerator.extension",
"sliceName": "Gesamtmenge",
"short": "Gesamtmenge der Rezeptur",
"definition": "Gesamtmenge der Rezeptur (ohne die Einheit)",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "Medication.amount.numerator.extension:Gesamtmenge.extension",
"path": "Medication.amount.numerator.extension.extension",
"max": "0"
},
{
"id": "Medication.amount.numerator.extension:Gesamtmenge.value[x]",
"path": "Medication.amount.numerator.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.amount.numerator.extension:Gesamtmenge.value[x]:valueString",
"path": "Medication.amount.numerator.extension.value[x]",
"sliceName": "valueString",
"short": "Gesamtmenge der Rezeptur",
"definition": "Gesamtmenge der Rezeptur (ohne die Einheit)",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Medication.amount.numerator.value",
"path": "Medication.amount.numerator.value",
"max": "0"
},
{
"id": "Medication.amount.numerator.comparator",
"path": "Medication.amount.numerator.comparator",
"max": "0"
},
{
"id": "Medication.amount.numerator.unit",
"path": "Medication.amount.numerator.unit",
"short": "Einheit der Gesamtmenge",
"definition": "Einheit der Gesamtmenge einer Rezeptur",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.amount.numerator.system",
"path": "Medication.amount.numerator.system",
"max": "0"
},
{
"id": "Medication.amount.numerator.code",
"path": "Medication.amount.numerator.code",
"max": "0"
},
{
"id": "Medication.amount.denominator",
"path": "Medication.amount.denominator",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.amount.denominator.value",
"path": "Medication.amount.denominator.value",
"min": 1,
"fixedDecimal": 1,
"mustSupport": true
},
{
"id": "Medication.amount.denominator.comparator",
"path": "Medication.amount.denominator.comparator",
"max": "0"
},
{
"id": "Medication.amount.denominator.unit",
"path": "Medication.amount.denominator.unit",
"max": "0"
},
{
"id": "Medication.amount.denominator.system",
"path": "Medication.amount.denominator.system",
"max": "0"
},
{
"id": "Medication.amount.denominator.code",
"path": "Medication.amount.denominator.code",
"max": "0"
},
{
"id": "Medication.ingredient",
"path": "Medication.ingredient",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.extension:Darreichungsform",
"path": "Medication.ingredient.extension",
"sliceName": "Darreichungsform",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Form"
]
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.extension:Darreichungsform.extension",
"path": "Medication.ingredient.extension.extension",
"max": "0"
},
{
"id": "Medication.ingredient.extension:Darreichungsform.value[x]",
"path": "Medication.ingredient.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.ingredient.extension:Darreichungsform.value[x]:valueString",
"path": "Medication.ingredient.extension.value[x]",
"sliceName": "valueString",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]",
"path": "Medication.ingredient.item[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept",
"path": "Medication.ingredient.item[x]",
"sliceName": "itemCodeableConcept",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding",
"path": "Medication.ingredient.item[x].coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "closed"
},
"max": "1"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask",
"path": "Medication.ingredient.item[x].coding",
"sliceName": "ask",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:snomed",
"path": "Medication.ingredient.item[x].coding",
"sliceName": "snomed",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn",
"path": "Medication.ingredient.item[x].coding",
"sliceName": "pzn",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/ifa/pzn"
},
"constraint": [
{
"key": "-erp-begrenzungPznCode",
"human": "Der PZN-Code muss aus genau 8 Zeichen bestehen.",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Compounding",
"severity": "warning",
"expression": "code.length()=8"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.system",
"path": "Medication.ingredient.item[x].coding.system",
"min": 1,
"fixedUri": "http://fhir.de/CodeSystem/ifa/pzn",
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.version",
"path": "Medication.ingredient.item[x].coding.version",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.code",
"path": "Medication.ingredient.item[x].coding.code",
"short": "PZN des Bestandteils",
"definition": "eindeutige Identifikation des Arzneimittels mittels PZN, das vollständig oder teilweise für die Rezeptur verwandt werden soll",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.display",
"path": "Medication.ingredient.item[x].coding.display",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:pzn.userSelected",
"path": "Medication.ingredient.item[x].coding.userSelected",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.text",
"path": "Medication.ingredient.item[x].text",
"short": "Name des Bestandteils",
"definition": "Namentliche Bezeichnung des Bestandteiles der Rezeptur\r\nWenn die PZN des Bestandteils vorhanden ist, dann ist der hinter der PZN liegende Handelsname anzugeben.",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.isdraft",
"path": "Medication.ingredient.isdraft",
"max": "0"
},
{
"id": "Medication.ingredient.strength",
"path": "Medication.ingredient.strength",
"min": 1,
"constraint": [
{
"key": "-erp-numeratorOderFreitext",
"human": "Entweder ist die Menge des Bestandteils durch \"numerator\" oder als Freitext anzugeben.",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Compounding",
"severity": "warning",
"expression": "extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount').exists() xor numerator.exists()"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.extension:MengeFreitext",
"path": "Medication.ingredient.strength.extension",
"sliceName": "MengeFreitext",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount"
]
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.extension:MengeFreitext.extension",
"path": "Medication.ingredient.strength.extension.extension",
"max": "0"
},
{
"id": "Medication.ingredient.strength.extension:MengeFreitext.value[x]",
"path": "Medication.ingredient.strength.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.extension:MengeFreitext.value[x]:valueString",
"path": "Medication.ingredient.strength.extension.value[x]",
"sliceName": "valueString",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.numerator",
"path": "Medication.ingredient.strength.numerator",
"constraint": [
{
"key": "-erp-begrenzungValue",
"human": "Die Menge eines Bestandteils einer Rezeptur darf aus maximal 7 Zeichen bestehen.",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Compounding",
"severity": "warning",
"expression": "value.toString().length() <= 7"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.numerator.value",
"path": "Medication.ingredient.strength.numerator.value",
"short": "Menge des Bestandteils",
"definition": "Verordnete Menge des Bestandteils z.B. 100",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.numerator.comparator",
"path": "Medication.ingredient.strength.numerator.comparator",
"max": "0"
},
{
"id": "Medication.ingredient.strength.numerator.unit",
"path": "Medication.ingredient.strength.numerator.unit",
"short": "Einheit des Bestandteils",
"definition": "Verordnete Einheit des Bestandteils z. B. mg",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.numerator.system",
"path": "Medication.ingredient.strength.numerator.system",
"max": "0"
},
{
"id": "Medication.ingredient.strength.numerator.code",
"path": "Medication.ingredient.strength.numerator.code",
"max": "0"
},
{
"id": "Medication.ingredient.strength.denominator",
"path": "Medication.ingredient.strength.denominator",
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.denominator.value",
"path": "Medication.ingredient.strength.denominator.value",
"min": 1,
"fixedDecimal": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.denominator.comparator",
"path": "Medication.ingredient.strength.denominator.comparator",
"max": "0"
},
{
"id": "Medication.ingredient.strength.denominator.unit",
"path": "Medication.ingredient.strength.denominator.unit",
"max": "0"
},
{
"id": "Medication.ingredient.strength.denominator.system",
"path": "Medication.ingredient.strength.denominator.system",
"max": "0"
},
{
"id": "Medication.ingredient.strength.denominator.code",
"path": "Medication.ingredient.strength.denominator.code",
"max": "0"
},
{
"id": "Medication.batch",
"path": "Medication.batch",
"max": "0"
}
]
}
}
FHIR
FHIRsmith