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{
"resourceType": "StructureDefinition",
"id": "KBV-PR-VoS-Medication-Ingredient",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Ingredient",
"version": "2.2.0",
"name": "KBV_PR_VoS_Medication_Ingredient",
"status": "draft",
"date": "2025-10-01",
"publisher": "Kassenärztliche Bundesvereinigung",
"description": "Übergabe einer Wirkstoff-Medikation",
"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",
"path": "Medication",
"constraint": [
{
"key": "-erp-angabeNormgroesseOderMenge",
"human": "Packungsgröße oder Normgröße (Wert N1 oder N2 oder N3) müssen angegeben sein.",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Ingredient",
"severity": "warning",
"expression": "(extension('http://fhir.de/StructureDefinition/normgroesse').exists() and extension('http://fhir.de/StructureDefinition/normgroesse').all(($this.value as code)='N1' or ($this.value as code)='N2' or ($this.value as code)='N3')) or amount.exists()"
}
]
},
{
"id": "Medication.id",
"path": "Medication.id",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.meta",
"path": "Medication.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.meta.source",
"path": "Medication.meta.source",
"max": "0"
},
{
"id": "Medication.meta.profile",
"path": "Medication.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$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_Ingredient|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": 2
},
{
"id": "Medication.extension:Kategorie",
"path": "Medication.extension",
"sliceName": "Kategorie",
"max": "0"
},
{
"id": "Medication.extension:Normgroesse",
"path": "Medication.extension",
"sliceName": "Normgroesse",
"mustSupport": true
},
{
"id": "Medication.extension:Normgroesse.value[x]",
"path": "Medication.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"min": 1,
"mustSupport": true
},
{
"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: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 Wirkstoffverordnung",
"definition": "Anhand des \"Fixed value\" kann die Medication als Wirkstoffverordnung identifiziert werden.",
"min": 1,
"fixedCode": "wirkstoff",
"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",
"max": "0"
},
{
"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",
"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:Packungsgroesse",
"path": "Medication.amount.numerator.extension",
"sliceName": "Packungsgroesse",
"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:Packungsgroesse.extension",
"path": "Medication.amount.numerator.extension.extension",
"max": "0"
},
{
"id": "Medication.amount.numerator.extension:Packungsgroesse.value[x]",
"path": "Medication.amount.numerator.extension.value[x]",
"mustSupport": true
},
{
"id": "Medication.amount.numerator.extension:Packungsgroesse.value[x]:valueString",
"path": "Medication.amount.numerator.extension.value[x]",
"sliceName": "valueString",
"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",
"definition": "Einheit der Packungsgröße (z.B. St.). Tritt nur in Verbindung mit „Packungsgröße nach abgeteilter Menge“ auf - z.B. 100 St.",
"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.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": "1",
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.system",
"path": "Medication.ingredient.item[x].coding.system",
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.version",
"path": "Medication.ingredient.item[x].coding.version",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.code",
"path": "Medication.ingredient.item[x].coding.code",
"short": "Wirkstoffnummer",
"definition": "ASK-Nummer wenn vorhanden",
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.display",
"path": "Medication.ingredient.item[x].coding.display",
"max": "0"
},
{
"id": "Medication.ingredient.item[x]:itemCodeableConcept.coding:ask.userSelected",
"path": "Medication.ingredient.item[x].coding.userSelected",
"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.text",
"path": "Medication.ingredient.item[x].text",
"short": "Wirkstoffname",
"definition": "Wirkstoff- bzw. sonstiges Fertigarzneimittel oder Produkt nicht nach § 131 Abs. 4 SGB V gelistet",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.item[x]:itemReference",
"path": "Medication.ingredient.item[x]",
"sliceName": "itemReference",
"max": "0",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Medication",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Medication|1.7.0"
]
}
]
},
{
"id": "Medication.ingredient.isdraft",
"path": "Medication.ingredient.isdraft",
"max": "0"
},
{
"id": "Medication.ingredient.strength",
"path": "Medication.ingredient.strength",
"short": "Wirkstärke",
"min": 1,
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.numerator",
"path": "Medication.ingredient.strength.numerator",
"short": "Wirkstoffmenge",
"min": 1,
"constraint": [
{
"key": "-erp-begrenzungValueWirkstoffmenge",
"human": "Der Zahlenwert der Wirkstoffmenge darf aus maximal 15 Zeichen bestehen",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Ingredient",
"severity": "warning",
"expression": "value.toString().length()<=15"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.numerator.value",
"path": "Medication.ingredient.strength.numerator.value",
"short": "Zahlenwert der Wirkstoffmenge",
"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 der Wirkstoffmenge",
"definition": "Einheit der Wirkstoffmenge (bspw. mg)",
"min": 1,
"maxLength": 15,
"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",
"short": "Bezugsmenge",
"min": 1,
"constraint": [
{
"key": "-erp-begrenzungValueBezugsmenge",
"human": "Der Zahlenwert der Bezugsmenge darf aus maximal 15 Zeichen bestehen",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Ingredient",
"severity": "warning",
"expression": "value.toString().length()<=15"
}
],
"mustSupport": true
},
{
"id": "Medication.ingredient.strength.denominator.value",
"path": "Medication.ingredient.strength.denominator.value",
"short": "Zahlenwert der Bezugsmenge",
"min": 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",
"short": "Einheit der Bezugsmenge",
"definition": "Einheit der Bezugsmenge (bspw. ml)",
"min": 1,
"maxLength": 15,
"mustSupport": true
},
{
"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
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