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{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-VoS-MedicationStatement-MP",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_MedicationStatement_MP",
  "version": "2.2.0",
  "name": "KBV_PR_VoS_MedicationStatement_MP",
  "title": "KBV_PR_VoS_MedicationStatement_MP",
  "status": "draft",
  "date": "2025-10-01",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "description": "Profil für die Übertragung weiterer Informationen (strukturierte Dosierung, Hinweis, Grund, Kennzeichnung als Dauermedikation) für ein Medikament auf einem Medikationsplan.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationStatement",
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_MedicationStatement|1.7.0",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationStatement",
        "path": "MedicationStatement",
        "definition": "Hier werden Angaben dazu gemacht, wie ein bestimmtes Arzneimittel eingenommen bzw. verabreicht wird oder werden soll.\r\nDieses Profil wird für die Übertragung von strukturierten Dosierungen, der Kennzeichnung einer Dauermedikation und den Feldern Hinweis und Grund auf dem Medikationsplan verwendet. Diese Angaben werden ausschließlich für den Medikationsplan und nicht für Dosierungsangaben auf Rezepten verwendet."
      },
      {
        "id": "MedicationStatement.id",
        "path": "MedicationStatement.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.meta",
        "path": "MedicationStatement.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.meta.source",
        "path": "MedicationStatement.meta.source",
        "max": "0"
      },
      {
        "id": "MedicationStatement.meta.profile",
        "path": "MedicationStatement.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.meta.profile:vosProfile",
        "path": "MedicationStatement.meta.profile",
        "sliceName": "vosProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_MedicationStatement_MP|2.2.0",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.meta.security",
        "path": "MedicationStatement.meta.security",
        "max": "0"
      },
      {
        "id": "MedicationStatement.meta.tag",
        "path": "MedicationStatement.meta.tag",
        "max": "0"
      },
      {
        "id": "MedicationStatement.implicitRules",
        "path": "MedicationStatement.implicitRules",
        "max": "0"
      },
      {
        "id": "MedicationStatement.language",
        "path": "MedicationStatement.language",
        "max": "0"
      },
      {
        "id": "MedicationStatement.contained",
        "path": "MedicationStatement.contained",
        "max": "0"
      },
      {
        "id": "MedicationStatement.extension",
        "path": "MedicationStatement.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "closed"
        },
        "min": 1
      },
      {
        "id": "MedicationStatement.extension:behandlungsziel",
        "path": "MedicationStatement.extension",
        "sliceName": "behandlungsziel",
        "max": "0"
      },
      {
        "id": "MedicationStatement.extension:Dauermedikation",
        "path": "MedicationStatement.extension",
        "sliceName": "Dauermedikation",
        "short": "Dauermedikationskennzeichnung",
        "definition": "Kennzeichnung, ob es sich um eine Dauermedikation handelt.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_isPermanent"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MedicationStatement.extension:Dauermedikation.value[x]",
        "path": "MedicationStatement.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.extension:Dauermedikation.value[x]:valueBoolean",
        "path": "MedicationStatement.extension.value[x]",
        "sliceName": "valueBoolean",
        "short": "Dauermedikation",
        "definition": "Angabe, ob die Medikation eine Dauermedikation ist. true = Dauermedikation, false = keine Dauermedikation",
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.identifier",
        "path": "MedicationStatement.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.basedOn",
        "path": "MedicationStatement.basedOn",
        "max": "0"
      },
      {
        "id": "MedicationStatement.partOf",
        "path": "MedicationStatement.partOf",
        "max": "0"
      },
      {
        "id": "MedicationStatement.status",
        "path": "MedicationStatement.status",
        "fixedCode": "draft",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.statusReason",
        "path": "MedicationStatement.statusReason",
        "max": "0"
      },
      {
        "id": "MedicationStatement.category",
        "path": "MedicationStatement.category",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x]",
        "path": "MedicationStatement.medication[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference",
        "path": "MedicationStatement.medication[x]",
        "sliceName": "medicationReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Compounding|2.2.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_FreeText|2.2.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_Ingredient|2.2.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Medication_PZN|2.2.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference.reference",
        "path": "MedicationStatement.medication[x].reference",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference.type",
        "path": "MedicationStatement.medication[x].type",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference.identifier",
        "path": "MedicationStatement.medication[x].identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.medication[x]:medicationReference.display",
        "path": "MedicationStatement.medication[x].display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject",
        "path": "MedicationStatement.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.subject.reference",
        "path": "MedicationStatement.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.subject.type",
        "path": "MedicationStatement.subject.type",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject.identifier",
        "path": "MedicationStatement.subject.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.subject.display",
        "path": "MedicationStatement.subject.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.context",
        "path": "MedicationStatement.context",
        "max": "0"
      },
      {
        "id": "MedicationStatement.effective[x]",
        "path": "MedicationStatement.effective[x]",
        "max": "0"
      },
      {
        "id": "MedicationStatement.effective[x]:effectiveDateTime",
        "path": "MedicationStatement.effective[x]",
        "sliceName": "effectiveDateTime",
        "max": "0",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "MedicationStatement.effective[x]:effectivePeriod",
        "path": "MedicationStatement.effective[x]",
        "sliceName": "effectivePeriod",
        "max": "0",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "MedicationStatement.dateAsserted",
        "path": "MedicationStatement.dateAsserted",
        "max": "0"
      },
      {
        "id": "MedicationStatement.informationSource",
        "path": "MedicationStatement.informationSource",
        "max": "0"
      },
      {
        "id": "MedicationStatement.derivedFrom",
        "path": "MedicationStatement.derivedFrom",
        "short": "Verweis auf signiertes E-Rezept",
        "definition": "Verweis auf eine DocumentReference mit einem E-Rezept-Bundle, zu dessen Verordnung eine strukturierte Dosierung übertragen wird.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_DocumentReference|2.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.derivedFrom.reference",
        "path": "MedicationStatement.derivedFrom.reference",
        "min": 1,
        "constraint": [
          {
            "key": "-vos-statement-derivedFrom",
            "human": "Die referenzierte DocumentReference muss vom Typ 'Signiertes_eRezept' sein",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_MedicationStatement_MP",
            "severity": "error",
            "expression": "resolve().type.coding.code='Signiertes_eRezept'"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.derivedFrom.type",
        "path": "MedicationStatement.derivedFrom.type",
        "max": "0"
      },
      {
        "id": "MedicationStatement.derivedFrom.identifier",
        "path": "MedicationStatement.derivedFrom.identifier",
        "max": "0"
      },
      {
        "id": "MedicationStatement.derivedFrom.display",
        "path": "MedicationStatement.derivedFrom.display",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonCode",
        "path": "MedicationStatement.reasonCode",
        "definition": "Feld \"Grund\" auf einem Medikationsplan zu einer Medikation.",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonCode.coding",
        "path": "MedicationStatement.reasonCode.coding",
        "max": "0"
      },
      {
        "id": "MedicationStatement.reasonCode.text",
        "path": "MedicationStatement.reasonCode.text",
        "definition": "Feld \"Grund\" auf einem Medikationsplan zu einer Medikation.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.reasonReference",
        "path": "MedicationStatement.reasonReference",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note",
        "path": "MedicationStatement.note",
        "short": "Hinweis",
        "definition": "Feld \"Hinweis\" auf einem Medikationsplan zu einer Medikation.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.note.author[x]",
        "path": "MedicationStatement.note.author[x]",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.author[x]:authorReference",
        "path": "MedicationStatement.note.author[x]",
        "sliceName": "authorReference",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner|1.7.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient|1.7.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_RelatedPerson|1.7.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization|1.7.0"
            ]
          }
        ]
      },
      {
        "id": "MedicationStatement.note.author[x]:authorString",
        "path": "MedicationStatement.note.author[x]",
        "sliceName": "authorString",
        "max": "0",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "MedicationStatement.note.time",
        "path": "MedicationStatement.note.time",
        "max": "0"
      },
      {
        "id": "MedicationStatement.note.text",
        "path": "MedicationStatement.note.text",
        "definition": "Feld \"Hinweis\" auf einem Medikationsplan zu einer Medikation.",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage",
        "path": "MedicationStatement.dosage",
        "max": "4",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.sequence",
        "path": "MedicationStatement.dosage.sequence",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.text",
        "path": "MedicationStatement.dosage.text",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.additionalInstruction",
        "path": "MedicationStatement.dosage.additionalInstruction",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.patientInstruction",
        "path": "MedicationStatement.dosage.patientInstruction",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing",
        "path": "MedicationStatement.dosage.timing",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.event",
        "path": "MedicationStatement.dosage.timing.event",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat",
        "path": "MedicationStatement.dosage.timing.repeat",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.id",
        "path": "MedicationStatement.dosage.timing.repeat.id",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "sliceName": "boundsPeriod",
        "max": "0",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "sliceName": "boundsDuration",
        "max": "0",
        "type": [
          {
            "code": "Duration"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange",
        "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
        "sliceName": "boundsRange",
        "max": "0",
        "type": [
          {
            "code": "Range"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.count",
        "path": "MedicationStatement.dosage.timing.repeat.count",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.countMax",
        "path": "MedicationStatement.dosage.timing.repeat.countMax",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.duration",
        "path": "MedicationStatement.dosage.timing.repeat.duration",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.durationMax",
        "path": "MedicationStatement.dosage.timing.repeat.durationMax",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.durationUnit",
        "path": "MedicationStatement.dosage.timing.repeat.durationUnit",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.frequency",
        "path": "MedicationStatement.dosage.timing.repeat.frequency",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.frequencyMax",
        "path": "MedicationStatement.dosage.timing.repeat.frequencyMax",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.period",
        "path": "MedicationStatement.dosage.timing.repeat.period",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.periodMax",
        "path": "MedicationStatement.dosage.timing.repeat.periodMax",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.periodUnit",
        "path": "MedicationStatement.dosage.timing.repeat.periodUnit",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
        "path": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.timeOfDay",
        "path": "MedicationStatement.dosage.timing.repeat.timeOfDay",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.when",
        "path": "MedicationStatement.dosage.timing.repeat.when",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.when:Tageszeit",
        "path": "MedicationStatement.dosage.timing.repeat.when",
        "sliceName": "Tageszeit",
        "definition": "Hier werden Tageszeiten angegeben, zu denen das Arzneimittel verabreicht/eingenommen wird.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.when:Mahlzeiten-Schlafzeiten",
        "path": "MedicationStatement.dosage.timing.repeat.when",
        "sliceName": "Mahlzeiten-Schlafzeiten",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.repeat.offset",
        "path": "MedicationStatement.dosage.timing.repeat.offset",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.timing.code",
        "path": "MedicationStatement.dosage.timing.code",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededBoolean",
        "max": "0",
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept",
        "path": "MedicationStatement.dosage.asNeeded[x]",
        "sliceName": "asNeededCodeableConcept",
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.site",
        "path": "MedicationStatement.dosage.site",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.route",
        "path": "MedicationStatement.dosage.route",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.method",
        "path": "MedicationStatement.dosage.method",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate",
        "path": "MedicationStatement.dosage.doseAndRate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.type",
        "path": "MedicationStatement.dosage.doseAndRate.type",
        "max": "0"
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ]
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
        "sliceName": "doseQuantity",
        "definition": "Hier wird die Dosiermenge mittels einer definierten Menge angegeben.\r\nDabei muss das ValueSet KBV_VS_SFHIR_BMP_DOSIEREINHEIT verwendet werden.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x].value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.comparator",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x].comparator",
        "mustSupport": false
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x].unit",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x].system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code",
        "path": "MedicationStatement.dosage.doseAndRate.dose[x].code",
        "min": 1,
        "mustSupport": true
      },
      {
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