Kerndatensatz Senologie
0.9.0 - ci-build

Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: BIH Senologie Systemtherapie Medikation (einzelne Gabe)

Official URL: https://www.senologie.org/fhir/StructureDefinition/senologie-systemtherapie-medikation Version: 0.9.0
Draft as of 2026-05-04 Computable Name: Senologie_Systemtherapie_Medikation

MedicationStatement für einzelne Medikamentengaben aus dotbase. Erbt ATC/UNII-Codierung und partOf:systemischeTherapie von MII Onko.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:therapyCycle 0..1 integer Therapie-Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-therapy-cycle
.... extension:dayInCycle 0..1 integer Tag im Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-day-in-cycle
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier
... basedOn SΣC 0..* Reference(CarePlan | MedicationRequest) Based on
Constraints: ref-1
... Slices for partOf SΣC 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Zugehörig zu Systemtherapie-Procedure
Slice: Unordered, Open by profile:resolve()
Constraints: ref-1
.... partOf:systemischeTherapie SΣC 0..1 Reference(MII PR Onkologie Systemische Therapie) Part of
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Fixed Value: completed
... category SΣ 0..1 CodeableConcept Category
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Usage Category
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Context Category
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... Slices for medication[x] SΣ 1..1 Substanz/Medikament
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... Slices for coding SΣ 1..* Coding Wirkstoff der systemischen Medikation
Slice: Unordered, Open by pattern:$this
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC code
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding ATC WHO code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier
Binding: MII VS Onkologie Systemische Therapie Substanzen (UNII) (extensible)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:sct SΣ 0..1 Coding SNOMED CT Wirkstoff
Binding: VS Senologie Systemtherapie Medikation (extensible)

Required Pattern: At least the following
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication(2026.0.1)) Medication Reference
... subject SΣC 1..1 Reference(Patient) Who is/was taking the medication
Constraints: ref-1
... context SΣC 0..1 Reference(Encounter | EpisodeOfCare) Context
Constraints: ref-1
... Slices for effective[x] SΣ 1..1 Zeitraum der Gabe
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Date time
.... effective[x]:effectivePeriod SΣ 0..1 Period Period
..... start SΣC 0..1 dateTime Startdatum der systemischen Medikation
..... end SΣC 0..1 dateTime Enddatum der systemischen Medikation
... dateAsserted SΣ 0..1 dateTime Datum der Medikamentengabe
... informationSource SC 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Information source
Constraints: ref-1
... reasonCode S 0..* CodeableConcept Reason code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference SC 0..* Reference(Condition | Observation | DiagnosticReport) Bezogene Diagnose
Constraints: ref-1
... note S 0..* Annotation Besonderheiten/Kommentar zur Gabe
.... text SΣ 1..1 markdown Protokoll
... dosage SC 0..* DosageDE(1.0.4) Dosage
Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, dsg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... timing SΣ 0..1 TimingDE(1.0.4) Wann das Medikament verabreicht werden soll
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Site of administration
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT code
Binding: Target Site - IPS . (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route SΣ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... Slices for dose[x] SΣ 0..1 Verabreichte Dosis
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣC 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
Constraints: qty-3, sqty-1
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high ΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
Constraints: qty-3, sqty-1
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣC 0..1 Ratio Upper limit on medication per unit of time
Constraints: rat-1
..... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣC 0..1 SimpleQuantity Upper limit on medication per administration
Constraints: qty-3, sqty-1
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:UNII Base extensible MII VS Onkologie Systemische Therapie Substanzen (UNII) 📦2026.0.3 MII IG Onkologie v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:sct Base extensible VS Senologie Systemtherapie Medikation 📦0.9.0 This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Target Site - IPS . ⏿1.1.0 localhost
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.4 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
DosageDoseUnitSameCode error MedicationStatement.dosage Die Dosiereinheit muss über alle Dosierungen gleich sein. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( %resource.dosageInstruction.doseAndRate.dose.ofType(Quantity).code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).low.code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeTextWarning warning MedicationStatement.dosage Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth error MedicationStatement.dosage Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageWarnungViererschemaInText warning MedicationStatement.dosage Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann. text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextSingleDosageOnlyWarning warning MedicationStatement.dosage Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren. ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qty-3 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerPeriod.numerator, MedicationStatement.dosage.maxDosePerPeriod.denominator, MedicationStatement.dosage.maxDosePerAdministration If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error MedicationStatement.dosage.maxDosePerPeriod Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.partOf:systemischeTherapie, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.reasonReference SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerAdministration The comparator is not used on a SimpleQuantity comparator.empty()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from MII_PR_Onko_Systemische_Therapie_Medikation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient
... Slices for extension Content/Rules for all slices
.... extension:therapyCycle 0..1 integer Therapie-Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-therapy-cycle
.... extension:dayInCycle 0..1 integer Tag im Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-day-in-cycle
... partOf 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Zugehörig zu Systemtherapie-Procedure
... status 1..1 code Durchgeführt
Fixed Value: completed
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationCodeableConcept 1..1 CodeableConcept Medication code
..... Slices for coding Content/Rules for all slices
...... coding:sct S 0..1 Coding SNOMED CT Wirkstoff
Binding: VS Senologie Systemtherapie Medikation (extensible)
Required Pattern: At least the following
... effective[x] 1..1 dateTime, Period Zeitraum der Gabe
... dateAsserted 0..1 dateTime Datum der Medikamentengabe
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Bezogene Diagnose
... note 0..* Annotation Besonderheiten/Kommentar zur Gabe
... dosage
.... doseAndRate
..... dose[x] 0..1 Range, SimpleQuantity Verabreichte Dosis

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:sct Base extensible VS Senologie Systemtherapie Medikation 📦0.9.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:therapyCycle 0..1 integer Therapie-Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-therapy-cycle
.... extension:dayInCycle 0..1 integer Tag im Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-day-in-cycle
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier
... basedOn SΣC 0..* Reference(CarePlan | MedicationRequest) Based on
Constraints: ref-1
... Slices for partOf SΣC 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Zugehörig zu Systemtherapie-Procedure
Slice: Unordered, Open by profile:resolve()
Constraints: ref-1
.... partOf:systemischeTherapie SΣC 0..1 Reference(MII PR Onkologie Systemische Therapie) Part of
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Fixed Value: completed
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Category
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Usage Category
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Context Category
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for medication[x] SΣ 1..1 Substanz/Medikament
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 1..* Coding Wirkstoff der systemischen Medikation
Slice: Unordered, Open by pattern:$this
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassDe SΣ 0..* Coding ATC code
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassEn SΣ 0..* Coding ATC WHO code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier
Binding: MII VS Onkologie Systemische Therapie Substanzen (UNII) (extensible)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:sct SΣ 0..1 Coding SNOMED CT Wirkstoff
Binding: VS Senologie Systemtherapie Medikation (extensible)

Required Pattern: At least the following
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication(2026.0.1)) Medication Reference
... subject SΣC 1..1 Reference(Patient) Who is/was taking the medication
Constraints: ref-1
... context SΣC 0..1 Reference(Encounter | EpisodeOfCare) Context
Constraints: ref-1
... Slices for effective[x] SΣ 1..1 Zeitraum der Gabe
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Date time
.... effective[x]:effectivePeriod SΣ 0..1 Period Period
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Startdatum der systemischen Medikation
..... end SΣC 0..1 dateTime Enddatum der systemischen Medikation
... dateAsserted SΣ 0..1 dateTime Datum der Medikamentengabe
... informationSource SC 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Information source
Constraints: ref-1
... derivedFrom C 0..* Reference(Resource) Additional supporting information
Constraints: ref-1
... reasonCode S 0..* CodeableConcept Reason code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference SC 0..* Reference(Condition | Observation | DiagnosticReport) Bezogene Diagnose
Constraints: ref-1
... note S 0..* Annotation Besonderheiten/Kommentar zur Gabe
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown Protokoll
... dosage SC 0..* DosageDE(1.0.4) Dosage
Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, dsg-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 TimingDE(1.0.4) Wann das Medikament verabreicht werden soll
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Site of administration
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT code
Binding: Target Site - IPS . (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... route SΣ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... Slices for dose[x] SΣ 0..1 Verabreichte Dosis
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣC 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
Constraints: qty-3, sqty-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high ΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
Constraints: qty-3, sqty-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣC 0..1 Ratio Upper limit on medication per unit of time
Constraints: rat-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣC 0..1 SimpleQuantity Upper limit on medication per administration
Constraints: qty-3, sqty-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... maxDosePerLifetime ΣC 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
Constraints: qty-3, sqty-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📦4.0.1 FHIR Std.
MedicationStatement.​language Base preferred Common Languages 📦4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📦4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:UNII Base extensible MII VS Onkologie Systemische Therapie Substanzen (UNII) 📦2026.0.3 MII IG Onkologie v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:sct Base extensible VS Senologie Systemtherapie Medikation 📦0.9.0 This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.code Base preferred TimingAbbreviation 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Target Site - IPS . ⏿1.1.0 localhost
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.4 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
DosageDoseUnitSameCode error MedicationStatement.dosage Die Dosiereinheit muss über alle Dosierungen gleich sein. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( %resource.dosageInstruction.doseAndRate.dose.ofType(Quantity).code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).low.code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeTextWarning warning MedicationStatement.dosage Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth error MedicationStatement.dosage Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageWarnungViererschemaInText warning MedicationStatement.dosage Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann. text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextSingleDosageOnlyWarning warning MedicationStatement.dosage Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren. ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qty-3 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerPeriod.numerator, MedicationStatement.dosage.maxDosePerPeriod.denominator, MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error MedicationStatement.dosage.maxDosePerPeriod Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.partOf:systemischeTherapie, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonReference SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime The comparator is not used on a SimpleQuantity comparator.empty()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from MII_PR_Onko_Systemische_Therapie_Medikation

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:therapyCycle 0..1 integer Therapie-Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-therapy-cycle
.... extension:dayInCycle 0..1 integer Tag im Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-day-in-cycle
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier
... basedOn SΣC 0..* Reference(CarePlan | MedicationRequest) Based on
Constraints: ref-1
... Slices for partOf SΣC 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Zugehörig zu Systemtherapie-Procedure
Slice: Unordered, Open by profile:resolve()
Constraints: ref-1
.... partOf:systemischeTherapie SΣC 0..1 Reference(MII PR Onkologie Systemische Therapie) Part of
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Fixed Value: completed
... category SΣ 0..1 CodeableConcept Category
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Usage Category
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Context Category
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... Slices for medication[x] SΣ 1..1 Substanz/Medikament
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... Slices for coding SΣ 1..* Coding Wirkstoff der systemischen Medikation
Slice: Unordered, Open by pattern:$this
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC code
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding ATC WHO code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier
Binding: MII VS Onkologie Systemische Therapie Substanzen (UNII) (extensible)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:sct SΣ 0..1 Coding SNOMED CT Wirkstoff
Binding: VS Senologie Systemtherapie Medikation (extensible)

Required Pattern: At least the following
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication(2026.0.1)) Medication Reference
... subject SΣC 1..1 Reference(Patient) Who is/was taking the medication
Constraints: ref-1
... context SΣC 0..1 Reference(Encounter | EpisodeOfCare) Context
Constraints: ref-1
... Slices for effective[x] SΣ 1..1 Zeitraum der Gabe
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Date time
.... effective[x]:effectivePeriod SΣ 0..1 Period Period
..... start SΣC 0..1 dateTime Startdatum der systemischen Medikation
..... end SΣC 0..1 dateTime Enddatum der systemischen Medikation
... dateAsserted SΣ 0..1 dateTime Datum der Medikamentengabe
... informationSource SC 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Information source
Constraints: ref-1
... reasonCode S 0..* CodeableConcept Reason code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference SC 0..* Reference(Condition | Observation | DiagnosticReport) Bezogene Diagnose
Constraints: ref-1
... note S 0..* Annotation Besonderheiten/Kommentar zur Gabe
.... text SΣ 1..1 markdown Protokoll
... dosage SC 0..* DosageDE(1.0.4) Dosage
Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, dsg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... timing SΣ 0..1 TimingDE(1.0.4) Wann das Medikament verabreicht werden soll
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Site of administration
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT code
Binding: Target Site - IPS . (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route SΣ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... Slices for dose[x] SΣ 0..1 Verabreichte Dosis
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣC 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
Constraints: qty-3, sqty-1
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high ΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
Constraints: qty-3, sqty-1
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣC 0..1 Ratio Upper limit on medication per unit of time
Constraints: rat-1
..... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣC 0..1 SimpleQuantity Upper limit on medication per administration
Constraints: qty-3, sqty-1
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:UNII Base extensible MII VS Onkologie Systemische Therapie Substanzen (UNII) 📦2026.0.3 MII IG Onkologie v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:sct Base extensible VS Senologie Systemtherapie Medikation 📦0.9.0 This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Target Site - IPS . ⏿1.1.0 localhost
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.4 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
DosageDoseUnitSameCode error MedicationStatement.dosage Die Dosiereinheit muss über alle Dosierungen gleich sein. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( %resource.dosageInstruction.doseAndRate.dose.ofType(Quantity).code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).low.code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeTextWarning warning MedicationStatement.dosage Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth error MedicationStatement.dosage Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageWarnungViererschemaInText warning MedicationStatement.dosage Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann. text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextSingleDosageOnlyWarning warning MedicationStatement.dosage Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren. ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qty-3 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerPeriod.numerator, MedicationStatement.dosage.maxDosePerPeriod.denominator, MedicationStatement.dosage.maxDosePerAdministration If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error MedicationStatement.dosage.maxDosePerPeriod Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.partOf:systemischeTherapie, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.reasonReference SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerAdministration The comparator is not used on a SimpleQuantity comparator.empty()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Differential View

This structure is derived from MII_PR_Onko_Systemische_Therapie_Medikation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient
... Slices for extension Content/Rules for all slices
.... extension:therapyCycle 0..1 integer Therapie-Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-therapy-cycle
.... extension:dayInCycle 0..1 integer Tag im Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-day-in-cycle
... partOf 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Zugehörig zu Systemtherapie-Procedure
... status 1..1 code Durchgeführt
Fixed Value: completed
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationCodeableConcept 1..1 CodeableConcept Medication code
..... Slices for coding Content/Rules for all slices
...... coding:sct S 0..1 Coding SNOMED CT Wirkstoff
Binding: VS Senologie Systemtherapie Medikation (extensible)
Required Pattern: At least the following
... effective[x] 1..1 dateTime, Period Zeitraum der Gabe
... dateAsserted 0..1 dateTime Datum der Medikamentengabe
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Bezogene Diagnose
... note 0..* Annotation Besonderheiten/Kommentar zur Gabe
... dosage
.... doseAndRate
..... dose[x] 0..1 Range, SimpleQuantity Verabreichte Dosis

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:sct Base extensible VS Senologie Systemtherapie Medikation 📦0.9.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MII_PR_Onko_Systemische_Therapie_Medikation Record of medication being taken by a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:therapyCycle 0..1 integer Therapie-Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-therapy-cycle
.... extension:dayInCycle 0..1 integer Tag im Zyklus
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-day-in-cycle
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier
... basedOn SΣC 0..* Reference(CarePlan | MedicationRequest) Based on
Constraints: ref-1
... Slices for partOf SΣC 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Zugehörig zu Systemtherapie-Procedure
Slice: Unordered, Open by profile:resolve()
Constraints: ref-1
.... partOf:systemischeTherapie SΣC 0..1 Reference(MII PR Onkologie Systemische Therapie) Part of
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Fixed Value: completed
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Category
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:usageCategory Σ 0..* Coding Usage Category
Binding: Medication usage category codes (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/medication-statement-category
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:contextCode Σ 0..1 Coding Context Category
Binding: MII VS Medikation Fallkontext (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... Slices for medication[x] SΣ 1..1 Substanz/Medikament
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 1..* Coding Wirkstoff der systemischen Medikation
Slice: Unordered, Open by pattern:$this
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassDe SΣ 0..* Coding ATC code
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassEn SΣ 0..* Coding ATC WHO code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier
Binding: MII VS Onkologie Systemische Therapie Substanzen (UNII) (extensible)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:sct SΣ 0..1 Coding SNOMED CT Wirkstoff
Binding: VS Senologie Systemtherapie Medikation (extensible)

Required Pattern: At least the following
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication(2026.0.1)) Medication Reference
... subject SΣC 1..1 Reference(Patient) Who is/was taking the medication
Constraints: ref-1
... context SΣC 0..1 Reference(Encounter | EpisodeOfCare) Context
Constraints: ref-1
... Slices for effective[x] SΣ 1..1 Zeitraum der Gabe
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Date time
.... effective[x]:effectivePeriod SΣ 0..1 Period Period
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Startdatum der systemischen Medikation
..... end SΣC 0..1 dateTime Enddatum der systemischen Medikation
... dateAsserted SΣ 0..1 dateTime Datum der Medikamentengabe
... informationSource SC 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Information source
Constraints: ref-1
... derivedFrom C 0..* Reference(Resource) Additional supporting information
Constraints: ref-1
... reasonCode S 0..* CodeableConcept Reason code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference SC 0..* Reference(Condition | Observation | DiagnosticReport) Bezogene Diagnose
Constraints: ref-1
... note S 0..* Annotation Besonderheiten/Kommentar zur Gabe
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown Protokoll
... dosage SC 0..* DosageDE(1.0.4) Dosage
Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, dsg-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 TimingDE(1.0.4) Wann das Medikament verabreicht werden soll
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
........ high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Site of administration
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT code
Binding: Target Site - IPS . (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... route SΣ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... Slices for dose[x] SΣ 0..1 Verabreichte Dosis
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣC 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
Constraints: qty-3, sqty-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high ΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣC 0..1 SimpleQuantity Low limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣC 0..1 SimpleQuantity High limit
Constraints: qty-3, sqty-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣC 0..1 SimpleQuantity A fixed quantity (no comparator)
Constraints: qty-3, sqty-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣC 0..1 Ratio Upper limit on medication per unit of time
Constraints: rat-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator SΣC 0..1 Quantity Numerator value
Constraints: qty-3
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣC 0..1 Quantity Denominator value
Constraints: qty-3
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣC 0..1 SimpleQuantity Upper limit on medication per administration
Constraints: qty-3, sqty-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... maxDosePerLifetime ΣC 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
Constraints: qty-3, sqty-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📦4.0.1 FHIR Std.
MedicationStatement.​language Base preferred Common Languages 📦4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📦4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:usageCategory Base required Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​category.coding:contextCode Base required MII VS Medikation Fallkontext 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2026.0.1 MII IG Medikation v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:UNII Base extensible MII VS Onkologie Systemische Therapie Substanzen (UNII) 📦2026.0.3 MII IG Onkologie v2026.0
MedicationStatement.​medication[x]:medicationCodeableConcept.​coding:sct Base extensible VS Senologie Systemtherapie Medikation 📦0.9.0 This IG
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.timing.code Base preferred TimingAbbreviation 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.site.coding:SNOMED Base example Target Site - IPS . ⏿1.1.0 localhost
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📦4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.4 Medication IG DE v1.0
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.maxDosePerPeriod.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
DosageDoseUnitSameCode error MedicationStatement.dosage Die Dosiereinheit muss über alle Dosierungen gleich sein. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( %resource.dosageInstruction.doseAndRate.dose.ofType(Quantity).code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).low.code | %resource.dosageInstruction.doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeTextWarning warning MedicationStatement.dosage Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth error MedicationStatement.dosage Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden. (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageWarnungViererschemaInText warning MedicationStatement.dosage Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann. text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextSingleDosageOnlyWarning warning MedicationStatement.dosage Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren. ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
TimingBoundsUnitMatchesCode error MedicationStatement.dosage.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationStatement.dosage.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationStatement.dosage.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationStatement.dosage If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qty-3 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerPeriod.numerator, MedicationStatement.dosage.maxDosePerPeriod.denominator, MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
rat-1 error MedicationStatement.dosage.maxDosePerPeriod Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1 error MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.partOf:systemischeTherapie, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonReference SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1 error MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low, MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low, MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low, MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high, MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity, MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime The comparator is not used on a SimpleQuantity comparator.empty()
tim-1 error MedicationStatement.dosage.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationStatement.dosage.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationStatement.dosage.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationStatement.dosage.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationStatement.dosage.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationStatement.dosage.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationStatement.dosage.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationStatement.dosage.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationStatement.dosage.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from MII_PR_Onko_Systemische_Therapie_Medikation

Summary

Must-Support: 1 element
Fixed: 1 element

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron