Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
language	S	0..1	code	Language of the resource content
basedOn		0..0
partOf		0..0
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
category		0..0
medication[x]	S	1..1	Reference(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medicationReference		1..1	Reference(Medikation MP4+)	What medication was taken
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
subject	S	1..1	Reference(Patient MP4+)	Who is/was taking the medication
context		0..0
effective[x]	S	0..1	Period	Einnahmezeitraum Slice: Unordered, Open by type:$this
effectivePeriod		0..1	Period	The date/time or interval when the medication is/was/will be taken
start	S	1..1	dateTime	Beginn der Einnahme (@ms)
end	S	0..1	dateTime	Ende der Einnahme (@me)
dateAsserted	S	0..1	dateTime	When the statement was asserted?
informationSource		0..0
derivedFrom		0..0
reasonCode
text	S	0..1	string	Grund für die Einnahme (@r)
reasonReference		0..0
note	S	0..1	Annotation	Further information about the statement
Slices for dosage	S	1..4	Dosage	Details of how medication is/was taken or should be taken Slice: Unordered, Closed by exists:text, exists:timing
dosage:freitext	S	0..1	Dosage	Details of how medication is/was taken or should be taken
sequence		0..0
text	S	1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction		0..0
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
timing		0..0
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
dosage:fehlend	S	0..1	Dosage	Details of how medication is/was taken or should be taken
dataAbsentReason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
sequence		0..0
text		0..0
additionalInstruction		0..0
patientInstruction		0..0
timing		0..0
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
dosage:kodiert	S	0..4	Dosage	Details of how medication is/was taken or should be taken
sequence		0..0
text		0..0
additionalInstruction		0..0
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
timing	S	1..1	Timing	When medication should be administered
event		0..0
repeat		0..0
code	S	1..1	CodeableConcept	Einnahmezeitpunkt (M@m|M@d|M@v|M@h)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed	S	1..1	Coding	Code defined by a terminology system Binding: Dosierung mittels 4-teiligem Schema (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:timingEvent	S	0..1	Coding	Code defined by a terminology system Binding: Einnahmezeitpunkte v3 TimingEvent (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-TimingEvent
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
site		0..0
route		0..0
method		0..0
doseAndRate	S	1..1	Element	Amount of medication administered
type		0..0
doseQuantity	SC	0..1	SimpleQuantity	Dosiereinheit kodiert (M@du) dqty-1: Die Dosierung muss strukturiert oder als Freitext angegeben werden.
freitextDosiereinheit	S	0..1	string	Extension Freitext MP4+ URL: https://www.charite.de/fhir/medikationsplan/Extension/freitext
valueString		1..1	string	Value of extension
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT
code	S	0..1	code	Coded form of the unit Binding: KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
rate[x]		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code
MedicationStatement.dosage:kodiert.timing.code.coding:snomed	required	Pattern: SNOMED CT code null
MedicationStatement.dosage:kodiert.timing.code.coding:timingEvent	required	Pattern: null
MedicationStatement.dosage:kodiert.doseAndRate.doseQuantity.code	required	KBV_VS_SFHIR_BMP_DOSIEREINHEIT (a valid code from KBV_CS_SFHIR_BMP_DOSIEREINHEIT)

Constraints

Id	Grade	Path(s)	Details	Requirements
dqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.doseQuantity	Die Dosierung muss strukturiert oder als Freitext angegeben werden. : $this.extension.where(url='https://www.charite.de/fhir/medikationsplan/Extension/freitext').exists() xor ($this.value.exists() and $this.unit.exists() and $this.system.exists() and $this.code.exists())

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	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
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
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	SΣ	1..1	Reference(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(Medikation MP4+)	What medication was taken
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
subject	SΣ	1..1	Reference(Patient MP4+)	Who is/was taking the medication
Slices for effective[x]	SΣ	0..1	Period	Einnahmezeitraum Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	1..1	dateTime	Beginn der Einnahme (@ms)
end	SΣC	0..1	dateTime	Ende der Einnahme (@me)
dateAsserted	SΣ	0..1	dateTime	When the statement was asserted?
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
text	SΣ	0..1	string	Grund für die Einnahme (@r)
note	S	0..1	Annotation	Further information about the statement
Slices for dosage	S	1..4	Dosage	Details of how medication is/was taken or should be taken Slice: Unordered, Closed by exists:text, exists:timing
dosage:freitext	S	0..1	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	1..1	string	Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
dosage:fehlend	S	0..1	Dosage	Details of how medication is/was taken or should be taken
dataAbsentReason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dosage:kodiert	S	0..4	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	1..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Einnahmezeitpunkt (M@m|M@d|M@v|M@h) Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed	SΣ	1..1	Coding	Code defined by a terminology system Binding: Dosierung mittels 4-teiligem Schema (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:timingEvent	SΣ	0..1	Coding	Code defined by a terminology system Binding: Einnahmezeitpunkte v3 TimingEvent (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-TimingEvent
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
doseAndRate	SΣ	1..1	Element	Amount of medication administered
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	Dosiereinheit kodiert (M@du) dqty-1: Die Dosierung muss strukturiert oder als Freitext angegeben werden.
freitextDosiereinheit	S	0..1	string	Extension Freitext MP4+ URL: https://www.charite.de/fhir/medikationsplan/Extension/freitext
extension		0..0
url		1..1	uri	"https://www.charite.de/fhir/medikationsplan/Extension/freitext"
Slices for value[x]		1..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		1..1	string	Value of extension
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT
code	SΣ	0..1	code	Coded form of the unit Binding: KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes
MedicationStatement.dosage:kodiert.timing.code	preferred	TimingAbbreviation
MedicationStatement.dosage:kodiert.timing.code.coding:snomed	required	Pattern: SNOMED CT code null
MedicationStatement.dosage:kodiert.timing.code.coding:timingEvent	required	Pattern: null
MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity.code	required	KBV_VS_SFHIR_BMP_DOSIEREINHEIT (a valid code from KBV_CS_SFHIR_BMP_DOSIEREINHEIT)

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
dqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity	Die Dosierung muss strukturiert oder als Freitext angegeben werden. : $this.extension.where(url='https://www.charite.de/fhir/medikationsplan/Extension/freitext').exists() xor ($this.value.exists() and $this.unit.exists() and $this.system.exists() and $this.code.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:kodiert.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	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	Σ	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
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
Slices for medication[x]	SΣ	1..1	Reference(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(Medikation MP4+)	What medication was taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(Patient MP4+)	Who is/was taking the medication
Slices for effective[x]	SΣ	0..1	Period	Einnahmezeitraum Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be 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
start	SΣC	1..1	dateTime	Beginn der Einnahme (@ms)
end	SΣC	0..1	dateTime	Ende der Einnahme (@me)
dateAsserted	SΣ	0..1	dateTime	When the statement was asserted?
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is 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
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Grund für die Einnahme (@r)
note	S	0..1	Annotation	Further information about the statement
Slices for dosage	S	1..4	Dosage	Details of how medication is/was taken or should be taken Slice: Unordered, Closed by exists:text, exists:timing
dosage:freitext	S	0..1	Dosage	Details of how medication is/was taken or should be 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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	1..1	string	Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
dosage:fehlend	S	0..1	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dosage:kodiert	S	0..4	Dosage	Details of how medication is/was taken or should be 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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	1..1	Timing	When medication should be 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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Einnahmezeitpunkt (M@m|M@d|M@v|M@h) Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed	SΣ	1..1	Coding	Code defined by a terminology system Binding: Dosierung mittels 4-teiligem Schema (required) Required Pattern: At least the following
id		0..1	id	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://snomed.info/sct
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
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
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:timingEvent	SΣ	0..1	Coding	Code defined by a terminology system Binding: Einnahmezeitpunkte v3 TimingEvent (required) Required Pattern: At least the following
id		0..1	id	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/v3-TimingEvent
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
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
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
asNeeded[x]	Σ	0..1		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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
doseAndRate	SΣ	1..1	Element	Amount of medication 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 dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	Dosiereinheit kodiert (M@du) dqty-1: Die Dosierung muss strukturiert oder als Freitext angegeben werden.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
freitextDosiereinheit	S	0..1	string	Extension Freitext MP4+ URL: https://www.charite.de/fhir/medikationsplan/Extension/freitext
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://www.charite.de/fhir/medikationsplan/Extension/freitext"
Slices for value[x]		1..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		1..1	string	Value of extension
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT
code	SΣ	0..1	code	Coded form of the unit Binding: KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationStatement.meta.security	extensible	All Security Labels
MedicationStatement.meta.tag	example	CommonTags
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.medication[x]:medicationReference.type	extensible	ResourceType
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes
MedicationStatement.dosage:freitext.doseAndRate.type	example	DoseAndRateType
MedicationStatement.dosage:fehlend.doseAndRate.type	example	DoseAndRateType
MedicationStatement.dosage:kodiert.timing.repeat.durationUnit	required	UnitsOfTime
MedicationStatement.dosage:kodiert.timing.repeat.periodUnit	required	UnitsOfTime
MedicationStatement.dosage:kodiert.timing.repeat.dayOfWeek	required	DaysOfWeek
MedicationStatement.dosage:kodiert.timing.repeat.when	required	EventTiming
MedicationStatement.dosage:kodiert.timing.code	preferred	TimingAbbreviation
MedicationStatement.dosage:kodiert.timing.code.coding:snomed	required	Pattern: SNOMED CT code null
MedicationStatement.dosage:kodiert.timing.code.coding:timingEvent	required	Pattern: null
MedicationStatement.dosage:kodiert.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity.code	required	KBV_VS_SFHIR_BMP_DOSIEREINHEIT (a valid code from KBV_CS_SFHIR_BMP_DOSIEREINHEIT)

Constraints

Id	Grade	Path(s)	Details	Requirements
dqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity	Die Dosierung muss strukturiert oder als Freitext angegeben werden. : $this.extension.where(url='https://www.charite.de/fhir/medikationsplan/Extension/freitext').exists() xor ($this.value.exists() and $this.unit.exists() and $this.system.exists() and $this.code.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:kodiert.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 3 elements (11 nested mandatory elements)
Must-Support: 38 elements
Fixed Value: 1 element
Prohibited: 44 elements

Structures

This structure refers to these other structures:

• Medikation MP4+ (https://www.charite.de/fhir/medikationsplan/StructureDefinition/Medication)
• Patient MP4+ (https://www.charite.de/fhir/medikationsplan/StructureDefinition/Patient)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• https://www.charite.de/fhir/medikationsplan/Extension/freitext

Slices

This structure defines the following Slices:

• The element MedicationStatement.medication[x] is sliced based on the value of type:$this (Closed)
• The element MedicationStatement.effective[x] is sliced based on the value of type:$this
• The element MedicationStatement.dosage is sliced based on the values of exists:text, exists:timing (Closed)
• The element MedicationStatement.dosage.timing.code.coding is sliced based on the value of pattern:$this

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
language	S	0..1	code	Language of the resource content
basedOn		0..0
partOf		0..0
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
category		0..0
medication[x]	S	1..1	Reference(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medicationReference		1..1	Reference(Medikation MP4+)	What medication was taken
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
subject	S	1..1	Reference(Patient MP4+)	Who is/was taking the medication
context		0..0
effective[x]	S	0..1	Period	Einnahmezeitraum Slice: Unordered, Open by type:$this
effectivePeriod		0..1	Period	The date/time or interval when the medication is/was/will be taken
start	S	1..1	dateTime	Beginn der Einnahme (@ms)
end	S	0..1	dateTime	Ende der Einnahme (@me)
dateAsserted	S	0..1	dateTime	When the statement was asserted?
informationSource		0..0
derivedFrom		0..0
reasonCode
text	S	0..1	string	Grund für die Einnahme (@r)
reasonReference		0..0
note	S	0..1	Annotation	Further information about the statement
Slices for dosage	S	1..4	Dosage	Details of how medication is/was taken or should be taken Slice: Unordered, Closed by exists:text, exists:timing
dosage:freitext	S	0..1	Dosage	Details of how medication is/was taken or should be taken
sequence		0..0
text	S	1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction		0..0
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
timing		0..0
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
dosage:fehlend	S	0..1	Dosage	Details of how medication is/was taken or should be taken
dataAbsentReason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
sequence		0..0
text		0..0
additionalInstruction		0..0
patientInstruction		0..0
timing		0..0
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
dosage:kodiert	S	0..4	Dosage	Details of how medication is/was taken or should be taken
sequence		0..0
text		0..0
additionalInstruction		0..0
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
timing	S	1..1	Timing	When medication should be administered
event		0..0
repeat		0..0
code	S	1..1	CodeableConcept	Einnahmezeitpunkt (M@m|M@d|M@v|M@h)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed	S	1..1	Coding	Code defined by a terminology system Binding: Dosierung mittels 4-teiligem Schema (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:timingEvent	S	0..1	Coding	Code defined by a terminology system Binding: Einnahmezeitpunkte v3 TimingEvent (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-TimingEvent
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
site		0..0
route		0..0
method		0..0
doseAndRate	S	1..1	Element	Amount of medication administered
type		0..0
doseQuantity	SC	0..1	SimpleQuantity	Dosiereinheit kodiert (M@du) dqty-1: Die Dosierung muss strukturiert oder als Freitext angegeben werden.
freitextDosiereinheit	S	0..1	string	Extension Freitext MP4+ URL: https://www.charite.de/fhir/medikationsplan/Extension/freitext
valueString		1..1	string	Value of extension
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT
code	S	0..1	code	Coded form of the unit Binding: KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
rate[x]		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code
MedicationStatement.dosage:kodiert.timing.code.coding:snomed	required	Pattern: SNOMED CT code null
MedicationStatement.dosage:kodiert.timing.code.coding:timingEvent	required	Pattern: null
MedicationStatement.dosage:kodiert.doseAndRate.doseQuantity.code	required	KBV_VS_SFHIR_BMP_DOSIEREINHEIT (a valid code from KBV_CS_SFHIR_BMP_DOSIEREINHEIT)

Constraints

Id	Grade	Path(s)	Details	Requirements
dqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.doseQuantity	Die Dosierung muss strukturiert oder als Freitext angegeben werden. : $this.extension.where(url='https://www.charite.de/fhir/medikationsplan/Extension/freitext').exists() xor ($this.value.exists() and $this.unit.exists() and $this.system.exists() and $this.code.exists())

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	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
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
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	SΣ	1..1	Reference(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(Medikation MP4+)	What medication was taken
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
subject	SΣ	1..1	Reference(Patient MP4+)	Who is/was taking the medication
Slices for effective[x]	SΣ	0..1	Period	Einnahmezeitraum Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	1..1	dateTime	Beginn der Einnahme (@ms)
end	SΣC	0..1	dateTime	Ende der Einnahme (@me)
dateAsserted	SΣ	0..1	dateTime	When the statement was asserted?
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
text	SΣ	0..1	string	Grund für die Einnahme (@r)
note	S	0..1	Annotation	Further information about the statement
Slices for dosage	S	1..4	Dosage	Details of how medication is/was taken or should be taken Slice: Unordered, Closed by exists:text, exists:timing
dosage:freitext	S	0..1	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	1..1	string	Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
dosage:fehlend	S	0..1	Dosage	Details of how medication is/was taken or should be taken
dataAbsentReason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dosage:kodiert	S	0..4	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	1..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Einnahmezeitpunkt (M@m|M@d|M@v|M@h) Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed	SΣ	1..1	Coding	Code defined by a terminology system Binding: Dosierung mittels 4-teiligem Schema (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:timingEvent	SΣ	0..1	Coding	Code defined by a terminology system Binding: Einnahmezeitpunkte v3 TimingEvent (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-TimingEvent
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
doseAndRate	SΣ	1..1	Element	Amount of medication administered
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	Dosiereinheit kodiert (M@du) dqty-1: Die Dosierung muss strukturiert oder als Freitext angegeben werden.
freitextDosiereinheit	S	0..1	string	Extension Freitext MP4+ URL: https://www.charite.de/fhir/medikationsplan/Extension/freitext
extension		0..0
url		1..1	uri	"https://www.charite.de/fhir/medikationsplan/Extension/freitext"
Slices for value[x]		1..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		1..1	string	Value of extension
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT
code	SΣ	0..1	code	Coded form of the unit Binding: KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes
MedicationStatement.dosage:kodiert.timing.code	preferred	TimingAbbreviation
MedicationStatement.dosage:kodiert.timing.code.coding:snomed	required	Pattern: SNOMED CT code null
MedicationStatement.dosage:kodiert.timing.code.coding:timingEvent	required	Pattern: null
MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity.code	required	KBV_VS_SFHIR_BMP_DOSIEREINHEIT (a valid code from KBV_CS_SFHIR_BMP_DOSIEREINHEIT)

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
dqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity	Die Dosierung muss strukturiert oder als Freitext angegeben werden. : $this.extension.where(url='https://www.charite.de/fhir/medikationsplan/Extension/freitext').exists() xor ($this.value.exists() and $this.unit.exists() and $this.system.exists() and $this.code.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:kodiert.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationStatement.dosage:kodiert.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()