Medication IG DE
1.0.0-ballot1 - 1.0.0

This page is part of the Medication IG DE (vballot1: Releases Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Data Type Profile: TimingDgMP - Detailed Descriptions

Draft as of 2025-07-11

Definitions for the TimingDgMP data type profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Timing
Definition

Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out.

ShortA timing schedule that specifies an event that may occur multiple times
Comments

Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events.

A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.

Control0..*
This element is affected by the following invariants: ele-1
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. Timing.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
4. Timing.event
Definition

Identifies specific times when the event occurs.

ShortWhen the event occurs
Control0..0*
This element is affected by the following invariants: ele-1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Timing.repeat
Definition

Eine Menge von Regeln, die beschreiben, wann das Ereignis geplant ist.


A set of rules that describe when the event is scheduled.

ShortWann das Ereignis stattfinden sollWhen the event is to occur
Control10..1
This element is affected by the following invariants: ele-1
TypeElement
Must Supporttrue
Summarytrue
Requirements

Many timing schedules are determined by regular repetitions.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tim-9: 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-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
TimingOnlyOneType: Only one kind of Timing is allowed. Current allowed timings: 4-Scheme, TimeOfDay, DayOfWeek, Interval, DayOfWeek and Time/4-Schema, Interval and Time/4-Schema (( /* 4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.when.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) or /* TimeOfDay */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.timeOfDay.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.dayOfWeek.empty() ) or /* DayOfWeek */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() ) or /* Interval */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) or /* DayOfWeek and Time/4-Schema */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) or /* Interval and Time/4-Schema */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.dayOfWeek.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) )
TimingIntervalOnlyOneFrequency: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect Interval */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ) .all( ( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) /* Only One Dosage allowed for Interval */ implies ( ( ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( %resource.dosageInstruction.count() = 1 ) ) and ( %resource.ofType(MedicationStatement).exists() implies %resource.dosage.count() = 1 ) ) ) )
TimingOnlyOneWhen: Dosages Timings must not state the same period of day across multiple dosage instances (( /* Detect 4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.when.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.when.distinct().count() = %resource.dosageInstruction.timing.repeat.when.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.when.distinct().count() = %resource.dosage.timing.repeat.when.count()) ) ) ) )
TimingOnlyOneTimeOfDay: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect TimeOfDay */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.timeOfDay.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.dayOfWeek.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.timeOfDay.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.timeOfDay.distinct().count() = %resource.dosage.timing.repeat.timeOfDay.count()) ) ) ))
TimingOnlyOneDayOfWeek: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect DayOfWeek */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.dayOfWeek.distinct().count() = %resource.dosageInstruction.timing.repeat.dayOfWeek.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.dayOfWeek.distinct().count() = %resource.dosage.timing.repeat.dayOfWeek.count()) ) ) ))
TimingOnlyOnePeriodForDayOfWeek: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect DayOfWeek and Time/4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies ( /* For each day of week */ /* if Mon occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'mon') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'mon').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).timeOfDay.count()) )) and /* if tue occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'tue') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'tue').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).timeOfDay.count()) )) and /* if wed occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'wed') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'wed').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).timeOfDay.count()) )) and /* if thu occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'thu') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'thu').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).timeOfDay.count()) )) and /* if fri occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'fri') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'fri').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).timeOfDay.count()) )) and /* if sat occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'sat') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'sat').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).timeOfDay.count()) )) and /* if sun occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'sun') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'sun').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).timeOfDay.count()) )) ) ) and ( %resource.ofType(MedicationStatement).exists() implies ( /* For each day of week */ /* if Mon occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'mon') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'mon').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('mon' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('mon' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('mon' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('mon' in dayOfWeek).timeOfDay.count()) )) and /* if tue occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'tue') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'tue').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('tue' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('tue' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('tue' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('tue' in dayOfWeek).timeOfDay.count()) )) and /* if wed occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'wed') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'wed').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('wed' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('wed' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('wed' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('wed' in dayOfWeek).timeOfDay.count()) )) and /* if thu occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'thu') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'thu').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('thu' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('thu' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('thu' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('thu' in dayOfWeek).timeOfDay.count()) )) and /* if fri occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'fri') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'fri').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('fri' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('fri' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('fri' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('fri' in dayOfWeek).timeOfDay.count()) )) and /* if sat occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'sat') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'sat').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('sat' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('sat' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('sat' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('sat' in dayOfWeek).timeOfDay.count()) )) and /* if sun occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'sun') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'sun').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('sun' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('sun' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('sun' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('sun' in dayOfWeek).timeOfDay.count()) )) ) ) ) ))
TimingOnlyOneTimeForInterval: Dosages Timings must not state the same time of day across multiple dosage instances (/* Detect DayOfWeek and Time/4-Schema This logic checks for dosage instructions that specify either timeOfDay or when, but not both, and ensures certain consistency rules for frequency, period, and periodUnit. */ ( /* Combine dosage instructions from all relevant resource types */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ) .all( ( /* Check for required timing fields and ensure dayOfWeek is not used */ timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.dayOfWeek.empty() and ( /* Either timeOfDay is set (and when is not), or when is set (and timeOfDay is not) */ (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) implies ( /* For MedicationRequest or MedicationDispense */ ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( /* All intervals must be the same across instructions */ %resource.dosageInstruction.timing.repeat.frequency.distinct().count() = 1 and %resource.dosageInstruction.timing.repeat.period.distinct().count() = 1 and %resource.dosageInstruction.timing.repeat.periodUnit.distinct().count() = 1 ) and ( /* Each instruction must have a unique timeOfDay and when value */ (%resource.dosageInstruction.timing.repeat.timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.timeOfDay.count()) and (%resource.dosageInstruction.timing.repeat.when.distinct().count() = %resource.dosageInstruction.timing.repeat.when.count()) ) ) and ( /* For MedicationStatement resources */ %resource.ofType(MedicationStatement).exists() implies ( /* If MedicationRequest or MedicationDispense also exists */ ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( /* All intervals must be the same across statements */ %resource.dosage.timing.repeat.frequency.distinct().count() = 1 and %resource.dosage.timing.repeat.period.distinct().count() = 1 and %resource.dosage.timing.repeat.periodUnit.distinct().count() = 1 ) and ( /* Each statement must have a unique timeOfDay and when value */ (%resource.dosage.timing.repeat.timeOfDay.distinct().count() = %resource.dosage.timing.repeat.timeOfDay.count()) and (%resource.dosage.timing.repeat.when.distinct().count() = %resource.dosage.timing.repeat.when.count()) ) ) ) ) )
TimingOnlyOneBounds: Dosages Timings must not state the same bounds duration across multiple dosage instances (( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( ( /* only one different value and code are allowed*/ (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies %resource.dosageInstruction.timing.repeat.boundsDuration.exists().not() or ( (%resource.dosageInstruction.timing.repeat.boundsDuration.value.distinct().count() = 1) and (%resource.dosageInstruction.timing.repeat.boundsDuration.code.distinct().count() = 1) ) ) and ( %resource.ofType(MedicationStatement).exists() implies %resource.dosage.timing.repeat.boundsDuration.exists().not() or ( (%resource.dosage.timing.repeat.boundsDuration.value.distinct().count() = 1) and (%resource.dosage.timing.repeat.boundsDuration.code.distinct().count() = 1) ) ) ) ))
8. Timing.repeat.bounds[x]
Definition

Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans.


Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

ShortLänge/Bereich der Längen oder (Start- und/oder End-)GrenzenLength/Range of lengths, or (Start and/or end) limits
Comments

tbd

Control0..1
This element is affected by the following invariants: ele-1
TypeDuration, Period, Range
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Timing.repeat.bounds[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • type @ $this
  • 10. Timing.repeat.bounds[x]:boundsDuration
    Slice NameboundsDuration
    Definition

    Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

    ShortDauer der Dosieranweisung ausgedrückt in UCUM-EinheitenLength/Range of lengths, or (Start and/or end) limits
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeDuration, Period, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Timing.repeat.bounds[x]:boundsDuration.comparator
    Definition

    How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

    Short< | <= | >= | > - how to understand the value
    Comments

    Note that FHIR strings SHALL NOT exceed 1MB in size

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
    (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

    How the Quantity should be understood and represented.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

    Meaning if MissingIf there is no comparator, then there is no modification of the value
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. Timing.repeat.bounds[x]:boundsDuration.unit
    Definition

    A human-readable form of the unit.

    ShortUnit representation
    Comments

    Note that FHIR strings SHALL NOT exceed 1MB in size

    Control10..1
    This element is affected by the following invariants: ele-1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Timing.repeat.bounds[x]:boundsDuration.system
    Definition

    The identification of the system that provides the coded form of the unit.

    ShortUCUM-Einheit für die DauerSystem that defines coded unit form
    Comments

    Die UCUM-Einheit für die Dauer, z. B. d für Tag, h für Stunde, min für Minute.


    see http://en.wikipedia.org/wiki/Uniform_resource_identifier

    Control10..1
    This element is affected by the following invariants: ele-1, qty-3
    Typeuri
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Need to know the system that defines the coded form of the unit.

    Fixed Valuehttp://unitsofmeasure.org
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Timing.repeat.bounds[x]:boundsDuration.code
    Definition

    A computer processable form of the unit in some unit representation system.

    ShortCoded form of the unit
    Comments

    The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

    Control10..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see Zeiteinheiten für die DurationUnit in Dosierungen im dgMP
    (required to http://ig.fhir.de/igs/medication/ValueSet/DosageUnitsOfTimeDgMP)
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Timing.repeat.count
    Definition

    A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.

    ShortNumber of times to repeat
    Comments

    If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.

    Control0..01
    This element is affected by the following invariants: ele-1
    TypepositiveInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Repetitions may be limited by end time or total occurrences.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Timing.repeat.countMax
    Definition

    If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.

    ShortMaximum number of times to repeat
    Comments

    32 bit number; for values larger than this, use decimal

    Control0..01
    This element is affected by the following invariants: ele-1
    TypepositiveInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Timing.repeat.duration
    Definition

    How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.

    ShortHow long when it happens
    Comments

    For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

    Control0..01
    This element is affected by the following invariants: ele-1
    Typedecimal
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Some activities are not instantaneous and need to be maintained for a period of time.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Timing.repeat.durationMax
    Definition

    If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.

    ShortHow long when it happens (Max)
    Comments

    For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

    Control0..01
    This element is affected by the following invariants: ele-1
    Typedecimal
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Some activities are not instantaneous and need to be maintained for a period of time.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Timing.repeat.durationUnit
    Definition

    The units of time for the duration, in UCUM units.

    Shorts | min | h | d | wk | mo | a - unit of time (UCUM)
    Comments

    Note that FHIR strings SHALL NOT exceed 1MB in size

    Control0..01
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
    (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

    A unit of time (units from UCUM).

    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Timing.repeat.frequency
    Definition

    Die Anzahl der Wiederholungen innerhalb des angegebenen Zeitraums. Falls frequencyMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Häufigkeit an.


    The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.

    ShortEreignis tritt frequency-mal pro Zeitraum aufEvent occurs frequency times per period
    Comments

    32 bit number; for values larger than this, use decimal

    Control0..1
    This element is affected by the following invariants: ele-1
    TypepositiveInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Timing.repeat.frequencyMax
    Definition

    If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.

    ShortEvent occurs up to frequencyMax times per period
    Comments

    32 bit number; for values larger than this, use decimal

    Control0..01
    This element is affected by the following invariants: ele-1
    TypepositiveInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Timing.repeat.period
    Definition

    Gibt die Zeitspanne an, über die die Wiederholungen stattfinden sollen; z. B. um „3-mal täglich“ auszudrücken, wäre 3 die Häufigkeit und „1 Tag“ der Zeitraum. Falls periodMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Zeitspanne an.


    Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.

    ShortEreignis tritt frequency-mal pro Zeitraum aufEvent occurs frequency times per period
    Comments

    Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)

    Control0..1
    This element is affected by the following invariants: ele-1
    Typedecimal
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Timing.repeat.periodMax
    Definition

    If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.

    ShortUpper limit of period (3-4 hours)
    Comments

    Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)

    Control0..01
    This element is affected by the following invariants: ele-1
    Typedecimal
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Timing.repeat.periodUnit
    Definition

    Die Zeiteinheit für den Zeitraum, in UCUM-Einheiten.


    The units of time for the period in UCUM units.

    Shorts | min | h | d | wk | mo | a - Zeiteinheit (UCUM)s | min | h | d | wk | mo | a - unit of time (UCUM)
    Comments

    Note that FHIR strings SHALL NOT exceed 1MB in size

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from Zeiteinheiten für PeriodUnit in Dosierungen im dgMPhttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
    (required to http://ig.fhir.de/igs/medication/ValueSet/PeriodUnitsOfTimeDgMP)
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Timing.repeat.dayOfWeek
    Definition

    Wenn ein oder mehrere Wochentage angegeben sind, findet die Aktion nur an den angegebenen Tagen statt.


    If one or more days of week is provided, then the action happens only on the specified day(s).

    Shortmon | tue | wed | thu | fri | sat | sun
    Comments

    Wenn keine Tage angegeben sind, wird angenommen, dass die Aktion an jedem Tag wie sonst angegeben stattfindet.


    If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Timing.repeat.timeOfDay
    Definition

    Angegebene Tageszeit, zu der die Aktion stattfinden soll.


    Specified time of day for action to take place.

    ShortTageszeit für die AktionTime of day for action
    Comments

    Wenn eine Tageszeit angegeben ist, wird angenommen, dass die Aktion jeden Tag (ggf. gefiltert durch dayOfWeek) zu den angegebenen Zeiten stattfindet.


    When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.

    Control0..*
    This element is affected by the following invariants: ele-1
    Typetime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Timing.repeat.when
    Definition

    Ein ungefährer Zeitraum während des Tages, der möglicherweise mit einem Ereignis des täglichen Lebens verknüpft ist und angibt, wann die Aktion stattfinden soll.


    An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.

    ShortCode für den Zeitraum des AuftretensCode for time period of occurrence
    Comments

    Wenn mehr als ein Ereignis angegeben ist, bezieht sich das Ereignis auf die Vereinigung der angegebenen Ereignisse.


    When more than one event is listed, the event is tied to the union of the specified events.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from TimingWhenDgMPhttp://hl7.org/fhir/ValueSet/event-timing|4.0.1
    (required to http://ig.fhir.de/igs/medication/ValueSet/TimingWhenDgMP)
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Timings are frequently determined by occurrences such as waking, eating and sleep.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Timing.repeat.offset
    Definition

    The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.

    ShortMinutes from event (before or after)
    Comments

    32 bit number; for values larger than this, use decimal

    Control0..01
    This element is affected by the following invariants: ele-1
    TypeunsignedInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Timing.code
    Definition

    A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).

    ShortBID | TID | QID | AM | PM | QD | QOD | +
    Comments

    BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).

    Control0..01
    This element is affected by the following invariants: ele-1
    BindingThe codes SHOULD be taken from TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation
    (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)

    Code for a known / defined timing pattern.

    TypeCodeableConcept
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. Timing
    2. Timing.event
    Control0..0
    4. Timing.repeat
    Control1..?
    InvariantsTimingOnlyOneType: Only one kind of Timing is allowed. Current allowed timings: 4-Scheme, TimeOfDay, DayOfWeek, Interval, DayOfWeek and Time/4-Schema, Interval and Time/4-Schema (( /* 4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.when.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) or /* TimeOfDay */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.timeOfDay.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.dayOfWeek.empty() ) or /* DayOfWeek */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() ) or /* Interval */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) or /* DayOfWeek and Time/4-Schema */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) or /* Interval and Time/4-Schema */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.dayOfWeek.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) )
    TimingIntervalOnlyOneFrequency: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect Interval */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ) .all( ( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) /* Only One Dosage allowed for Interval */ implies ( ( ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( %resource.dosageInstruction.count() = 1 ) ) and ( %resource.ofType(MedicationStatement).exists() implies %resource.dosage.count() = 1 ) ) ) )
    TimingOnlyOneWhen: Dosages Timings must not state the same period of day across multiple dosage instances (( /* Detect 4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.when.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.when.distinct().count() = %resource.dosageInstruction.timing.repeat.when.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.when.distinct().count() = %resource.dosage.timing.repeat.when.count()) ) ) ) )
    TimingOnlyOneTimeOfDay: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect TimeOfDay */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.timeOfDay.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.dayOfWeek.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.timeOfDay.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.timeOfDay.distinct().count() = %resource.dosage.timing.repeat.timeOfDay.count()) ) ) ))
    TimingOnlyOneDayOfWeek: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect DayOfWeek */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.dayOfWeek.distinct().count() = %resource.dosageInstruction.timing.repeat.dayOfWeek.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.dayOfWeek.distinct().count() = %resource.dosage.timing.repeat.dayOfWeek.count()) ) ) ))
    TimingOnlyOnePeriodForDayOfWeek: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect DayOfWeek and Time/4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies ( /* For each day of week */ /* if Mon occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'mon') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'mon').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).timeOfDay.count()) )) and /* if tue occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'tue') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'tue').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).timeOfDay.count()) )) and /* if wed occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'wed') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'wed').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).timeOfDay.count()) )) and /* if thu occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'thu') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'thu').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).timeOfDay.count()) )) and /* if fri occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'fri') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'fri').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).timeOfDay.count()) )) and /* if sat occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'sat') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'sat').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).timeOfDay.count()) )) and /* if sun occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'sun') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'sun').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).timeOfDay.count()) )) ) ) and ( %resource.ofType(MedicationStatement).exists() implies ( /* For each day of week */ /* if Mon occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'mon') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'mon').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('mon' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('mon' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('mon' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('mon' in dayOfWeek).timeOfDay.count()) )) and /* if tue occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'tue') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'tue').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('tue' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('tue' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('tue' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('tue' in dayOfWeek).timeOfDay.count()) )) and /* if wed occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'wed') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'wed').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('wed' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('wed' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('wed' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('wed' in dayOfWeek).timeOfDay.count()) )) and /* if thu occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'thu') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'thu').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('thu' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('thu' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('thu' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('thu' in dayOfWeek).timeOfDay.count()) )) and /* if fri occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'fri') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'fri').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('fri' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('fri' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('fri' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('fri' in dayOfWeek).timeOfDay.count()) )) and /* if sat occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'sat') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'sat').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('sat' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('sat' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('sat' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('sat' in dayOfWeek).timeOfDay.count()) )) and /* if sun occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'sun') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'sun').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('sun' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('sun' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('sun' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('sun' in dayOfWeek).timeOfDay.count()) )) ) ) ) ))
    TimingOnlyOneTimeForInterval: Dosages Timings must not state the same time of day across multiple dosage instances (/* Detect DayOfWeek and Time/4-Schema This logic checks for dosage instructions that specify either timeOfDay or when, but not both, and ensures certain consistency rules for frequency, period, and periodUnit. */ ( /* Combine dosage instructions from all relevant resource types */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ) .all( ( /* Check for required timing fields and ensure dayOfWeek is not used */ timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.dayOfWeek.empty() and ( /* Either timeOfDay is set (and when is not), or when is set (and timeOfDay is not) */ (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) implies ( /* For MedicationRequest or MedicationDispense */ ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( /* All intervals must be the same across instructions */ %resource.dosageInstruction.timing.repeat.frequency.distinct().count() = 1 and %resource.dosageInstruction.timing.repeat.period.distinct().count() = 1 and %resource.dosageInstruction.timing.repeat.periodUnit.distinct().count() = 1 ) and ( /* Each instruction must have a unique timeOfDay and when value */ (%resource.dosageInstruction.timing.repeat.timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.timeOfDay.count()) and (%resource.dosageInstruction.timing.repeat.when.distinct().count() = %resource.dosageInstruction.timing.repeat.when.count()) ) ) and ( /* For MedicationStatement resources */ %resource.ofType(MedicationStatement).exists() implies ( /* If MedicationRequest or MedicationDispense also exists */ ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( /* All intervals must be the same across statements */ %resource.dosage.timing.repeat.frequency.distinct().count() = 1 and %resource.dosage.timing.repeat.period.distinct().count() = 1 and %resource.dosage.timing.repeat.periodUnit.distinct().count() = 1 ) and ( /* Each statement must have a unique timeOfDay and when value */ (%resource.dosage.timing.repeat.timeOfDay.distinct().count() = %resource.dosage.timing.repeat.timeOfDay.count()) and (%resource.dosage.timing.repeat.when.distinct().count() = %resource.dosage.timing.repeat.when.count()) ) ) ) ) )
    TimingOnlyOneBounds: Dosages Timings must not state the same bounds duration across multiple dosage instances (( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( ( /* only one different value and code are allowed*/ (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies %resource.dosageInstruction.timing.repeat.boundsDuration.exists().not() or ( (%resource.dosageInstruction.timing.repeat.boundsDuration.value.distinct().count() = 1) and (%resource.dosageInstruction.timing.repeat.boundsDuration.code.distinct().count() = 1) ) ) and ( %resource.ofType(MedicationStatement).exists() implies %resource.dosage.timing.repeat.boundsDuration.exists().not() or ( (%resource.dosage.timing.repeat.boundsDuration.value.distinct().count() = 1) and (%resource.dosage.timing.repeat.boundsDuration.code.distinct().count() = 1) ) ) ) ))
    6. Timing.repeat.bounds[x]
    TypeDuration, Period, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    8. Timing.repeat.bounds[x]:boundsDuration
    Slice NameboundsDuration
    TypeDuration
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    10. Timing.repeat.bounds[x]:boundsDuration.unit
    Control1..?
    Must Supporttrue
    12. Timing.repeat.bounds[x]:boundsDuration.system
    Control1..?
    Must Supporttrue
    14. Timing.repeat.bounds[x]:boundsDuration.code
    Control1..?
    BindingThe codes SHALL be taken from Zeiteinheiten für die DurationUnit in Dosierungen im dgMP
    (required to http://ig.fhir.de/igs/medication/ValueSet/DosageUnitsOfTimeDgMP)
    Must Supporttrue
    16. Timing.repeat.count
    Control0..0
    18. Timing.repeat.countMax
    Control0..0
    20. Timing.repeat.duration
    Control0..0
    22. Timing.repeat.durationMax
    Control0..0
    24. Timing.repeat.durationUnit
    Control0..0
    26. Timing.repeat.frequencyMax
    Control0..0
    28. Timing.repeat.periodMax
    Control0..0
    30. Timing.repeat.periodUnit
    BindingThe codes SHALL be taken from Zeiteinheiten für PeriodUnit in Dosierungen im dgMP
    (required to http://ig.fhir.de/igs/medication/ValueSet/PeriodUnitsOfTimeDgMP)
    Must Supporttrue
    32. Timing.repeat.when
    BindingThe codes SHALL be taken from TimingWhenDgMP
    (required to http://ig.fhir.de/igs/medication/ValueSet/TimingWhenDgMP)
    34. Timing.repeat.offset
    Control0..0
    36. Timing.code
    Control0..0

    Guidance on how to interpret the contents of this table can be foundhere

    0. Timing
    Definition

    Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out.

    ShortA timing schedule that specifies an event that may occur multiple times
    Comments

    Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events.

    A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.

    Control0..*
    This element is affected by the following invariants: ele-1
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    2. Timing.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    XML FormatIn the XML format, this property is represented as an attribute.
    4. Timing.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension
    Standard StatusNormative (from Normative)
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Timing.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 6. Timing.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      8. Timing.event
      Definition

      Identifies specific times when the event occurs.

      ShortWhen the event occurs
      Control0..0
      This element is affected by the following invariants: ele-1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Timing.repeat
      Definition

      Eine Menge von Regeln, die beschreiben, wann das Ereignis geplant ist.

      ShortWann das Ereignis stattfinden soll
      Control1..1
      This element is affected by the following invariants: ele-1
      TypeElement
      Must Supporttrue
      Summarytrue
      Requirements

      Many timing schedules are determined by regular repetitions.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      tim-9: 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-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
      tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
      tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
      tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
      tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
      tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
      tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
      tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
      TimingOnlyOneType: Only one kind of Timing is allowed. Current allowed timings: 4-Scheme, TimeOfDay, DayOfWeek, Interval, DayOfWeek and Time/4-Schema, Interval and Time/4-Schema (( /* 4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.when.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) or /* TimeOfDay */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.timeOfDay.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.dayOfWeek.empty() ) or /* DayOfWeek */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() ) or /* Interval */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) or /* DayOfWeek and Time/4-Schema */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) or /* Interval and Time/4-Schema */ (%resource.ofType(MedicationRequest).dosageInstruction | ofType(MedicationDispense).dosageInstruction | ofType(MedicationStatement).dosage).all( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.dayOfWeek.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) )
      TimingIntervalOnlyOneFrequency: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect Interval */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ) .all( ( timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) /* Only One Dosage allowed for Interval */ implies ( ( ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( %resource.dosageInstruction.count() = 1 ) ) and ( %resource.ofType(MedicationStatement).exists() implies %resource.dosage.count() = 1 ) ) ) )
      TimingOnlyOneWhen: Dosages Timings must not state the same period of day across multiple dosage instances (( /* Detect 4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.when.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.timeOfDay.empty() and timing.repeat.dayOfWeek.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.when.distinct().count() = %resource.dosageInstruction.timing.repeat.when.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.when.distinct().count() = %resource.dosage.timing.repeat.when.count()) ) ) ) )
      TimingOnlyOneTimeOfDay: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect TimeOfDay */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.timeOfDay.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.dayOfWeek.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.timeOfDay.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.timeOfDay.distinct().count() = %resource.dosage.timing.repeat.timeOfDay.count()) ) ) ))
      TimingOnlyOneDayOfWeek: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect DayOfWeek */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and timing.repeat.when.empty() and timing.repeat.timeOfDay.empty() ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies (%resource.dosageInstruction.timing.repeat.dayOfWeek.distinct().count() = %resource.dosageInstruction.timing.repeat.dayOfWeek.count()) ) and ( %resource.ofType(MedicationStatement).exists() implies (%resource.dosage.timing.repeat.dayOfWeek.distinct().count() = %resource.dosage.timing.repeat.dayOfWeek.count()) ) ) ))
      TimingOnlyOnePeriodForDayOfWeek: Dosages Timings must not state the same time of day across multiple dosage instances (( /* Detect DayOfWeek and Time/4-Schema */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.exists() and timing.repeat.frequency.empty() and timing.repeat.period.empty() and timing.repeat.periodUnit.empty() and ( (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) implies ( ( (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies ( /* For each day of week */ /* if Mon occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'mon') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'mon').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('mon' in dayOfWeek).timeOfDay.count()) )) and /* if tue occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'tue') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'tue').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('tue' in dayOfWeek).timeOfDay.count()) )) and /* if wed occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'wed') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'wed').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('wed' in dayOfWeek).timeOfDay.count()) )) and /* if thu occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'thu') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'thu').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('thu' in dayOfWeek).timeOfDay.count()) )) and /* if fri occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'fri') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'fri').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('fri' in dayOfWeek).timeOfDay.count()) )) and /* if sat occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'sat') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'sat').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sat' in dayOfWeek).timeOfDay.count()) )) and /* if sun occurs multiple times */ (( %resource.dosageInstruction.timing.repeat.dayOfWeek .where($this = 'sun') .where(%resource.dosageInstruction.timing.repeat.dayOfWeek.where($this = 'sun').count() > 1) .distinct() ) implies ( (%resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).when.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).when.count()) and (%resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.where('sun' in dayOfWeek).timeOfDay.count()) )) ) ) and ( %resource.ofType(MedicationStatement).exists() implies ( /* For each day of week */ /* if Mon occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'mon') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'mon').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('mon' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('mon' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('mon' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('mon' in dayOfWeek).timeOfDay.count()) )) and /* if tue occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'tue') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'tue').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('tue' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('tue' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('tue' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('tue' in dayOfWeek).timeOfDay.count()) )) and /* if wed occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'wed') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'wed').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('wed' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('wed' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('wed' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('wed' in dayOfWeek).timeOfDay.count()) )) and /* if thu occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'thu') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'thu').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('thu' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('thu' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('thu' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('thu' in dayOfWeek).timeOfDay.count()) )) and /* if fri occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'fri') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'fri').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('fri' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('fri' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('fri' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('fri' in dayOfWeek).timeOfDay.count()) )) and /* if sat occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'sat') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'sat').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('sat' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('sat' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('sat' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('sat' in dayOfWeek).timeOfDay.count()) )) and /* if sun occurs multiple times */ (( %resource.dosage.timing.repeat.dayOfWeek .where($this = 'sun') .where(%resource.dosage.timing.repeat.dayOfWeek.where($this = 'sun').count() > 1) .distinct() ) implies ( (%resource.dosage.timing.repeat.where('sun' in dayOfWeek).when.distinct().count() = %resource.dosage.timing.repeat.where('sun' in dayOfWeek).when.count()) and (%resource.dosage.timing.repeat.where('sun' in dayOfWeek).timeOfDay.distinct().count() = %resource.dosage.timing.repeat.where('sun' in dayOfWeek).timeOfDay.count()) )) ) ) ) ))
      TimingOnlyOneTimeForInterval: Dosages Timings must not state the same time of day across multiple dosage instances (/* Detect DayOfWeek and Time/4-Schema This logic checks for dosage instructions that specify either timeOfDay or when, but not both, and ensures certain consistency rules for frequency, period, and periodUnit. */ ( /* Combine dosage instructions from all relevant resource types */ %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ) .all( ( /* Check for required timing fields and ensure dayOfWeek is not used */ timing.repeat.frequency.exists() and timing.repeat.period.exists() and timing.repeat.periodUnit.exists() and timing.repeat.dayOfWeek.empty() and ( /* Either timeOfDay is set (and when is not), or when is set (and timeOfDay is not) */ (timing.repeat.timeOfDay.exists() and timing.repeat.when.empty()) or (timing.repeat.when.exists() and timing.repeat.timeOfDay.empty()) ) ) implies ( /* For MedicationRequest or MedicationDispense */ ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( /* All intervals must be the same across instructions */ %resource.dosageInstruction.timing.repeat.frequency.distinct().count() = 1 and %resource.dosageInstruction.timing.repeat.period.distinct().count() = 1 and %resource.dosageInstruction.timing.repeat.periodUnit.distinct().count() = 1 ) and ( /* Each instruction must have a unique timeOfDay and when value */ (%resource.dosageInstruction.timing.repeat.timeOfDay.distinct().count() = %resource.dosageInstruction.timing.repeat.timeOfDay.count()) and (%resource.dosageInstruction.timing.repeat.when.distinct().count() = %resource.dosageInstruction.timing.repeat.when.count()) ) ) and ( /* For MedicationStatement resources */ %resource.ofType(MedicationStatement).exists() implies ( /* If MedicationRequest or MedicationDispense also exists */ ( %resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists() ) implies ( /* All intervals must be the same across statements */ %resource.dosage.timing.repeat.frequency.distinct().count() = 1 and %resource.dosage.timing.repeat.period.distinct().count() = 1 and %resource.dosage.timing.repeat.periodUnit.distinct().count() = 1 ) and ( /* Each statement must have a unique timeOfDay and when value */ (%resource.dosage.timing.repeat.timeOfDay.distinct().count() = %resource.dosage.timing.repeat.timeOfDay.count()) and (%resource.dosage.timing.repeat.when.distinct().count() = %resource.dosage.timing.repeat.when.count()) ) ) ) ) )
      TimingOnlyOneBounds: Dosages Timings must not state the same bounds duration across multiple dosage instances (( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( ( /* only one different value and code are allowed*/ (%resource.ofType(MedicationRequest).exists() or %resource.ofType(MedicationDispense).exists()) implies %resource.dosageInstruction.timing.repeat.boundsDuration.exists().not() or ( (%resource.dosageInstruction.timing.repeat.boundsDuration.value.distinct().count() = 1) and (%resource.dosageInstruction.timing.repeat.boundsDuration.code.distinct().count() = 1) ) ) and ( %resource.ofType(MedicationStatement).exists() implies %resource.dosage.timing.repeat.boundsDuration.exists().not() or ( (%resource.dosage.timing.repeat.boundsDuration.value.distinct().count() = 1) and (%resource.dosage.timing.repeat.boundsDuration.code.distinct().count() = 1) ) ) ) ))
      12. Timing.repeat.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      XML FormatIn the XML format, this property is represented as an attribute.
      14. Timing.repeat.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Standard StatusNormative (from Normative)
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Timing.repeat.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. Timing.repeat.bounds[x]
        Definition

        Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans.

        ShortLänge/Bereich der Längen oder (Start- und/oder End-)Grenzen
        Comments

        tbd

        Control0..1
        This element is affected by the following invariants: ele-1
        TypeDuration
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Timing.repeat.bounds[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • type @ $this
        • 18. Timing.repeat.bounds[x]:boundsDuration
          Slice NameboundsDuration
          Definition

          Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

          ShortDauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeDuration
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Timing.repeat.bounds[x]:boundsDuration.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          XML FormatIn the XML format, this property is represented as an attribute.
          22. Timing.repeat.bounds[x]:boundsDuration.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension
          Standard StatusNormative (from Normative)
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 24. Timing.repeat.bounds[x]:boundsDuration.value
            Definition

            The value of the measured amount. The value includes an implicit precision in the presentation of the value.

            ShortNumerical value (with implicit precision)
            Comments

            The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

            Control0..1
            This element is affected by the following invariants: ele-1
            Typedecimal
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Precision is handled implicitly in almost all cases of measurement.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Timing.repeat.bounds[x]:boundsDuration.comparator
            Definition

            How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

            Short< | <= | >= | > - how to understand the value
            Comments

            Note that FHIR strings SHALL NOT exceed 1MB in size

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from QuantityComparator
            (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

            How the Quantity should be understood and represented.

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

            Meaning if MissingIf there is no comparator, then there is no modification of the value
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. Timing.repeat.bounds[x]:boundsDuration.unit
            Definition

            A human-readable form of the unit.

            ShortUnit representation
            Comments

            Note that FHIR strings SHALL NOT exceed 1MB in size

            Control1..1
            This element is affected by the following invariants: ele-1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. Timing.repeat.bounds[x]:boundsDuration.system
            Definition

            The identification of the system that provides the coded form of the unit.

            ShortUCUM-Einheit für die Dauer
            Comments

            Die UCUM-Einheit für die Dauer, z. B. d für Tag, h für Stunde, min für Minute.

            Control1..1
            This element is affected by the following invariants: ele-1, qty-3
            Typeuri
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            Need to know the system that defines the coded form of the unit.

            Fixed Valuehttp://unitsofmeasure.org
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            32. Timing.repeat.bounds[x]:boundsDuration.code
            Definition

            A computer processable form of the unit in some unit representation system.

            ShortCoded form of the unit
            Comments

            The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

            Control1..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from Zeiteinheiten für die DurationUnit in Dosierungen im dgMP
            (required to http://ig.fhir.de/igs/medication/ValueSet/DosageUnitsOfTimeDgMP)
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. Timing.repeat.count
            Definition

            A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.

            ShortNumber of times to repeat
            Comments

            If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.

            Control0..0
            This element is affected by the following invariants: ele-1
            TypepositiveInt
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Repetitions may be limited by end time or total occurrences.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. Timing.repeat.countMax
            Definition

            If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.

            ShortMaximum number of times to repeat
            Comments

            32 bit number; for values larger than this, use decimal

            Control0..0
            This element is affected by the following invariants: ele-1
            TypepositiveInt
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. Timing.repeat.duration
            Definition

            How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.

            ShortHow long when it happens
            Comments

            For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

            Control0..0
            This element is affected by the following invariants: ele-1
            Typedecimal
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Some activities are not instantaneous and need to be maintained for a period of time.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. Timing.repeat.durationMax
            Definition

            If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.

            ShortHow long when it happens (Max)
            Comments

            For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

            Control0..0
            This element is affected by the following invariants: ele-1
            Typedecimal
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Some activities are not instantaneous and need to be maintained for a period of time.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. Timing.repeat.durationUnit
            Definition

            The units of time for the duration, in UCUM units.

            Shorts | min | h | d | wk | mo | a - unit of time (UCUM)
            Comments

            Note that FHIR strings SHALL NOT exceed 1MB in size

            Control0..0
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from UnitsOfTime
            (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

            A unit of time (units from UCUM).

            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. Timing.repeat.frequency
            Definition

            Die Anzahl der Wiederholungen innerhalb des angegebenen Zeitraums. Falls frequencyMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Häufigkeit an.

            ShortEreignis tritt frequency-mal pro Zeitraum auf
            Comments

            32 bit number; for values larger than this, use decimal

            Control0..1
            This element is affected by the following invariants: ele-1
            TypepositiveInt
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. Timing.repeat.frequencyMax
            Definition

            If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.

            ShortEvent occurs up to frequencyMax times per period
            Comments

            32 bit number; for values larger than this, use decimal

            Control0..0
            This element is affected by the following invariants: ele-1
            TypepositiveInt
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. Timing.repeat.period
            Definition

            Gibt die Zeitspanne an, über die die Wiederholungen stattfinden sollen; z. B. um „3-mal täglich“ auszudrücken, wäre 3 die Häufigkeit und „1 Tag“ der Zeitraum. Falls periodMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Zeitspanne an.

            ShortEreignis tritt frequency-mal pro Zeitraum auf
            Comments

            Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)

            Control0..1
            This element is affected by the following invariants: ele-1
            Typedecimal
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. Timing.repeat.periodMax
            Definition

            If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.

            ShortUpper limit of period (3-4 hours)
            Comments

            Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)

            Control0..0
            This element is affected by the following invariants: ele-1
            Typedecimal
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. Timing.repeat.periodUnit
            Definition

            Die Zeiteinheit für den Zeitraum, in UCUM-Einheiten.

            Shorts | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
            Comments

            Note that FHIR strings SHALL NOT exceed 1MB in size

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from Zeiteinheiten für PeriodUnit in Dosierungen im dgMP
            (required to http://ig.fhir.de/igs/medication/ValueSet/PeriodUnitsOfTimeDgMP)
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. Timing.repeat.dayOfWeek
            Definition

            Wenn ein oder mehrere Wochentage angegeben sind, findet die Aktion nur an den angegebenen Tagen statt.

            Shortmon | tue | wed | thu | fri | sat | sun
            Comments

            Wenn keine Tage angegeben sind, wird angenommen, dass die Aktion an jedem Tag wie sonst angegeben stattfindet.

            Control0..*
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from DaysOfWeek
            (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. Timing.repeat.timeOfDay
            Definition

            Angegebene Tageszeit, zu der die Aktion stattfinden soll.

            ShortTageszeit für die Aktion
            Comments

            Wenn eine Tageszeit angegeben ist, wird angenommen, dass die Aktion jeden Tag (ggf. gefiltert durch dayOfWeek) zu den angegebenen Zeiten stattfindet.

            Control0..*
            This element is affected by the following invariants: ele-1
            Typetime
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            58. Timing.repeat.when
            Definition

            Ein ungefährer Zeitraum während des Tages, der möglicherweise mit einem Ereignis des täglichen Lebens verknüpft ist und angibt, wann die Aktion stattfinden soll.

            ShortCode für den Zeitraum des Auftretens
            Comments

            Wenn mehr als ein Ereignis angegeben ist, bezieht sich das Ereignis auf die Vereinigung der angegebenen Ereignisse.

            Control0..*
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from TimingWhenDgMP
            (required to http://ig.fhir.de/igs/medication/ValueSet/TimingWhenDgMP)
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            Timings are frequently determined by occurrences such as waking, eating and sleep.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            60. Timing.repeat.offset
            Definition

            The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.

            ShortMinutes from event (before or after)
            Comments

            32 bit number; for values larger than this, use decimal

            Control0..0
            This element is affected by the following invariants: ele-1
            TypeunsignedInt
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            62. Timing.code
            Definition

            A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).

            ShortBID | TID | QID | AM | PM | QD | QOD | +
            Comments

            BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).

            Control0..0
            This element is affected by the following invariants: ele-1
            BindingThe codes SHOULD be taken from TimingAbbreviation
            (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)

            Code for a known / defined timing pattern.

            TypeCodeableConcept
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))