Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Dosage		0..*	Dosage	How the medication is/was taken or should be taken
Slices for extension				Content/Rules for all slices
extension:generatedDosageInstructions	S	0..1	(Complex)	Maschinell erzeugte Dosieranweisung URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Tablette bei Bedarf'
timing	SΣ	0..1	TimingDE	Wann das Medikament verabreicht werden soll
doseAndRate	SΣ	0..*	Element	Menge des verabreichten Medikaments
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: Dosage Dose-Quantity ValueSet (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.doseAndRate.dose[x]:doseQuantity	required	DosageDoseQuantityDEVS http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Dosage		0..*	Dosage	How the medication is/was taken or should be taken
Slices for extension				Content/Rules for all slices
extension:generatedDosageInstructions	S	0..1	(Complex)	Maschinell erzeugte Dosieranweisung URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions
text	S	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Tablette bei Bedarf'
timing	S	0..1	TimingDE	Wann das Medikament verabreicht werden soll
doseAndRate	S	0..*	Element	Menge des verabreichten Medikaments
Slices for dose[x]		0..1	Range, SimpleQuantity	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity	S	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: Dosage Dose-Quantity ValueSet (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Dosage.doseAndRate.dose[x]:doseQuantity	required	DosageDoseQuantityDEVS http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Dosage		0..*	Dosage	How the medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:generatedDosageInstructions	S	0..1	(Complex)	Maschinell erzeugte Dosieranweisung URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Tablette bei Bedarf'
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	TimingDE	Wann das Medikament verabreicht werden soll
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Menge des verabreichten Medikaments
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: Dosage Dose-Quantity ValueSet (required)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	ΣC	0..1	Ratio	Upper limit on medication per unit of time Constraints: rat-1
maxDosePerAdministration	ΣC	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: qty-3, sqty-1
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: qty-3, sqty-1
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard
Dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes From the FHIR Standard
Dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes From the FHIR Standard
Dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard
Dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard
Dosage.doseAndRate.dose[x]:doseQuantity	required	DosageDoseQuantityDEVS http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
sqty-1	error	Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Zeitmuster für deutschlandweite Dosierungen (http://ig.fhir.de/igs/medication/StructureDefinition/TimingDE)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Dosage.doseAndRate.dose[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Dosage		0..*	Dosage	How the medication is/was taken or should be taken
Slices for extension				Content/Rules for all slices
extension:generatedDosageInstructions	S	0..1	(Complex)	Maschinell erzeugte Dosieranweisung URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Tablette bei Bedarf'
timing	SΣ	0..1	TimingDE	Wann das Medikament verabreicht werden soll
doseAndRate	SΣ	0..*	Element	Menge des verabreichten Medikaments
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: Dosage Dose-Quantity ValueSet (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.doseAndRate.dose[x]:doseQuantity	required	DosageDoseQuantityDEVS http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Dosage		0..*	Dosage	How the medication is/was taken or should be taken
Slices for extension				Content/Rules for all slices
extension:generatedDosageInstructions	S	0..1	(Complex)	Maschinell erzeugte Dosieranweisung URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions
text	S	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Tablette bei Bedarf'
timing	S	0..1	TimingDE	Wann das Medikament verabreicht werden soll
doseAndRate	S	0..*	Element	Menge des verabreichten Medikaments
Slices for dose[x]		0..1	Range, SimpleQuantity	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity	S	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: Dosage Dose-Quantity ValueSet (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Dosage.doseAndRate.dose[x]:doseQuantity	required	DosageDoseQuantityDEVS http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Dosage		0..*	Dosage	How the medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:generatedDosageInstructions	S	0..1	(Complex)	Maschinell erzeugte Dosieranweisung URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Tablette bei Bedarf'
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	TimingDE	Wann das Medikament verabreicht werden soll
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Menge des verabreichten Medikaments
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: Dosage Dose-Quantity ValueSet (required)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	ΣC	0..1	Ratio	Upper limit on medication per unit of time Constraints: rat-1
maxDosePerAdministration	ΣC	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: qty-3, sqty-1
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: qty-3, sqty-1
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard
Dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes From the FHIR Standard
Dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes From the FHIR Standard
Dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard
Dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard
Dosage.doseAndRate.dose[x]:doseQuantity	required	DosageDoseQuantityDEVS http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
sqty-1	error	Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Zeitmuster für deutschlandweite Dosierungen (http://ig.fhir.de/igs/medication/StructureDefinition/TimingDE)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Dosage.doseAndRate.dose[x]