Medizininformatik Initiative - Modul Medikation

List

Die List Ressource ist eine flache Sammlung von Ressourcen und bietet Funktionen für die Verwaltung der Sammlung. In diesem Fall dient die Ressource als Sammlung der Medikationen, die ein Patient zu einem bestimmten Zeitpunkt einnimmt, beispielsweise bei Aufnahme oder Entlassung. Die Ressource verweist dazu auf MedicationStatement Ressourcen.

Zweck und Kontext der Liste werden über List.code angegeben. Ein Coding wird immer auf Code medications aus System http://terminology.hl7.org/CodeSystem/list-example-use-codes gesetzt. Mit dem zweiten Coding wird der Kontext bestimmt, in dem die Medikationsliste verwaltet wird. Dabei kann es sich um Aufnahmemedikation, Entlassmedikation oder die Medikation während des stationären Aufenthaltes handeln. Für diese Kontexte besteht die Auswahl aus drei Codes aus dem System IHE XDS Fallkontext mit URI urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16:

code	display
E100	ambulanter Kontakt
E200	stationärer Aufenthalt
E210	stationäre Aufnahme
E230	stationäre Entlassung

Je nachdem, ob es sich um eine Medikationsliste während eines stationären Aufenthaltes oder eine Aufnahme- oder Entlassmedikation handelt, wird List.mode unterschiedlich gesetzt. Für die Medikationsliste während des stationären Aufenthaltes wird List.mode = working gesetzt. Im Kontext von Aufnahme, Entlassung oder ambulantem Kontakt soll List.mode = snapshot sein.

key	severity	human	expression
medication-list-context-1	error	Wenn der Kontext Aufnahme, Entlassung oder ambulanter Kontakt ist, soll der mode 'snapshot' sein.	List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E210' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E230' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E100').exists() implies List.mode='snapshot'
medication-list-context-2	error	Wenn der Kontext stationärer Aufenthalt ist, soll der mode 'working' sein.	List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E200').exists() implies List.mode='working'

name	url
MII_PR_Medikation_Medikationsliste	https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste

List	I		List	Element Id List Short description A list is a curated collection of resources Alternate names Collection, WorkingList, Organizer Definition A list is a curated collection of resources. Data Type List Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lst-3:An entry date can only be used if the mode of the list is "working" `mode = 'working' or entry.date.empty()` lst-2:The deleted flag can only be used if the mode of the list is "changes" `mode = 'changes' or entry.deleted.empty()` lst-1:A list can only have an emptyReason if it is empty `emptyReason.empty() or entry.empty()` medication-list-context-1:Wenn der Kontext Aufnahme, Entlassung oder ambulanter Kontakt ist, soll der mode 'snapshot' sein. `List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E210' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E230' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E100').exists() implies List.mode='snapshot'` medication-list-context-2:Wenn der Kontext stationärer Aufenthalt ist, soll der mode 'working' sein. `List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E200').exists() implies List.mode='working'` Mappings rim:Entity. Role, or Act rim:Act[classCode<ORG,moodCode=EVN]
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element Id List.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	0..1	id	There are no (further) constraints on this element Element Id List.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element Id List.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element Id List.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element Id List.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id List.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id List.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
identifier	S	0..*	Identifier	There are no (further) constraints on this element Element Id List.identifier Short description Business identifier Definition Identifier for the List assigned for business purposes outside the context of FHIR. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier rim:.id
status	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id List.status Short description current \| retired \| entered-in-error Definition Indicates the current state of this list. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding The current state of the list. ListStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:.status[current=active;retired=obsolete;entered-in-error=nullified]
mode	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id List.mode Short description working \| snapshot \| changes Definition How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. Requirements Lists are used in various ways, and it must be known in what way it is safe to use them. Comments This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Data Type code Binding The processing mode that applies to this list. ListMode (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.class rim:.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
title	Σ	0..1	string	There are no (further) constraints on this element Element Id List.title Short description Descriptive name for the list Definition A label for the list assigned by the author. Requirements Allows customization beyond just the code identifying the kind of list. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Dr. Jane's Patients Mappings rim:n/a rim:.title
code	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id List.code Short description What the purpose of this list is Definition This code defines the purpose of the list - why it was created. Requirements Lists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included. Comments If there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code. Data Type CodeableConcept Binding What the purpose of a list is. ExampleUseCodesForList (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] rim:.code
coding	S Σ	2..*	Coding	Element Id List.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
medCode	S Σ	1..1	CodingPattern	Element Id List.code.coding:medCode Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes", "code": "medications" } Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id List.code.coding:medCode.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://terminology.hl7.org/CodeSystem/list-example-use-codes Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:medCode.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	codeFixed Value	There are no (further) constraints on this element Element Id List.code.coding:medCode.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value medications Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:medCode.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id List.code.coding:medCode.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
contextCode	S Σ	1..1	CodingBindingPattern	Element Id List.code.coding:contextCode Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Binding MII_VS_Medikation_Fallkontext (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung" } Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id List.code.coding:contextCode.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:contextCode.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	code	There are no (further) constraints on this element Element Id List.code.coding:contextCode.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:contextCode.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id List.code.coding:contextCode.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	S Σ I	1..1	Reference(Patient)	Element Id List.subject Short description If all resources have the same subject Definition The common subject (or patient) of the resources that are in the list if there is one. Requirements The primary purpose of listing the subject explicitly is to help with finding the right list. Comments Some purely arbitrary lists do not have a common subject, so this is optional. Data Type Reference(Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] rim:.participation[typeCode<SUB].role (and sometimes .player) w5:FiveWs.subject
encounter	S I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id List.encounter Short description Context in which list created Definition The encounter that is the context in which this list was created. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.context rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
date	S Σ	0..1	dateTime	There are no (further) constraints on this element Element Id List.date Short description When the list was prepared Definition The date that the list was prepared. Requirements Identifies how current the list is which affects relevance. Comments The actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded rim:.participation[typeCode<AUT].time[type=TS]
source	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| Device)	There are no (further) constraints on this element Element Id List.source Short description Who and/or what defined the list contents (aka Author) Alternate names Author Definition The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list. Requirements Allows follow-up as well as context. Comments The primary source is the entity that made the decisions what items are in the list. This may be software or user. Data Type Reference(Practitioner \| PractitionerRole \| Patient \| Device) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author rim:.participation[typeCode<AUT].role[classCode=REL].player[classCode=PSN,determinerCode=INST] or .participation[typeCode<AUT].role[classCode=REL].player[classCode=DEV,determinerCode=INST]
orderedBy		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id List.orderedBy Short description What order the list has Definition What order applies to the items in the list. Requirements Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. Comments Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order. Data Type CodeableConcept Binding What order applies to the items in a list. ListOrderCodes (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.outboundRelationship[typeCode=COMP].sequenceNumber > 1
note		0..*	Annotation	There are no (further) constraints on this element Element Id List.note Short description Comments about the list Definition Comments that apply to the overall list. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act rim:.inboundRelationship[typeCode=SUBJ].act.text
entry	S I	0..*	BackboneElement	There are no (further) constraints on this element Element Id List.entry Short description Entries in the list Definition Entries in this list. Comments If there are no entries in the list, an emptyReason SHOULD be provided. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
flag		0..0	CodeableConcept	There are no (further) constraints on this element Element Id List.entry.flag Short description Status/Workflow information about this item Definition The flag allows the system constructing the list to indicate the role and significance of the item in the list. Requirements This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list. Comments The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is "changes". Data Type CodeableConcept Binding Codes that provide further information about the reason and meaning of the item in the list. PatientMedicineChangeTypes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
deleted	?! I	0..0	boolean	There are no (further) constraints on this element Element Id List.entry.deleted Short description If this item is actually marked as deleted Definition True if this item is marked as deleted in the list. Requirements The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as "deleted". Comments If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is "changes". A deleted entry should be displayed in narrative as deleted. This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list. Meaning When Missing List items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes' Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:added: .updateMode=("A","AR") retained: .updateMode="NC" updated: .updateMode="R" deleted: .updateMode="D"
date		0..1	dateTime	There are no (further) constraints on this element Element Id List.entry.date Short description When item added to list Definition When this item was added to the list. Requirements The date may be significant for understanding the meaning of items in a working list. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.availabilityTime
item	S I	1..1	Reference(MII PR Medikation MedicationStatement)	Element Id List.entry.item Short description Actual entry Definition A reference to the actual resource from which data was derived. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(MII PR Medikation MedicationStatement) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.target or .role or .role.entity
emptyReason	I	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id List.emptyReason Short description Why list is empty Definition If the list is empty, why the list is empty. Requirements Allows capturing things like "none exist" or "not asked" which can be important for most lists. Comments The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases. Data Type CodeableConcept Binding If a list is empty, why it is empty. ListEmptyReasons (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]

List	I		List	Element Id List Short description A list is a curated collection of resources Alternate names Collection, WorkingList, Organizer Definition A list is a curated collection of resources. Data Type List Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lst-3:An entry date can only be used if the mode of the list is "working" `mode = 'working' or entry.date.empty()` lst-2:The deleted flag can only be used if the mode of the list is "changes" `mode = 'changes' or entry.deleted.empty()` lst-1:A list can only have an emptyReason if it is empty `emptyReason.empty() or entry.empty()` medication-list-context-1:Wenn der Kontext Aufnahme, Entlassung oder ambulanter Kontakt ist, soll der mode 'snapshot' sein. `List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E210' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E230' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E100').exists() implies List.mode='snapshot'` medication-list-context-2:Wenn der Kontext stationärer Aufenthalt ist, soll der mode 'working' sein. `List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E200').exists() implies List.mode='working'` Mappings rim:Entity. Role, or Act rim:Act[classCode<ORG,moodCode=EVN]
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element Id List.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	0..1	id	There are no (further) constraints on this element Element Id List.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element Id List.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element Id List.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element Id List.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id List.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id List.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
identifier	S	0..*	Identifier	There are no (further) constraints on this element Element Id List.identifier Short description Business identifier Definition Identifier for the List assigned for business purposes outside the context of FHIR. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier rim:.id
status	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id List.status Short description current \| retired \| entered-in-error Definition Indicates the current state of this list. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding The current state of the list. ListStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:.status[current=active;retired=obsolete;entered-in-error=nullified]
mode	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id List.mode Short description working \| snapshot \| changes Definition How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. Requirements Lists are used in various ways, and it must be known in what way it is safe to use them. Comments This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Data Type code Binding The processing mode that applies to this list. ListMode (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.class rim:.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
title	Σ	0..1	string	There are no (further) constraints on this element Element Id List.title Short description Descriptive name for the list Definition A label for the list assigned by the author. Requirements Allows customization beyond just the code identifying the kind of list. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Dr. Jane's Patients Mappings rim:n/a rim:.title
code	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id List.code Short description What the purpose of this list is Definition This code defines the purpose of the list - why it was created. Requirements Lists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included. Comments If there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code. Data Type CodeableConcept Binding What the purpose of a list is. ExampleUseCodesForList (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] rim:.code
coding	S Σ	2..*	Coding	Element Id List.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
medCode	S Σ	1..1	CodingPattern	Element Id List.code.coding:medCode Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes", "code": "medications" } Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id List.code.coding:medCode.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://terminology.hl7.org/CodeSystem/list-example-use-codes Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:medCode.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	codeFixed Value	There are no (further) constraints on this element Element Id List.code.coding:medCode.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value medications Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:medCode.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id List.code.coding:medCode.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
contextCode	S Σ	1..1	CodingBindingPattern	Element Id List.code.coding:contextCode Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Binding MII_VS_Medikation_Fallkontext (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung" } Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id List.code.coding:contextCode.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:contextCode.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	code	There are no (further) constraints on this element Element Id List.code.coding:contextCode.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:contextCode.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id List.code.coding:contextCode.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	S Σ I	1..1	Reference(Patient)	Element Id List.subject Short description If all resources have the same subject Definition The common subject (or patient) of the resources that are in the list if there is one. Requirements The primary purpose of listing the subject explicitly is to help with finding the right list. Comments Some purely arbitrary lists do not have a common subject, so this is optional. Data Type Reference(Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] rim:.participation[typeCode<SUB].role (and sometimes .player) w5:FiveWs.subject
encounter	S I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id List.encounter Short description Context in which list created Definition The encounter that is the context in which this list was created. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.context rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
date	S Σ	0..1	dateTime	There are no (further) constraints on this element Element Id List.date Short description When the list was prepared Definition The date that the list was prepared. Requirements Identifies how current the list is which affects relevance. Comments The actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded rim:.participation[typeCode<AUT].time[type=TS]
source	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| Device)	There are no (further) constraints on this element Element Id List.source Short description Who and/or what defined the list contents (aka Author) Alternate names Author Definition The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list. Requirements Allows follow-up as well as context. Comments The primary source is the entity that made the decisions what items are in the list. This may be software or user. Data Type Reference(Practitioner \| PractitionerRole \| Patient \| Device) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author rim:.participation[typeCode<AUT].role[classCode=REL].player[classCode=PSN,determinerCode=INST] or .participation[typeCode<AUT].role[classCode=REL].player[classCode=DEV,determinerCode=INST]
orderedBy		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id List.orderedBy Short description What order the list has Definition What order applies to the items in the list. Requirements Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. Comments Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order. Data Type CodeableConcept Binding What order applies to the items in a list. ListOrderCodes (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.outboundRelationship[typeCode=COMP].sequenceNumber > 1
note		0..*	Annotation	There are no (further) constraints on this element Element Id List.note Short description Comments about the list Definition Comments that apply to the overall list. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act rim:.inboundRelationship[typeCode=SUBJ].act.text
entry	S I	0..*	BackboneElement	There are no (further) constraints on this element Element Id List.entry Short description Entries in the list Definition Entries in this list. Comments If there are no entries in the list, an emptyReason SHOULD be provided. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
flag		0..0	CodeableConcept	There are no (further) constraints on this element Element Id List.entry.flag Short description Status/Workflow information about this item Definition The flag allows the system constructing the list to indicate the role and significance of the item in the list. Requirements This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list. Comments The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is "changes". Data Type CodeableConcept Binding Codes that provide further information about the reason and meaning of the item in the list. PatientMedicineChangeTypes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
deleted	?! I	0..0	boolean	There are no (further) constraints on this element Element Id List.entry.deleted Short description If this item is actually marked as deleted Definition True if this item is marked as deleted in the list. Requirements The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as "deleted". Comments If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is "changes". A deleted entry should be displayed in narrative as deleted. This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list. Meaning When Missing List items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes' Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:added: .updateMode=("A","AR") retained: .updateMode="NC" updated: .updateMode="R" deleted: .updateMode="D"
date		0..1	dateTime	There are no (further) constraints on this element Element Id List.entry.date Short description When item added to list Definition When this item was added to the list. Requirements The date may be significant for understanding the meaning of items in a working list. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.availabilityTime
item	S I	1..1	Reference(MII PR Medikation MedicationStatement)	Element Id List.entry.item Short description Actual entry Definition A reference to the actual resource from which data was derived. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(MII PR Medikation MedicationStatement) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.target or .role or .role.entity
emptyReason	I	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id List.emptyReason Short description Why list is empty Definition If the list is empty, why the list is empty. Requirements Allows capturing things like "none exist" or "not asked" which can be important for most lists. Comments The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases. Data Type CodeableConcept Binding If a list is empty, why it is empty. ListEmptyReasons (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]

List	I		List	Element Id List Short description A list is a curated collection of resources Alternate names Collection, WorkingList, Organizer Definition A list is a curated collection of resources. Data Type List Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lst-3:An entry date can only be used if the mode of the list is "working" `mode = 'working' or entry.date.empty()` lst-2:The deleted flag can only be used if the mode of the list is "changes" `mode = 'changes' or entry.deleted.empty()` lst-1:A list can only have an emptyReason if it is empty `emptyReason.empty() or entry.empty()` medication-list-context-1:Wenn der Kontext Aufnahme, Entlassung oder ambulanter Kontakt ist, soll der mode 'snapshot' sein. `List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E210' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E230' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E100').exists() implies List.mode='snapshot'` medication-list-context-2:Wenn der Kontext stationärer Aufenthalt ist, soll der mode 'working' sein. `List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E200').exists() implies List.mode='working'` Mappings rim:Entity. Role, or Act rim:Act[classCode<ORG,moodCode=EVN]
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element Id List.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	0..1	id	There are no (further) constraints on this element Element Id List.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element Id List.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element Id List.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element Id List.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id List.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id List.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
identifier	S	0..*	Identifier	There are no (further) constraints on this element Element Id List.identifier Short description Business identifier Definition Identifier for the List assigned for business purposes outside the context of FHIR. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier rim:.id
status	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id List.status Short description current \| retired \| entered-in-error Definition Indicates the current state of this list. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding The current state of the list. ListStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:.status[current=active;retired=obsolete;entered-in-error=nullified]
mode	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id List.mode Short description working \| snapshot \| changes Definition How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. Requirements Lists are used in various ways, and it must be known in what way it is safe to use them. Comments This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Data Type code Binding The processing mode that applies to this list. ListMode (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.class rim:.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
title	Σ	0..1	string	There are no (further) constraints on this element Element Id List.title Short description Descriptive name for the list Definition A label for the list assigned by the author. Requirements Allows customization beyond just the code identifying the kind of list. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Dr. Jane's Patients Mappings rim:n/a rim:.title
code	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id List.code Short description What the purpose of this list is Definition This code defines the purpose of the list - why it was created. Requirements Lists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included. Comments If there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code. Data Type CodeableConcept Binding What the purpose of a list is. ExampleUseCodesForList (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] rim:.code
coding	S Σ	2..*	Coding	Element Id List.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
medCode	S Σ	1..1	CodingPattern	Element Id List.code.coding:medCode Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes", "code": "medications" } Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id List.code.coding:medCode.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://terminology.hl7.org/CodeSystem/list-example-use-codes Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:medCode.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	codeFixed Value	There are no (further) constraints on this element Element Id List.code.coding:medCode.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value medications Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:medCode.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id List.code.coding:medCode.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
contextCode	S Σ	1..1	CodingBindingPattern	Element Id List.code.coding:contextCode Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Binding MII_VS_Medikation_Fallkontext (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung" } Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id List.code.coding:contextCode.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:contextCode.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	code	There are no (further) constraints on this element Element Id List.code.coding:contextCode.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.coding:contextCode.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id List.code.coding:contextCode.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id List.code.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	S Σ I	1..1	Reference(Patient)	Element Id List.subject Short description If all resources have the same subject Definition The common subject (or patient) of the resources that are in the list if there is one. Requirements The primary purpose of listing the subject explicitly is to help with finding the right list. Comments Some purely arbitrary lists do not have a common subject, so this is optional. Data Type Reference(Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] rim:.participation[typeCode<SUB].role (and sometimes .player) w5:FiveWs.subject
encounter	S I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id List.encounter Short description Context in which list created Definition The encounter that is the context in which this list was created. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.context rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
date	S Σ	0..1	dateTime	There are no (further) constraints on this element Element Id List.date Short description When the list was prepared Definition The date that the list was prepared. Requirements Identifies how current the list is which affects relevance. Comments The actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded rim:.participation[typeCode<AUT].time[type=TS]
source	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| Device)	There are no (further) constraints on this element Element Id List.source Short description Who and/or what defined the list contents (aka Author) Alternate names Author Definition The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list. Requirements Allows follow-up as well as context. Comments The primary source is the entity that made the decisions what items are in the list. This may be software or user. Data Type Reference(Practitioner \| PractitionerRole \| Patient \| Device) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author rim:.participation[typeCode<AUT].role[classCode=REL].player[classCode=PSN,determinerCode=INST] or .participation[typeCode<AUT].role[classCode=REL].player[classCode=DEV,determinerCode=INST]
orderedBy		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id List.orderedBy Short description What order the list has Definition What order applies to the items in the list. Requirements Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. Comments Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order. Data Type CodeableConcept Binding What order applies to the items in a list. ListOrderCodes (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.outboundRelationship[typeCode=COMP].sequenceNumber > 1
note		0..*	Annotation	There are no (further) constraints on this element Element Id List.note Short description Comments about the list Definition Comments that apply to the overall list. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act rim:.inboundRelationship[typeCode=SUBJ].act.text
entry	S I	0..*	BackboneElement	There are no (further) constraints on this element Element Id List.entry Short description Entries in the list Definition Entries in this list. Comments If there are no entries in the list, an emptyReason SHOULD be provided. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
flag		0..0	CodeableConcept	There are no (further) constraints on this element Element Id List.entry.flag Short description Status/Workflow information about this item Definition The flag allows the system constructing the list to indicate the role and significance of the item in the list. Requirements This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list. Comments The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is "changes". Data Type CodeableConcept Binding Codes that provide further information about the reason and meaning of the item in the list. PatientMedicineChangeTypes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
deleted	?! I	0..0	boolean	There are no (further) constraints on this element Element Id List.entry.deleted Short description If this item is actually marked as deleted Definition True if this item is marked as deleted in the list. Requirements The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as "deleted". Comments If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is "changes". A deleted entry should be displayed in narrative as deleted. This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list. Meaning When Missing List items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes' Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:added: .updateMode=("A","AR") retained: .updateMode="NC" updated: .updateMode="R" deleted: .updateMode="D"
date		0..1	dateTime	There are no (further) constraints on this element Element Id List.entry.date Short description When item added to list Definition When this item was added to the list. Requirements The date may be significant for understanding the meaning of items in a working list. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.availabilityTime
item	S I	1..1	Reference(MII PR Medikation MedicationStatement)	Element Id List.entry.item Short description Actual entry Definition A reference to the actual resource from which data was derived. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(MII PR Medikation MedicationStatement) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.target or .role or .role.entity
emptyReason	I	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id List.emptyReason Short description Why list is empty Definition If the list is empty, why the list is empty. Requirements Allows capturing things like "none exist" or "not asked" which can be important for most lists. Comments The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases. Data Type CodeableConcept Binding If a list is empty, why it is empty. ListEmptyReasons (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-medikation-medikationsliste",
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste",
    "version": "2.0.0",
    "name": "MII_PR_Medikation_Medikationsliste",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Medikation_Medicationlist"
                    }
                ]
            }
        ]
    },
    "title": "MII PR Medikation Medikationsliste",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII PR Medikation Medicationlist"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Liste einzelner Medikationen z.B. zur Dokumentation der Aufnahme- oder Entlassmedikation.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "List of discrete medications e.g. for documentation of admission or discharge medication."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "List",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/List",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "List",
                "path": "List",
                "constraint":  [
                    {
                        "key": "medication-list-context-1",
                        "severity": "error",
                        "human": "Wenn der Kontext Aufnahme, Entlassung oder ambulanter Kontakt ist, soll der mode 'snapshot' sein.",
                        "expression": "List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E210' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E230' or system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E100').exists() implies List.mode='snapshot'",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste"
                    },
                    {
                        "key": "medication-list-context-2",
                        "severity": "error",
                        "human": "Wenn der Kontext stationärer Aufenthalt ist, soll der mode 'working' sein.",
                        "expression": "List.code.coding.where(system='http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung' and code='E200').exists() implies List.mode='working'",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste"
                    }
                ]
            },
            {
                "id": "List.meta",
                "path": "List.meta",
                "mustSupport": true
            },
            {
                "id": "List.meta.source",
                "path": "List.meta.source",
                "mustSupport": true
            },
            {
                "id": "List.meta.profile",
                "path": "List.meta.profile",
                "mustSupport": true
            },
            {
                "id": "List.identifier",
                "path": "List.identifier",
                "mustSupport": true
            },
            {
                "id": "List.status",
                "path": "List.status",
                "mustSupport": true
            },
            {
                "id": "List.mode",
                "path": "List.mode",
                "mustSupport": true
            },
            {
                "id": "List.code",
                "path": "List.code",
                "mustSupport": true
            },
            {
                "id": "List.code.coding",
                "path": "List.code.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 2,
                "mustSupport": true
            },
            {
                "id": "List.code.coding:medCode",
                "path": "List.code.coding",
                "sliceName": "medCode",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "code": "medications",
                    "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes"
                },
                "mustSupport": true
            },
            {
                "id": "List.code.coding:medCode.system",
                "path": "List.code.coding.system",
                "mustSupport": true
            },
            {
                "id": "List.code.coding:medCode.code",
                "path": "List.code.coding.code",
                "mustSupport": true
            },
            {
                "id": "List.code.coding:contextCode",
                "path": "List.code.coding",
                "sliceName": "contextCode",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext"
                }
            },
            {
                "id": "List.code.coding:contextCode.system",
                "path": "List.code.coding.system",
                "mustSupport": true
            },
            {
                "id": "List.code.coding:contextCode.code",
                "path": "List.code.coding.code",
                "mustSupport": true
            },
            {
                "id": "List.subject",
                "path": "List.subject",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "List.encounter",
                "path": "List.encounter",
                "mustSupport": true
            },
            {
                "id": "List.date",
                "path": "List.date",
                "mustSupport": true
            },
            {
                "id": "List.entry",
                "path": "List.entry",
                "mustSupport": true
            },
            {
                "id": "List.entry.flag",
                "path": "List.entry.flag",
                "max": "0"
            },
            {
                "id": "List.entry.deleted",
                "path": "List.entry.deleted",
                "max": "0"
            },
            {
                "id": "List.entry.item",
                "path": "List.entry.item",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
                        ]
                    }
                ],
                "mustSupport": true
            }
        ]
    }
}

FHIR	Datensatz	Erklaerung
List	BasismodulMedikation.Medikationsliste	Die Medikationsliste ist eine flache Sammlung von Medikationseinträgen, die ein Patient zu einem bestimmten Zeitpunkt einnimmt, beispielsweise bei Aufnahme oder Entlassung.
List.identifier	BasismodulMedikation.Medikationsliste.Identifikation	Business Identifier der Medikationsliste
List.status	BasismodulMedikation.Medikationsliste.Status	Zeigt den Status der Medikationsliste an
List.mode	BasismodulMedikation.Medikationsliste.Modus	Zeigt den Modus der Mediaktionsliste an - ob es sich um eine Arbeitsliste handelt, die laufend aktualisiert wird, oder um eine Momentaufnahme, beispielsweise die Liste der Medikationseinträge bei Aufnahme oder Entlassung.
List.code	BasismodulMedikation.Medikationsliste.Typ	Definiert den Typ der Liste - warum diese erstellt wurde.
List.entry.item	BasismodulMedikation.Medikationsliste.Medikationseintrag	Referenz auf Medikationseintrag
List.subject	BasismodulMedikation.Medikationsliste.BezugZumPatient	Die Person, für die die Medikationsliste erstellt oder verwaltet wird.
List.encounter	BasismodulMedikation.Medikationsliste.BezugZumFall	Der Besuch, die Aufnahme oder ein anderer Kontakt zwischen Patient und Leistungserbringer, bei dem die Medikationsliste erstellt oder bearbeitet wird.

Suchparameter

Folgende Suchparameter sind für das Modul Medikation relevant, auch in Kombination:

Der Suchparameter _id MUSS unterstützt werden:

Beispiele:

GET [base]/List?_id=1234

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/List?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "status" MUSS unterstützt werden:

Beispiele:

GET [base]/List?status=current

Anwendungshinweise: Weitere Informationen zur Suche nach "status" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "mode" MUSS unterstützt werden:

Beispiele:

GET [base]/List?mode=snapshot

Anwendungshinweise: Weitere Informationen zur Suche nach "category" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "code" MUSS unterstützt werden:

Beispiele:

GET [base]/List?code=urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16|E210

Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "subject" MUSS unterstützt werden:

Beispiele:

GET [base]/List?subject=Patient/example

Anwendungshinweise: Weitere Informationen zur Suche nach "subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "encounter" MUSS unterstützt werden:

Beispiele:

GET [base]/List?context=Encounter/example

Anwendungshinweise: Weitere Informationen zur Suche nach "encounter" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

Beispiele

Beispiel einer List Ressource, die eine Aufnahmemedikation beschreibt.

{
    "resourceType": "List",
    "id": "mii-exa-medikation-list-admission",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "medications",
                "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes"
            },
            {
                "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung",
                "code": "E210"
            }
        ]
    },
    "status": "current",
    "mode": "snapshot",
    "title": "Aufnahmemedikation",
    "subject": {
        "reference": "Patient/example"
    },
    "encounter": {
        "reference": "Encounter/ExampleEinrichtungskontakt"
    },
    "entry":  [
        {
            "item": {
                "reference": "MedicationStatement/mii-exa-medikation-medication-statement-hct"
            }
        },
        {
            "item": {
                "reference": "MedicationStatement/mii-exa-medikation-medication-statement-concor"
            }
        },
        {
            "item": {
                "reference": "MedicationStatement/mii-exa-medikation-medication-statement-ibuprofen"
            }
        },
        {
            "item": {
                "reference": "MedicationStatement/mii-exa-medikation-medication-statement-zopiclon"
            }
        }
    ]
}

MedicationStatement-Ressourcen, die in der List-Ressource referenziert werden hier klicken:

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-concor",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Concor 2,5mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "08:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 0,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Concor 2,5mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "12:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 0,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Concor 2,5mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "18:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 0,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Concor 2,5mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "22:00:00"
                    ]
                }
            }
        }
    ],
    "status": "intended",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "C07AB07",
                "system": "http://fhir.de/CodeSystem/bfarm/atc"
            }
        ],
        "text": "Concor 2,5mg"
    },
    "subject": {
        "reference": "Patient/example"
    },
    "effectivePeriod": {
        "start": "2022-02-02T12:22:00+00:00"
    }
}

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-hct",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "HCT 12,5 mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "08:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "HCT 12,5 mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "12:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "HCT 12,5 mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "18:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "HCT 12,5 mg Tabl. 1-0-0-0",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "22:00:00"
                    ]
                }
            }
        }
    ],
    "status": "intended",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "C03AA03",
                "system": "http://fhir.de/CodeSystem/bfarm/atc"
            }
        ],
        "text": "HCT 12,5mg"
    },
    "subject": {
        "reference": "Patient/example"
    },
    "effectivePeriod": {
        "start": "2022-02-02T12:22:00+00:00"
    }
}

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-ibuprofen",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Ibuprofen 400mg Tabl. 3x1 bei Bedarf (Kopfschmerzen)",
            "timing": {
                "repeat": {
                    "boundsPeriod": {
                        "start": "2022-02-02T12:22:00+00:00"
                    },
                    "frequency": 3,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "asNeededBoolean": true
        }
    ],
    "status": "intended",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "M01AE01",
                "system": "http://fhir.de/CodeSystem/bfarm/atc"
            }
        ],
        "text": "Ibuprofen 400mg"
    },
    "subject": {
        "reference": "Patient/example"
    },
    "effectivePeriod": {
        "start": "2022-02-02T12:22:00+00:00"
    }
}

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-zopiclon",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 0,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Zopiclon 3,75mg Tabl. 0-0-0-1",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "08:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 0,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Zopiclon 3,75mg Tabl. 0-0-0-1",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "12:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 0,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Zopiclon 3,75mg Tabl. 0-0-0-1",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "18:00:00"
                    ]
                }
            }
        },
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "code": "{Stueck}",
                        "unit": "1"
                    }
                }
            ],
            "text": "Zopiclon 3,75mg Tabl. 0-0-0-1",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "timeOfDay":  [
                        "22:00:00"
                    ]
                }
            }
        }
    ],
    "status": "intended",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "N05CF01",
                "system": "http://fhir.de/CodeSystem/bfarm/atc"
            }
        ],
        "text": "Zopiclon 3,75mg"
    },
    "subject": {
        "reference": "Patient/example"
    },
    "effectivePeriod": {
        "start": "2022-02-02T12:22:00+00:00"
    }
}

Beispiel einer List Ressource, die eine Medikation während des stationären Aufenthalts beschreibt.

{
    "resourceType": "List",
    "id": "mii-exa-medikation-medikationsliste-aktuelle-therapie",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "medications",
                "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes"
            },
            {
                "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung",
                "code": "E200"
            }
        ]
    },
    "status": "current",
    "mode": "working",
    "title": "Aktuelle medikamentöse Therapie",
    "subject": {
        "reference": "Patient/example"
    },
    "entry":  [
        {
            "item": {
                "reference": "MedicationStatement/example"
            }
        }
    ]
}