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fix: added MS to ISiKMedikationsVerordnung.reasonCode & .reasonReference #161

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fix: added MS to ISiKMedikationsVerordnung.reasonCode & .reasonReference #161

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dc33ba0
fix: added MS to ISiKMedikationsVerordnung.reasonCode & .reasonRefere…
patrick-werner Jan 21, 2025
d182221
updated ReleaseNotes.md
patrick-werner Jan 21, 2025
a5a5229
revert update of basisprofile dependency
patrick-werner Jan 22, 2025
8dee7cc
added missing MS reasons
patrick-werner Jan 30, 2025
ef27e91
Merge remote-tracking branch 'origin/TC_4.0.1' into pw/PTDATA-1280
patrick-werner Jan 30, 2025
4b985bb
adding sushi output
patrick-werner Jan 30, 2025
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3 changes: 2 additions & 1 deletion ImplementationGuide/markdown/ReleaseNotes.md
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Expand Up @@ -10,7 +10,8 @@ Version: 4.0.1

Datum: tbd

* ´improve´ ´test modifying´ Möglicher Breaking Change für Clients: Änderung (Schwächung) der MS-Definition für .reasonCode und reasonReference für MedicationAdministration und MedicationStatement https://github.com/gematik/spec-ISiK-Medikation/pull/140
* `improve` `test modifying` MS für ISiKMedikationsVerordnung.reasonReference & reasonCode hinzugefügt, um diese Elemente über alle Medication-Ressourcen hinweg zu vereinheitlichen https://github.com/gematik/spec-ISiK-Medikation/pull/161
* `improve` `test modifying` Möglicher Breaking Change für Clients: Änderung (Schwächung) der MS-Definition für .reasonCode und reasonReference für MedicationAdministration und MedicationStatement https://github.com/gematik/spec-ISiK-Medikation/pull/140
* Korrektur der Description & Status des MedicationQuantity Profils https://github.com/gematik/spec-ISiK-Medikation/pull/141
* Dokumentation für MS-Flags https://github.com/gematik/spec-ISiK-Medikation/pull/139
* Formulierungsänderung zur Nutzung von Profilen aus der Basis https://github.com/gematik/spec-ISiK-Medikation/pull/158
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10 changes: 5 additions & 5 deletions Resources/fsh-generated/fsh-index.json
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Expand Up @@ -188,16 +188,16 @@
"fshName": "ExampleISiKMedikationsVerordnung",
"fshType": "Instance",
"fshFile": "ISiKMedikationsVerordnung.fsh",
"startLine": 238,
"endLine": 261
"startLine": 257,
"endLine": 280
},
{
"outputFile": "MedicationRequest-ExampleISiKMedikationsVerordnung2.json",
"fshName": "ExampleISiKMedikationsVerordnung2",
"fshType": "Instance",
"fshFile": "ISiKMedikationsVerordnung.fsh",
"startLine": 263,
"endLine": 286
"startLine": 282,
"endLine": 305
},
{
"outputFile": "MedicationStatement-ExampleISiKMedikationsInformation1.json",
Expand Down Expand Up @@ -413,7 +413,7 @@
"fshType": "Profile",
"fshFile": "ISiKMedikationsVerordnung.fsh",
"startLine": 1,
"endLine": 236
"endLine": 255
},
{
"outputFile": "StructureDefinition-MedicationQuantity.json",
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6 changes: 3 additions & 3 deletions Resources/fsh-generated/fsh-index.txt
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Expand Up @@ -22,8 +22,8 @@ MedicationAdministration-ExampleISiKMedikationsVerabreichung.json Example
MedicationAdministration-ExampleISiKMedikationsVerabreichung2.json ExampleISiKMedikationsVerabreichung2 Instance ISiKMedikationsVerabreichung.fsh 129 - 142
MedicationAdministration-ExampleISiKMedikationsVerabreichung3.json ExampleISiKMedikationsVerabreichung3 Instance ISiKMedikationsVerabreichung.fsh 144 - 167
MedicationAdministration-ExampleISiKMedikationsVerabreichung4.json ExampleISiKMedikationsVerabreichung4 Instance ISiKMedikationsVerabreichung.fsh 169 - 198
MedicationRequest-ExampleISiKMedikationsVerordnung.json ExampleISiKMedikationsVerordnung Instance ISiKMedikationsVerordnung.fsh 238 - 261
MedicationRequest-ExampleISiKMedikationsVerordnung2.json ExampleISiKMedikationsVerordnung2 Instance ISiKMedikationsVerordnung.fsh 263 - 286
MedicationRequest-ExampleISiKMedikationsVerordnung.json ExampleISiKMedikationsVerordnung Instance ISiKMedikationsVerordnung.fsh 257 - 280
MedicationRequest-ExampleISiKMedikationsVerordnung2.json ExampleISiKMedikationsVerordnung2 Instance ISiKMedikationsVerordnung.fsh 282 - 305
MedicationStatement-ExampleISiKMedikationsInformation1.json ExampleISiKMedikationsInformation1 Instance ISiKMedikationsInformation.fsh 254 - 277
MedicationStatement-ExampleISiKMedikationsInformation2.json ExampleISiKMedikationsInformation2 Instance ISiKMedikationsInformation.fsh 279 - 299
MedicationStatement-ExampleISiKMedikationsInformation3.json ExampleISiKMedikationsInformation3 Instance ISiKMedikationsInformation.fsh 301 - 324
Expand All @@ -50,7 +50,7 @@ StructureDefinition-ISiKMedikationTransactionResponse.json ISiKMed
StructureDefinition-ISiKMedikationsInformation.json ISiKMedikationsInformation Profile ISiKMedikationsInformation.fsh 1 - 252
StructureDefinition-ISiKMedikationsListe.json ISiKMedikationsListe Profile ISiKMedikationsListe.fsh 1 - 56
StructureDefinition-ISiKMedikationsVerabreichung.json ISiKMedikationsVerabreichung Profile ISiKMedikationsVerabreichung.fsh 1 - 112
StructureDefinition-ISiKMedikationsVerordnung.json ISiKMedikationsVerordnung Profile ISiKMedikationsVerordnung.fsh 1 - 236
StructureDefinition-ISiKMedikationsVerordnung.json ISiKMedikationsVerordnung Profile ISiKMedikationsVerordnung.fsh 1 - 255
StructureDefinition-MedicationQuantity.json MedicationQuantity Profile dataTypeProfiles.fsh 1 - 11
ValueSet-ISiKMedikationsartVS.json ISiKMedikationsartVS ValueSet valueSets.fsh 7 - 11
ValueSet-MedikationsListeListModeVS.json MedikationsListeListModeVS ValueSet valueSets.fsh 13 - 19
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/CapabilityStatement-ISiKCapabilityStatementAMTS.json
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Expand Up @@ -6,7 +6,7 @@
"experimental": false,
"version": "4.0.1",
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"implementationGuide": [
"https://gematik.de/fhir/Medikation/ImplementationGuide/ISiK-Medikation"
],
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2 changes: 1 addition & 1 deletion ...generated/resources/CapabilityStatement-ISiKCapabilityStatementMedikationInformation.json
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Expand Up @@ -6,7 +6,7 @@
"experimental": false,
"version": "4.0.1",
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"implementationGuide": [
"https://gematik.de/fhir/Medikation/ImplementationGuide/ISiK-Medikation"
],
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2 changes: 1 addition & 1 deletion ...nerated/resources/CapabilityStatement-ISiKCapabilityStatementMedikationVerabreichung.json
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Expand Up @@ -6,7 +6,7 @@
"experimental": false,
"version": "4.0.1",
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"implementationGuide": [
"https://gematik.de/fhir/ISiK/ImplementationGuide/ISiK-Medikation"
],
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2 changes: 1 addition & 1 deletion ...-generated/resources/CapabilityStatement-ISiKCapabilityStatementMedikationVerordnung.json
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"experimental": false,
"version": "4.0.1",
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"implementationGuide": [
"https://gematik.de/fhir/ISiK/ImplementationGuide/ISiK-Medikation"
],
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/CodeSystem-ISiKMedikationsartCS.json
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Expand Up @@ -20,6 +20,6 @@
],
"experimental": false,
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"count": 2
}
2 changes: 1 addition & 1 deletion ...sh-generated/resources/MedicationAdministration-ExampleISiKMedikationsVerabreichung3.json
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Expand Up @@ -41,7 +41,7 @@
},
"status": "completed",
"medicationReference": {
"reference": "Medication-Read-Example"
"reference": "Medication/ExampleISiKMedikament9"
},
"subject": {
"reference": "Patient/PatientinMusterfrau"
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2 changes: 1 addition & 1 deletion ...sh-generated/resources/MedicationAdministration-ExampleISiKMedikationsVerabreichung4.json
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Expand Up @@ -49,7 +49,7 @@
},
"status": "completed",
"medicationReference": {
"reference": "Medication-Read-Example"
"reference": "Medication/ExampleISiKMedikament2"
},
"subject": {
"reference": "Patient/PatientinMusterfrau"
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ExtensionISiKAcceptedRisk.json
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Expand Up @@ -7,7 +7,7 @@
"title": "ISiK Accepted Risk",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Extension zur Dokumentation eines im Rahmen der AMTS bewusst eingegangenen Risikos. In diesem Freitext kann die Begründung und ggf. zu treffende besondere Maßnahmen dokumentiert werden.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ExtensionISiKBehandlungsziel.json
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Expand Up @@ -7,7 +7,7 @@
"title": "ISiK Behandlungsziel",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Extension zur freitextlichen Angabe des Behandlungsziels.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion ...s/fsh-generated/resources/StructureDefinition-ExtensionISiKMedicationRequestReplaces.json
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"title": "ISiK MedicationRequestReplaces",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Extension zur Verlinkung der Medikationsverordnung die ersetzt wurde",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion ...fsh-generated/resources/StructureDefinition-ExtensionISiKMedicationStatementReplaces.json
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"title": "ISiK MedicationStatementReplaces",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Extension zur Verlinkung der Medikationsinformation die ersetzt wurde",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ExtensionISiKMedikationsart.json
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Expand Up @@ -7,7 +7,7 @@
"title": "ISiK Medikationsart",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Extension zur Dokumentation der Therapieart einer Medikation (Akut- oder Dauermedikation).",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ExtensionISiKSelbstmedikation.json
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Expand Up @@ -7,7 +7,7 @@
"title": "ISiK Selbstmedikation",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Extension zur Angabe, ob es sich bei der Medikation um eine Selbstmedikation handelt.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKAMTSBewertung.json
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Expand Up @@ -7,7 +7,7 @@
"title": "ISiK AMTS-Bewertung",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Abbildung von Informationen zur Risikobeurteilung im Rahmen der Arzneimitteltherapiesicherheit (AMTS).",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKMedikament.json
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Expand Up @@ -6,7 +6,7 @@
"name": "ISiKMedikament",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Abbildung von patientenunabhängigen Informationen zu Medikamenten in ISiK Szenarien.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKMedikationTransaction.json
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Expand Up @@ -7,7 +7,7 @@
"title": "ISiK Medikation Transactionbundle",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil definiert die Transaktions-Bundles im Rahmen von ISiK-Medikations-Szenarien.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKMedikationTransactionResponse.json
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"title": "ISiK Medikation TransactionBundle-Response",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil definiert die Server-Antwort auf Transaktions-Bundles im Rahmen von ISiK-Medikations-Szenarien.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKMedikationsInformation.json
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"name": "ISiKMedikationsInformation",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Abbildung von Informationen zur Medikation eines Patienten in ISiK Szenarien.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKMedikationsListe.json
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"title": "ISiK Medikationsliste",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Zusammenführung einzelner MedikationsInformationen eines Patienten in ISiK Szenarien.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-ISiKMedikationsVerabreichung.json
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"name": "ISiKMedikationsVerabreichung",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Abbildung der Verabreichung von Medikamenten für einen Patienten in ISiK Szenarien.",
"fhirVersion": "4.0.1",
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56 changes: 54 additions & 2 deletions Resources/fsh-generated/resources/StructureDefinition-ISiKMedikationsVerordnung.json
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Expand Up @@ -6,7 +6,7 @@
"name": "ISiKMedikationsVerordnung",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Abbildung von Medikationsverordnungen eines Patienten in ISiK Szenarien.",
"fhirVersion": "4.0.1",
Expand Down Expand Up @@ -106,7 +106,7 @@
"path": "MedicationRequest.extension",
"sliceName": "medicationRequestReplaces",
"short": "Welche Medikationsverordnung wird ersetzt?",
"comment": "Begründung des Must-Support: historische Nachvollziehbarkeit\n\n Hinweis: FWelche Medikationsverordnung wird ersetzt?",
"comment": "Begründung des Must-Support: historische Nachvollziehbarkeit\n\n Hinweis: Welche Medikationsverordnung wird ersetzt?",
"min": 0,
"max": "1",
"type": [
Expand Down Expand Up @@ -332,6 +332,58 @@
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.reasonCode",
"path": "MedicationRequest.reasonCode",
"short": "Grund der Medikation (codiert)",
"comment": "Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können.\nBegründung zu Must-Support: Konsolidierung mit MII Profil: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest",
"mustSupport": true
},
{
"id": "MedicationRequest.reasonCode.coding",
"path": "MedicationRequest.reasonCode.coding",
"comment": "Begründung des Must-Support: Falls der Grund kodierbar ist, sollte er auch kodiert werden.",
"mustSupport": true
},
{
"id": "MedicationRequest.reasonCode.coding.system",
"path": "MedicationRequest.reasonCode.coding.system",
"comment": "Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer ein System um die Bedeutung des Codes zu definieren.",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.reasonCode.coding.code",
"path": "MedicationRequest.reasonCode.coding.code",
"comment": "Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer ein Code um die Bedeutung des Codes zu definieren.",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.reasonCode.coding.display",
"path": "MedicationRequest.reasonCode.coding.display",
"comment": "Begründung des Must-Support: Ein Display Element ist für die Lesbarkeit der Information notwendig.",
"mustSupport": true
},
{
"id": "MedicationRequest.reasonCode.text",
"path": "MedicationRequest.reasonCode.text",
"mustSupport": true
},
{
"id": "MedicationRequest.reasonReference",
"path": "MedicationRequest.reasonReference",
"short": "Grund der Medikation (Referenz)",
"comment": " Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können.\n Begründung zu Must-Support: Konsolidierung mit MII.",
"mustSupport": true
},
{
"id": "MedicationRequest.reasonReference.reference",
"path": "MedicationRequest.reasonReference.reference",
"comment": "Begründung des Must-Support: Referenz auf die Diagnose oder Untersuchung, die die Medikation begründet.",
"min": 1,
"mustSupport": true
},
{
"id": "MedicationRequest.note",
"path": "MedicationRequest.note",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/StructureDefinition-MedicationQuantity.json
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"title": "Medication Quantity",
"status": "active",
"experimental": false,
"date": "2025-01-08",
"date": "2025-01-30",
"publisher": "gematik GmbH",
"description": "Quantity Datentyp der die Nutzung von UCUM vorgibt. Bei dimensionslosen Einheiten wie 'Tablette' wird ein code von '1' erwartet, 'Tablette' kann als String in Unit hinterlegt werden.",
"fhirVersion": "4.0.1",
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/ValueSet-ISiKMedikationsartVS.json
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Expand Up @@ -8,7 +8,7 @@
"url": "https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS",
"experimental": false,
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"compose": {
"include": [
{
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/ValueSet-MedikationsListeListModeVS.json
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Expand Up @@ -9,7 +9,7 @@
"url": "https://gematik.de/fhir/isik/ValueSet/MedikationsListeListModeVS",
"experimental": false,
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"compose": {
"include": [
{
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2 changes: 1 addition & 1 deletion Resources/fsh-generated/resources/ValueSet-SctRouteOfAdministration.json
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Expand Up @@ -8,7 +8,7 @@
"url": "https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration",
"experimental": false,
"publisher": "gematik GmbH",
"date": "2025-01-08",
"date": "2025-01-30",
"compose": {
"include": [
{
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4 changes: 2 additions & 2 deletions Resources/input/fsh/ISiKMedikationsVerabreichung.fsh
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Expand Up @@ -145,7 +145,7 @@ Instance: ExampleISiKMedikationsVerabreichung3
InstanceOf: ISiKMedikationsVerabreichung
Usage: #example
* status = #completed
* medicationReference = Reference(Medication-Read-Example)
* medicationReference = Reference(ExampleISiKMedikament9)
* subject.reference = "Patient/PatientinMusterfrau"
* context.reference = "Encounter/Fachabteilungskontakt"
* context.identifier.value = "0123456789"
Expand All @@ -170,7 +170,7 @@ Instance: ExampleISiKMedikationsVerabreichung4
InstanceOf: ISiKMedikationsVerabreichung
Usage: #example
* status = #completed
* medicationReference = Reference(Medication-Read-Example)
* medicationReference = Reference(ExampleISiKMedikament2)
* subject.reference = "Patient/PatientinMusterfrau"
* context.reference = "Encounter/Fachabteilungskontakt"
* context.identifier.value = "0123456789"
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