In diesem Profil werden Informationen zu einer Verordnungseinheit eines Moduls einer digitalen Gesundheitsanwendung (DiGA) bzw. zu einer Anwendungseinheit eines Moduls einer digitalen Pflegeanwendung (DiPA) repräsentiert.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Nur DiGA: Enthält Angaben zur Dauer, über welche die Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA) angewendet werden soll. Sind keine Angaben enthalten, dann ist die Nutzung der Anwendung ohne zeitliche Begrenzung möglich (Einmallizenz).

Nur DiPA: Enthält Angaben dazu, ob ergänzende Unterstützungsleistungen zur Anwendungseinheit erforderlich sind.

Nur DiGA: Beinhaltet Informationen dazu, wann die Anwendung der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA) angezeigt ist.

Nur DiGA: Beinhaltet Informationen dazu, wann die Anwendung der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA) nicht angezeigt, also kontraindiziert ist.

Nur DiGA: Enthält Angaben dazu, ob ergänzende vertragsärztliche Leistungen zur Anwendungseinheit bzw. Verordnungseinheit erforderlich sind.

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

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

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

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

Enthält die URL zu einer der Anwendungs- bzw. Verordnungseinheit zugehörigen Information im Verzeichnis.

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Allows the charge item definition to be referenced by a single globally unique identifier.

Enthält Werte zur eindeutigen Identifizierung der Anwendungs- bzw. Verordnungseinheit.

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

DiGA-Verordnungseinheit-ID als eindeutiges Identifizierungsmerkmal der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA).

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

DiPA-Anwendungseinheit-ID als eindeutiges Identifizierungsmerkmal der Anwendungseinheit der digitalen Pflegeanwendung (DiPA).

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Die namentliche Bezeichnung der Anwendungs- bzw. Verordnungseinheit.

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

Repräsentiert den Status der Anwendungs- bzw. Verordnungseinheit. Dieser ist hier immer auf unknown gesetzt. Ob eine Anwendungs- bzw. Verordnungseinheit zum aktuellen Zeitpunkt aktiv ist, ergibt sich aus der effectivePeriod.

Allows filtering of charge item definitions that are appropriate for use versus not.

The lifecycle status of an artifact.

Enthält weitere optionale Erläuterungen zum Preismodell.

This description can be used to capture details such as why the charge item definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the charge item definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the charge item definition is presumed to be the predominant language in the place the charge item definition was created).

Enthält Angaben zu Patienten- und Zielgruppen, für welche die Anwendungseinheit bzw. Verordnungseinheit geeignet ist.

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of the IHTSDO.

Assist in searching for appropriate content.

Angabe der Altersgruppen (der Patienten) für welche die Anwendungs- bzw. Verordnungseinheit geeignet ist.

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Assist in searching for appropriate content.

A code that identifies the type of context being specified by this usage context.

A code that specifies a type of context being specified by a usage context.

The identification of the code system that defines the meaning of the symbol in the code.

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.

Need to be unambiguous about the source of the definition of the symbol.

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).

Need to refer to a particular code in the system.

A representation of the meaning of the code in the system, following the rules of the system.

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

A code that defines the specific value for the context being specified.

A reference to a code defined by a terminology system.

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.

Allows for alternative encodings within a code system, and translations to other code systems.

Kommentar zur Altersgruppe.

Very often the text is the same as a displayName of one of the codings.

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.

Nur DiPA: Angabe der Dimensionen der Beeinträchtigungen (der Patienten) für welche die Anwendungseinheit geeignet ist.

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Assist in searching for appropriate content.

A code that identifies the type of context being specified by this usage context.

A code that specifies a type of context being specified by a usage context.

The identification of the code system that defines the meaning of the symbol in the code.

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.

Need to be unambiguous about the source of the definition of the symbol.

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).

Need to refer to a particular code in the system.

A representation of the meaning of the code in the system, following the rules of the system.

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

A code that defines the specific value for the context being specified.

Nur DiPA: Optionaler Ausprägungsgrad der Dimension der Beeinträchtigung.

A reference to a code defined by a terminology system.

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.

Allows for alternative encodings within a code system, and translations to other code systems.

Angabe der Geschlechter (der Patienten) für welche die Anwendungs- bzw. Verordnungseinheit geeignet ist.

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Assist in searching for appropriate content.

A code that identifies the type of context being specified by this usage context.

A code that specifies a type of context being specified by a usage context.

The identification of the code system that defines the meaning of the symbol in the code.

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.

Need to be unambiguous about the source of the definition of the symbol.

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).

Need to refer to a particular code in the system.

A representation of the meaning of the code in the system, following the rules of the system.

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

A code that defines the specific value for the context being specified.

A reference to a code defined by a terminology system.

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.

Allows for alternative encodings within a code system, and translations to other code systems.

Gibt an in welchem Zeitraum die Anwendungs- bzw. Verordnungseinheit gültig ist.

The effective period for a charge item definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the charge item definition are or are expected to be used instead.

The start of the period. The boundary is inclusive.

If the low element is missing, the meaning is that the low boundary is not known.

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Nur DiGA: Codiert die Verordnungseinheit einer digitalen Gesundheitsanwendung (DiGA), beispielsweise in Form der Pharmazentralnummer (PZN).

Billing Code defined by this ChargeItemDefinition.

Nur DiGA: Bis wann die Verordnung der PZN möglich ist.

A reference to a code defined by a terminology system.

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.

Allows for alternative encodings within a code system, and translations to other code systems.

The identification of the code system that defines the meaning of the symbol in the code.

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.

Need to be unambiguous about the source of the definition of the symbol.

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).

Need to refer to a particular code in the system.

Die Referenz zum übergeordneten Modul der digitalen Anwendung (HealthAppModule).

In case of highly customized, individually produced or fitted devices/substances, the pricing information may be different for each instance of the product. This reference links pricing details to specific product instances.

An Extension

Der Verweis auf das Modul der digitalen Anwendung (HealthAppModule).

Group of properties which are applicable under the same conditions. If no applicability rules are established for the group, then all properties always apply.

Enthält Angaben zu Kosten der Anwendungs- bzw. Verordnungseinheit, die nicht (z.B. durch die Gesetzliche Krankenversicherung) erstattet werden können.

An Extension

Die Beschreibung der nicht-erstattungsfähigen Kosten in Textform, falls die Anwendungseinheit bzw. Verordnungseinheit nicht-erstattungsfähige Kostenbestandteile enthält.

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Gibt an, ob die Kosten der Anwendungseinheit bzw. Verordnungseinheit nicht-erstattungsfähige Bestandteile enthalten:

• true: nicht-erstattungsfähige Kosten enthalten
• false: keine nicht-erstattungsfähigen Kosten enthalten / alle Kosten werden erstattet

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

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

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

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

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

Enthält Angaben zum Preis der Anwendungs- bzw. Verordnungseinheit.

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

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

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

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

Typ des Preisbestandteils:

• informational: Bruttopreis inkl. Mehrwertsteuer

Codes indicating the kind of the price component.

Bezeichnung des Preisbestandteils:

• additional-costs: Mehrkosten bei alleiniger Nutzung (nur DiPA)
• compensation-amount: Verhandelter Vergütungsbetrag (nur DiPA)
• maximum-amount: Vergütungs- / Höchstbetrag (nur DiGA)
• publisher-price: Herstellerpreis (nur DiGA)

A reference to a code defined by a terminology system.

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.

Allows for alternative encodings within a code system, and translations to other code systems.

Enthält den Betrag des jeweiligen Preisbestandteils.

Numerical value (with implicit precision).

Monetary values have their own rules for handling precision (refer to standard accounting text books).

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

ISO 4217 Currency Code.

A code indicating the currency, taken from ISO 4217.

A code indicating the currency, taken from ISO 4217.

In diesem Profil werden Informationen zu einer Verordnungseinheit eines Moduls einer digitalen Gesundheitsanwendung (DiGA) bzw. zu einer Anwendungseinheit eines Moduls einer digitalen Pflegeanwendung (DiPA) repräsentiert.

Enthält die URL zu einer der Anwendungs- bzw. Verordnungseinheit zugehörigen Information im Verzeichnis.

Enthält Werte zur eindeutigen Identifizierung der Anwendungs- bzw. Verordnungseinheit.

DiGA-Verordnungseinheit-ID als eindeutiges Identifizierungsmerkmal der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA).

DiPA-Anwendungseinheit-ID als eindeutiges Identifizierungsmerkmal der Anwendungseinheit der digitalen Pflegeanwendung (DiPA).

Die namentliche Bezeichnung der Anwendungs- bzw. Verordnungseinheit.

Repräsentiert den Status der Anwendungs- bzw. Verordnungseinheit. Dieser ist hier immer auf unknown gesetzt. Ob eine Anwendungs- bzw. Verordnungseinheit zum aktuellen Zeitpunkt aktiv ist, ergibt sich aus der effectivePeriod.

Enthält weitere optionale Erläuterungen zum Preismodell.

Enthält Angaben zu Patienten- und Zielgruppen, für welche die Anwendungseinheit bzw. Verordnungseinheit geeignet ist.

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of the IHTSDO.

Angabe der Altersgruppen (der Patienten) für welche die Anwendungs- bzw. Verordnungseinheit geeignet ist.

Kommentar zur Altersgruppe.

Nur DiPA: Angabe der Dimensionen der Beeinträchtigungen (der Patienten) für welche die Anwendungseinheit geeignet ist.

Angabe der Geschlechter (der Patienten) für welche die Anwendungs- bzw. Verordnungseinheit geeignet ist.

Gibt an in welchem Zeitraum die Anwendungs- bzw. Verordnungseinheit gültig ist.

Nur DiGA: Codiert die Verordnungseinheit einer digitalen Gesundheitsanwendung (DiGA), beispielsweise in Form der Pharmazentralnummer (PZN).

Die Referenz zum übergeordneten Modul der digitalen Anwendung (HealthAppModule).

Enthält Angaben zum Preis der Anwendungs- bzw. Verordnungseinheit.

Typ des Preisbestandteils:

• informational: Bruttopreis inkl. Mehrwertsteuer

Bezeichnung des Preisbestandteils:

• additional-costs: Mehrkosten bei alleiniger Nutzung (nur DiPA)
• compensation-amount: Verhandelter Vergütungsbetrag (nur DiPA)
• maximum-amount: Vergütungs- / Höchstbetrag (nur DiGA)
• publisher-price: Herstellerpreis (nur DiGA)

Enthält den Betrag des jeweiligen Preisbestandteils.

In diesem Profil werden Informationen zu einer Verordnungseinheit eines Moduls einer digitalen Gesundheitsanwendung (DiGA) bzw. zu einer Anwendungseinheit eines Moduls einer digitalen Pflegeanwendung (DiPA) repräsentiert.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

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.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

A human language.

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

An Extension

Nur DiGA: Enthält Angaben zur Dauer, über welche die Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA) angewendet werden soll. Sind keine Angaben enthalten, dann ist die Nutzung der Anwendung ohne zeitliche Begrenzung möglich (Einmallizenz).

Nur DiPA: Enthält Angaben dazu, ob ergänzende Unterstützungsleistungen zur Anwendungseinheit erforderlich sind.

Nur DiGA: Beinhaltet Informationen dazu, wann die Anwendung der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA) angezeigt ist.

Nur DiGA: Beinhaltet Informationen dazu, wann die Anwendung der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA) nicht angezeigt, also kontraindiziert ist.

Nur DiGA: Enthält Angaben dazu, ob ergänzende vertragsärztliche Leistungen zur Anwendungseinheit bzw. Verordnungseinheit erforderlich sind.

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

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

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

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

Enthält die URL zu einer der Anwendungs- bzw. Verordnungseinheit zugehörigen Information im Verzeichnis.

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Allows the charge item definition to be referenced by a single globally unique identifier.

Enthält Werte zur eindeutigen Identifizierung der Anwendungs- bzw. Verordnungseinheit.

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

DiGA-Verordnungseinheit-ID als eindeutiges Identifizierungsmerkmal der Verordnungseinheit der digitalen Gesundheitsanwendung (DiGA).

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

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

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

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

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Time period during which identifier is/was valid for use.

Organization that issued/manages the identifier.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

DiPA-Anwendungseinheit-ID als eindeutiges Identifizierungsmerkmal der Anwendungseinheit der digitalen Pflegeanwendung (DiPA).

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

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

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

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

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Time period during which identifier is/was valid for use.