Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
versionId	SΣ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	0..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:indicator		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator ele-1: All FHIR elements must have a @value or children
extension:counter		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension ele-1: All FHIR elements must have a @value or children
numerator	SΣC	1..1	Quantity	Numerator value ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present
value	SΣ	1..1	decimal	Multiple Prescription Counter ele-1: All FHIR elements must have a @value or children
denominator	SΣC	1..1	Quantity	Denominator value ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series ele-1: All FHIR elements must have a @value or children
extension:period		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension ele-1: All FHIR elements must have a @value or children -limitationDateStart: Limitation of the date format to 10 characters YYYY-MM-DD -limitationDateEnd: Limitation of the date format to 10 characters YYYY-MM-DD
start	SΣC	1..1	dateTime	Start Date of the Prescription Redemption Period ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period ele-1: All FHIR elements must have a @value or children
extension:id		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	Specification as UUID ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID ele-1: All FHIR elements must have a @value or children Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"
value[x]	S	1..1	boolean	BVG ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:RxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	External ids for this request ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External ids for this request ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status	?!Σ	1..1	code	Status of Medication Request Binding: EPA Medication Request ValueSet (required) ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	Issue Date ele-1: All FHIR elements must have a @value or children
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
note	S	0..1	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	Dispensing Note ele-1: All FHIR elements must have a @value or children
dosageInstruction	S	0..1	Dosage	Hier werden Informationen zur Dosierung angegeben. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden. ele-1: All FHIR elements must have a @value or children
patientInstruction	SΣ	0..1	string	Instructions for Use ele-1: All FHIR elements must have a @value or children
dispenseRequest	S	1..1	BackboneElement	Medication supply authorization ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
quantity	SC	1..1	SimpleQuantity	Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
value	SΣ	1..1	decimal	Number of Prescribed Packages ele-1: All FHIR elements must have a @value or children
system	SΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: {Package}
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	EPAMedicationRequestVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-request-vs
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD : end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD : start.toString().length()=10
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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-4	error	MedicationRequest	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-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator, MedicationRequest.dispenseRequest.quantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	MedicationRequest.subject, MedicationRequest.requester	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'))
sqty-1	error	MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
Slices for extension				Content/Rules for all slices
multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
Slices for extension				Content/Rules for all slices
extension:indicator		0..1	Extension	Extension
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter		0..1	Extension	Extension
value[x]	S	1..1	Ratio	Value of extension
numerator	S	1..1	Quantity	Numerator value
value	S	1..1	decimal	Multiple Prescription Counter
denominator	S	1..1	Quantity	Denominator value
value	S	1..1	decimal	Denominator of Multiple Prescription Series
extension:period		0..1	Extension	Extension
value[x]	S	1..1	Period	Value of extension
start	S	1..1	dateTime	Start Date of the Prescription Redemption Period
end	S	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id		0..1	Extension	Extension
value[x]	S	1..1	Identifier	Value of extension
system	S	0..1	uri	Specification as UUID
value	S	0..1	string	Multiple Prescription ID
isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
value[x]	S	1..1	boolean	BVG
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this
identifier:RxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status		1..1	code	Status of Medication Request Binding: EPA Medication Request ValueSet (required)
intent	S	1..1	code	filler-order
medication[x]	S	1..1	Reference(Medication)	Medication to be taken
subject	S	1..1	Reference(Patient)	Who or group medication request is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	S	1..1	dateTime	Issue Date
requester	S	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request
note	S	0..1	Annotation	Information about the prescription
text	S	1..1	markdown	Dispensing Note
dosageInstruction	S	0..1	Dosage	Hier werden Informationen zur Dosierung angegeben.
text	S	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
patientInstruction	S	0..1	string	Instructions for Use
dispenseRequest	S	1..1	BackboneElement	Medication supply authorization
quantity	S	1..1	SimpleQuantity	Amount of medication to supply per dispense
value	S	1..1	decimal	Number of Prescribed Packages
system	S	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit Required Pattern: {Package}
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	EPAMedicationRequestVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-request-vs

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:indicator		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value qty-3: If a code for the unit is present, the system SHALL also be present
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value qty-3: If a code for the unit is present, the system SHALL also be present
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension -limitationDateStart: Limitation of the date format to 10 characters YYYY-MM-DD -limitationDateEnd: Limitation of the date format to 10 characters YYYY-MM-DD
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Start Date of the Prescription Redemption Period
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Specification as UUID Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"
value[x]	S	1..1	boolean	BVG
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this
identifier:RxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	External ids for this request Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External ids for this request Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	Status of Medication Request Binding: EPA Medication Request ValueSet (required)
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	C	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication ref-1: SHALL have a contained resource if a local reference is provided
authoredOn	SΣ	1..1	dateTime	Issue Date
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request ref-1: SHALL have a contained resource if a local reference is provided
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration ref-1: SHALL have a contained resource if a local reference is provided
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder	C	0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	C	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written ref-1: SHALL have a contained resource if a local reference is provided
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills ref-1: SHALL have a contained resource if a local reference is provided
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
note	S	0..1	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Dispensing Note
dosageInstruction	S	0..1	Dosage	Hier werden Informationen zur Dosierung angegeben.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	SΣ	0..1	string	Instructions for Use
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	ΣC	0..1	Ratio	Upper limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	ΣC	0..1	SimpleQuantity	Upper limit on medication per administration qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dispenseRequest	S	1..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	C	0..1	SimpleQuantity	First fill quantity qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
duration	C	0..1	Duration	First fill duration Binding: CommonUCUMCodesForDuration (extensible): Appropriate units for Duration. Additional Bindings Purpose AllUCUMExpressionForTime Max Binding qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses Binding: CommonUCUMCodesForDuration (extensible): Appropriate units for Duration. Additional Bindings Purpose AllUCUMExpressionForTime Max Binding qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
validityPeriod	C	0..1	Period	Time period supply is authorized for per-1: If present, start SHALL have a lower value than end
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	SC	1..1	SimpleQuantity	Amount of medication to supply per dispense qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	Σ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: {Package}
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense Binding: CommonUCUMCodesForDuration (extensible): Appropriate units for Duration. Additional Bindings Purpose AllUCUMExpressionForTime Max Binding qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
performer	C	0..1	Reference(Organization)	Intended dispenser ref-1: SHALL have a contained resource if a local reference is provided
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription	C	0..1	Reference(MedicationRequest)	An order/prescription that is being replaced ref-1: SHALL have a contained resource if a local reference is provided
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical Issue with action ref-1: SHALL have a contained resource if a local reference is provided
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	EPAMedicationRequestVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-request-vs
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationRequest.dispenseRequest.initialFill.duration	extensible	CommonUCUMCodesForDuration http://hl7.org/fhir/ValueSet/duration-units from the FHIR Standard Additional Bindings Purpose AllUCUMExpressionForTime Max Binding
MedicationRequest.dispenseRequest.dispenseInterval	extensible	CommonUCUMCodesForDuration http://hl7.org/fhir/ValueSet/duration-units from the FHIR Standard Additional Bindings Purpose AllUCUMExpressionForTime Max Binding
MedicationRequest.dispenseRequest.expectedSupplyDuration	extensible	CommonUCUMCodesForDuration http://hl7.org/fhir/ValueSet/duration-units from the FHIR Standard Additional Bindings Purpose AllUCUMExpressionForTime Max Binding
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD : end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD : start.toString().length()=10
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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-4	error	MedicationRequest	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-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
drt-1	error	MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.expectedSupplyDuration	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	MedicationRequest.dispenseRequest.validityPeriod	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	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'))
sqty-1	error	MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 36 elements

Structures

This structure refers to these other structures:

• RxPrescriptionProcessIdentifier (https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier)
• RxOriginatorProcessIdentifier (https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
versionId	SΣ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	0..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:indicator		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator ele-1: All FHIR elements must have a @value or children
extension:counter		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension ele-1: All FHIR elements must have a @value or children
numerator	SΣC	1..1	Quantity	Numerator value ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present
value	SΣ	1..1	decimal	Multiple Prescription Counter ele-1: All FHIR elements must have a @value or children
denominator	SΣC	1..1	Quantity	Denominator value ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series ele-1: All FHIR elements must have a @value or children
extension:period		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension ele-1: All FHIR elements must have a @value or children -limitationDateStart: Limitation of the date format to 10 characters YYYY-MM-DD -limitationDateEnd: Limitation of the date format to 10 characters YYYY-MM-DD
start	SΣC	1..1	dateTime	Start Date of the Prescription Redemption Period ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period ele-1: All FHIR elements must have a @value or children
extension:id		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	Specification as UUID ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID ele-1: All FHIR elements must have a @value or children Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"
value[x]	S	1..1	boolean	BVG ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:RxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	External ids for this request ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External ids for this request ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status	?!Σ	1..1	code	Status of Medication Request Binding: EPA Medication Request ValueSet (required) ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	Issue Date ele-1: All FHIR elements must have a @value or children
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
note	S	0..1	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	Dispensing Note ele-1: All FHIR elements must have a @value or children
dosageInstruction	S	0..1	Dosage	Hier werden Informationen zur Dosierung angegeben. ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden. ele-1: All FHIR elements must have a @value or children
patientInstruction	SΣ	0..1	string	Instructions for Use ele-1: All FHIR elements must have a @value or children
dispenseRequest	S	1..1	BackboneElement	Medication supply authorization ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
quantity	SC	1..1	SimpleQuantity	Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
value	SΣ	1..1	decimal	Number of Prescribed Packages ele-1: All FHIR elements must have a @value or children
system	SΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: {Package}
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	EPAMedicationRequestVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-request-vs
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD : end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD : start.toString().length()=10
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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-4	error	MedicationRequest	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-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator, MedicationRequest.dispenseRequest.quantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	MedicationRequest.subject, MedicationRequest.requester	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'))
sqty-1	error	MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
Slices for extension				Content/Rules for all slices
multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
Slices for extension				Content/Rules for all slices
extension:indicator		0..1	Extension	Extension
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter		0..1	Extension	Extension
value[x]	S	1..1	Ratio	Value of extension
numerator	S	1..1	Quantity	Numerator value
value	S	1..1	decimal	Multiple Prescription Counter
denominator	S	1..1	Quantity	Denominator value
value	S	1..1	decimal	Denominator of Multiple Prescription Series
extension:period		0..1	Extension	Extension
value[x]	S	1..1	Period	Value of extension
start	S	1..1	dateTime	Start Date of the Prescription Redemption Period
end	S	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id		0..1	Extension	Extension
value[x]	S	1..1	Identifier	Value of extension
system	S	0..1	uri	Specification as UUID
value	S	0..1	string	Multiple Prescription ID
isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
value[x]	S	1..1	boolean	BVG
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this
identifier:RxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
identifier:RxOriginatorProcessIdentifier		0..1	RxOriginatorProcessIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
status		1..1	code	Status of Medication Request Binding: EPA Medication Request ValueSet (required)
intent	S	1..1	code	filler-order
medication[x]	S	1..1	Reference(Medication)	Medication to be taken
subject	S	1..1	Reference(Patient)	Who or group medication request is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	S	1..1	dateTime	Issue Date
requester	S	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request
note	S	0..1	Annotation	Information about the prescription
text	S	1..1	markdown	Dispensing Note
dosageInstruction	S	0..1	Dosage	Hier werden Informationen zur Dosierung angegeben.
text	S	1..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.
patientInstruction	S	0..1	string	Instructions for Use
dispenseRequest	S	1..1	BackboneElement	Medication supply authorization
quantity	S	1..1	SimpleQuantity	Amount of medication to supply per dispense
value	S	1..1	decimal	Number of Prescribed Packages
system	S	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit Required Pattern: {Package}
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	EPAMedicationRequestVS https://gematik.de/fhir/terminology/ValueSet/epa-medication-request-vs